{"id":8420,"date":"2020-11-29T12:09:05","date_gmt":"2020-11-29T12:09:05","guid":{"rendered":"https:\/\/dev.adoreecuador.com\/booking-form\/"},"modified":"2025-01-25T23:19:09","modified_gmt":"2025-01-26T04:19:09","slug":"boekingsformulier","status":"publish","type":"page","link":"https:\/\/adoreecuador.com\/nl\/boekingsformulier\/","title":{"rendered":"Boekingsformulier"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"8420\" class=\"elementor elementor-8420 elementor-4883\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d7d8b56 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d7d8b56\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fd69444\" data-id=\"fd69444\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-abcc2f2 elementor-widget elementor-widget-heading\" data-id=\"abcc2f2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Boekingsformulier<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b3a229c elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"b3a229c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-076dc2b\" data-id=\"076dc2b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-369693a elementor-widget elementor-widget-template\" data-id=\"369693a\" data-element_type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"18869\" class=\"elementor elementor-18869 elementor-8003\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5034c185 elementor-section-height-default elementor-section-boxed elementor-section-height-default\" data-id=\"5034c185\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wide\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-241dd14c\" data-id=\"241dd14c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1972fce2 elementor-widget elementor-widget-breadcrumbs\" data-id=\"1972fce2\" data-element_type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/adoreecuador.com\/en\/\">Home<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-51e6453 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"51e6453\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cdb33d7\" data-id=\"cdb33d7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7a9db5a elementor-widget elementor-widget-text-editor\" data-id=\"7a9db5a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"cb-module-custom cb-module-block clearfix\"><div class=\"cb-contents\"><p>Voor het boeken van je trip vragen we je onderstaand boekingsformulier in te vullen. Alle velden met een sterretje (*) zijn verplicht, waaronder ook een kopie van je paspoort.<\/p><\/div><p>Na het versturen van het boekingsformulier nemen we zo snel mogelijk contact met je op, uiterlijk binnen 24 uur. Vergeet niet je spam folder te bekijken als je binnen deze tijd nog niks van ons hebt gehoord!<\/p><p>Zodra we de beschikbaarheid voor je trip kunnen bevestigen, zullen we je dit laten weten. Houd er rekening mee dat we je betaling nodig hebben om je boeking te bevestigen. Hier kun je meer lezen over onze<a href=\"\/nl\/betaalopties-voorwaarden\/\" target=\"_blank\" rel=\"noopener\"><strong> betaalmogelijkheden<\/strong><\/a>. Nadat we je betaling hebben ontvangen ontvang je een e-mail van ons waarin we je tour bevestigen.<\/p><p><em>Opmerking: Voor het invullen van dit boekingsformulier raden we Google Chrome aan.<\/em><\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa4586a elementor-widget elementor-widget-spacer\" data-id=\"aa4586a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba16462 elementor-widget elementor-widget-heading\" data-id=\"ba16462\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Boekingsformulier<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b8e0f1e elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"b8e0f1e\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5bea48d uael-gf-ajax-true uael-gf-style-box uael-gf-input-size-sm uael-gf-button-left uael-gf-btn-size-sm elementor-widget elementor-widget-uael-gf-styler\" data-id=\"5bea48d\" data-element_type=\"widget\" data-widget_type=\"uael-gf-styler.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"uael-gf-style uael-gf-check-style elementor-clickable\">\n\t<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' style='display:none'>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; geeft vereiste velden aan<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/nl\/wp-json\/wp\/v2\/pages\/8420' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_above'><div id=\"field_5_45\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_45\" ><h3 class=\"gsection_title\">Algemene informatie over de tour<\/h3><\/div><div id=\"field_5_38\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_38\" ><label class='gfield_label gform-field-label' for='input_5_38'>Welke tour\/pakket\/service wil je graag boeken?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_5_38' type='text' value='' class='large'   tabindex='1'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_40\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_40\" ><label class='gfield_label gform-field-label' for='input_5_40'>Startdatum tour<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_40' id='input_5_40' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='2'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_40_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_40_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_40' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_41\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_41\" ><label class='gfield_label gform-field-label' for='input_5_41'>Einddatum tour<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_41' id='input_5_41' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='3'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_41_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_41_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_41' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_46\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_46\" ><h3 class=\"gsection_title\">Informatie over de reizigers<\/h3><\/div><div id=\"field_5_42\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_42\" ><label class='gfield_label gform-field-label' for='input_5_42'>Kies het aantal passagiers<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_42' id='input_5_42' class='small gfield_select' tabindex='4'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--- Maak een keuze ---<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><\/select><\/div><\/div><div id=\"field_5_59\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_59\" ><h3 class=\"gsection_title\">Reiziger 1<\/h3><\/div><div id=\"field_5_62\" class=\"gfield gfield--type-select gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_62\" ><label class='gfield_label gform-field-label' for='input_5_62'>Geslacht<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_62' id='input_5_62' class='large gfield_select' tabindex='5'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--- Maak een keuze ---<\/option><option value='Man' >Man<\/option><option value='Vrouw' >Vrouw<\/option><option value='Anders \/ Zeg ik liever niet' >Anders \/ Zeg ik liever niet<\/option><\/select><\/div><\/div><div id=\"field_5_58\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_58\" ><label class='gfield_label gform-field-label' for='input_5_58'>Voornamen (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_5_58' type='text' value='' class='large'   tabindex='6'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_60\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_60\" ><label class='gfield_label gform-field-label' for='input_5_60'>Achternaam (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_5_60' type='text' value='' class='large'   tabindex='7'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_63\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_63\" ><label class='gfield_label gform-field-label' for='input_5_63'>Geboortedatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_63' id='input_5_63' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='8'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_63_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_63_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_63' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_66\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_66\" ><label class='gfield_label gform-field-label' for='input_5_66'>Woonland<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_5_66' type='text' value='' class='large'   tabindex='9'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_64\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_64\" ><label class='gfield_label gform-field-label' for='input_5_64'>Nationaliteit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_5_64' type='text' value='' class='large'   tabindex='10'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_67\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_67\" ><label class='gfield_label gform-field-label' for='input_5_67'>Paspoortnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_5_67' type='text' value='' class='large'   tabindex='11'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_68\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_68\" ><label class='gfield_label gform-field-label' for='input_5_68'>Verloopdatum paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_68' id='input_5_68' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='12'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_68_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_68_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_68' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_70\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_70\" ><label class='gfield_label gform-field-label' for='input_5_70'>Voedselrestricties<\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_5_70' type='text' value='' class='large'   tabindex='13'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_71\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_71\" ><label class='gfield_label gform-field-label' for='input_5_71'>Medische restricties\/allergi\u00ebn<\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_5_71' type='text' value='' class='large'   tabindex='14'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_72\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_72\" ><label class='gfield_label gform-field-label' for='input_5_72'>Naam reisverzekeraar<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_5_72' type='text' value='' class='large'   tabindex='15'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_73\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_73\" ><label class='gfield_label gform-field-label' for='input_5_73'>Polisnummer reisverzekering<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_5_73' type='text' value='' class='large'   tabindex='16'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_157\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_157\" ><label class='gfield_label gform-field-label' for='input_5_157'>Schoenmaat<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_157' id='input_5_157' type='text' value='' class='small'   tabindex='17'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_74\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_74\" ><label class='gfield_label gform-field-label' for='input_5_74'>Contactpersoon in geval van nood<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_5_74' type='text' value='' class='large'   tabindex='18'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_75\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_75\" ><label class='gfield_label gform-field-label' for='input_5_75'>Telefoonnummer van contactpersoon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_5_75' type='text' value='' class='large'   tabindex='19'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_69\" class=\"gfield gfield--type-fileupload gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_69\" ><label class='gfield_label gform-field-label' for='input_5_69'>Upload een kopie van het paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input name='input_69' id='input_5_69' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_69\" onchange='javascript:gformValidateFileSize( this, 2147483648 );' tabindex='20' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_69'>Max. bestandsgrootte: 2 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_69'><\/div><\/div><\/div><div id=\"field_5_77\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_77\" ><h3 class=\"gsection_title\">Reiziger 2<\/h3><\/div><div id=\"field_5_82\" class=\"gfield gfield--type-select gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_82\" ><label class='gfield_label gform-field-label' for='input_5_82'>Geslacht<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_82' id='input_5_82' class='large gfield_select' tabindex='21'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--- Maak een keuze ---<\/option><option value='Man' >Man<\/option><option value='Vrouw' >Vrouw<\/option><option value='Anders \/ Zeg ik liever niet' >Anders \/ Zeg ik liever niet<\/option><\/select><\/div><\/div><div id=\"field_5_83\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_83\" ><label class='gfield_label gform-field-label' for='input_5_83'>Voornamen (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_5_83' type='text' value='' class='large'   tabindex='22'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_88\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_88\" ><label class='gfield_label gform-field-label' for='input_5_88'>Achternaam (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_5_88' type='text' value='' class='large'   tabindex='23'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_93\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_93\" ><label class='gfield_label gform-field-label' for='input_5_93'>Geboortedatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_93' id='input_5_93' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='24'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_93_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_93_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_93' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_102\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_102\" ><label class='gfield_label gform-field-label' for='input_5_102'>Woonland<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_102' id='input_5_102' type='text' value='' class='large'   tabindex='25'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_107\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_107\" ><label class='gfield_label gform-field-label' for='input_5_107'>Nationaliteit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_107' id='input_5_107' type='text' value='' class='large'   tabindex='26'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_112\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_112\" ><label class='gfield_label gform-field-label' for='input_5_112'>Paspoortnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_112' id='input_5_112' type='text' value='' class='large'   tabindex='27'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_117\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_117\" ><label class='gfield_label gform-field-label' for='input_5_117'>Verloopdatum paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_117' id='input_5_117' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='28'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_117_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_117_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_117' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_125\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_125\" ><label class='gfield_label gform-field-label' for='input_5_125'>Voedselrestricties<\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_5_125' type='text' value='' class='large'   tabindex='29'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_127\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_127\" ><label class='gfield_label gform-field-label' for='input_5_127'>Medische restricties\/allergi\u00ebn<\/label><div class='ginput_container ginput_container_text'><input name='input_127' id='input_5_127' type='text' value='' class='large'   tabindex='30'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_132\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_132\" ><label class='gfield_label gform-field-label' for='input_5_132'>Naam reisverzekeraar<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_132' id='input_5_132' type='text' value='' class='large'   tabindex='31'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_137\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_137\" ><label class='gfield_label gform-field-label' for='input_5_137'>Polisnummer reisverzekering<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_137' id='input_5_137' type='text' value='' class='large'   tabindex='32'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_158\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_158\" ><label class='gfield_label gform-field-label' for='input_5_158'>Schoenmaat<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_158' id='input_5_158' type='text' value='' class='small'   tabindex='33'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_142\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_142\" ><label class='gfield_label gform-field-label' for='input_5_142'>Contactpersoon in geval van nood<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_142' id='input_5_142' type='text' value='' class='large'   tabindex='34'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_148\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_148\" ><label class='gfield_label gform-field-label' for='input_5_148'>Telefoonnummer van contactpersoon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_148' id='input_5_148' type='text' value='' class='large'   tabindex='35'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_152\" class=\"gfield gfield--type-fileupload gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_152\" ><label class='gfield_label gform-field-label' for='input_5_152'>Upload een kopie van het paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input name='input_152' id='input_5_152' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_152\" onchange='javascript:gformValidateFileSize( this, 2147483648 );' tabindex='36' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_152'>Max. bestandsgrootte: 2 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_152'><\/div><\/div><\/div><div id=\"field_5_101\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_101\" ><h3 class=\"gsection_title\">Reiziger 3<\/h3><\/div><div id=\"field_5_78\" class=\"gfield gfield--type-select gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_78\" ><label class='gfield_label gform-field-label' for='input_5_78'>Geslacht<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_5_78' class='large gfield_select' tabindex='37'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--- Maak een keuze ---<\/option><option value='Man' >Man<\/option><option value='Vrouw' >Vrouw<\/option><option value='Anders \/ Zeg ik liever niet' >Anders \/ Zeg ik liever niet<\/option><\/select><\/div><\/div><div id=\"field_5_85\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_85\" ><label class='gfield_label gform-field-label' for='input_5_85'>Voornamen (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_5_85' type='text' value='' class='large'   tabindex='38'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_89\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_89\" ><label class='gfield_label gform-field-label' for='input_5_89'>Achternaam (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_5_89' type='text' value='' class='large'   tabindex='39'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_94\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_94\" ><label class='gfield_label gform-field-label' for='input_5_94'>Geboortedatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_94' id='input_5_94' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='40'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_94_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_94_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_94' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_103\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_103\" ><label class='gfield_label gform-field-label' for='input_5_103'>Woonland<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_5_103' type='text' value='' class='large'   tabindex='41'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_108\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_108\" ><label class='gfield_label gform-field-label' for='input_5_108'>Nationaliteit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_108' id='input_5_108' type='text' value='' class='large'   tabindex='42'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_113\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_113\" ><label class='gfield_label gform-field-label' for='input_5_113'>Paspoortnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_5_113' type='text' value='' class='large'   tabindex='43'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_118\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_118\" ><label class='gfield_label gform-field-label' for='input_5_118'>Verloopdatum paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_118' id='input_5_118' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='44'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_118_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_118_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_118' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_123\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_123\" ><label class='gfield_label gform-field-label' for='input_5_123'>Voedselrestricties<\/label><div class='ginput_container ginput_container_text'><input name='input_123' id='input_5_123' type='text' value='' class='large'   tabindex='45'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_128\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_128\" ><label class='gfield_label gform-field-label' for='input_5_128'>Medische restricties\/allergi\u00ebn<\/label><div class='ginput_container ginput_container_text'><input name='input_128' id='input_5_128' type='text' value='' class='large'   tabindex='46'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_133\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_133\" ><label class='gfield_label gform-field-label' for='input_5_133'>Naam reisverzekeraar<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_5_133' type='text' value='' class='large'   tabindex='47'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_138\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_138\" ><label class='gfield_label gform-field-label' for='input_5_138'>Polisnummer reisverzekering<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_138' id='input_5_138' type='text' value='' class='large'   tabindex='48'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_159\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_159\" ><label class='gfield_label gform-field-label' for='input_5_159'>Schoenmaat<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_159' id='input_5_159' type='text' value='' class='small'   tabindex='49'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_143\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_143\" ><label class='gfield_label gform-field-label' for='input_5_143'>Contactpersoon in geval van nood<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_143' id='input_5_143' type='text' value='' class='large'   tabindex='50'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_147\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_147\" ><label class='gfield_label gform-field-label' for='input_5_147'>Telefoonnummer van contactpersoon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_147' id='input_5_147' type='text' value='' class='large'   tabindex='51'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_153\" class=\"gfield gfield--type-fileupload gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_153\" ><label class='gfield_label gform-field-label' for='input_5_153'>Upload een kopie van het paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input name='input_153' id='input_5_153' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_153\" onchange='javascript:gformValidateFileSize( this, 2147483648 );' tabindex='52' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_153'>Max. bestandsgrootte: 2 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_153'><\/div><\/div><\/div><div id=\"field_5_100\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_100\" ><h3 class=\"gsection_title\">Reiziger 4<\/h3><\/div><div id=\"field_5_79\" class=\"gfield gfield--type-select gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_79\" ><label class='gfield_label gform-field-label' for='input_5_79'>Geslacht<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_5_79' class='large gfield_select' tabindex='53'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--- Maak een keuze ---<\/option><option value='Man' >Man<\/option><option value='Vrouw' >Vrouw<\/option><option value='Anders \/ Zeg ik liever niet' >Anders \/ Zeg ik liever niet<\/option><\/select><\/div><\/div><div id=\"field_5_84\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_84\" ><label class='gfield_label gform-field-label' for='input_5_84'>Voornamen (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_5_84' type='text' value='' class='large'   tabindex='54'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_90\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_90\" ><label class='gfield_label gform-field-label' for='input_5_90'>Achternaam (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_5_90' type='text' value='' class='large'   tabindex='55'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_95\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_95\" ><label class='gfield_label gform-field-label' for='input_5_95'>Geboortedatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_95' id='input_5_95' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='56'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_95_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_95_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_95' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_104\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_104\" ><label class='gfield_label gform-field-label' for='input_5_104'>Woonland<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_104' id='input_5_104' type='text' value='' class='large'   tabindex='57'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_109\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_109\" ><label class='gfield_label gform-field-label' for='input_5_109'>Nationaliteit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_5_109' type='text' value='' class='large'   tabindex='58'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_114\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_114\" ><label class='gfield_label gform-field-label' for='input_5_114'>Paspoortnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_114' id='input_5_114' type='text' value='' class='large'   tabindex='59'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_120\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_120\" ><label class='gfield_label gform-field-label' for='input_5_120'>Verloopdatum paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_120' id='input_5_120' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='60'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_120_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_120_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_120' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_122\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_122\" ><label class='gfield_label gform-field-label' for='input_5_122'>Voedselrestricties<\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_5_122' type='text' value='' class='large'   tabindex='61'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_129\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_129\" ><label class='gfield_label gform-field-label' for='input_5_129'>Medische restricties\/allergi\u00ebn<\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_5_129' type='text' value='' class='large'   tabindex='62'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_134\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_134\" ><label class='gfield_label gform-field-label' for='input_5_134'>Naam reisverzekeraar<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_134' id='input_5_134' type='text' value='' class='large'   tabindex='63'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_139\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_139\" ><label class='gfield_label gform-field-label' for='input_5_139'>Polisnummer reisverzekering<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_139' id='input_5_139' type='text' value='' class='large'   tabindex='64'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_161\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_161\" ><label class='gfield_label gform-field-label' for='input_5_161'>Schoenmaat<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_161' id='input_5_161' type='text' value='' class='small'   tabindex='65'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_144\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_144\" ><label class='gfield_label gform-field-label' for='input_5_144'>Contactpersoon in geval van nood<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_144' id='input_5_144' type='text' value='' class='large'   tabindex='66'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_149\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_149\" ><label class='gfield_label gform-field-label' for='input_5_149'>Telefoonnummer van contactpersoon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_149' id='input_5_149' type='text' value='' class='large'   tabindex='67'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_154\" class=\"gfield gfield--type-fileupload gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_154\" ><label class='gfield_label gform-field-label' for='input_5_154'>Upload een kopie van het paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input name='input_154' id='input_5_154' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_154\" onchange='javascript:gformValidateFileSize( this, 2147483648 );' tabindex='68' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_154'>Max. bestandsgrootte: 2 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_154'><\/div><\/div><\/div><div id=\"field_5_99\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_99\" ><h3 class=\"gsection_title\">Reiziger 5<\/h3><\/div><div id=\"field_5_81\" class=\"gfield gfield--type-select gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_81\" ><label class='gfield_label gform-field-label' for='input_5_81'>Geslacht<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_81' id='input_5_81' class='large gfield_select' tabindex='69'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--- Maak een keuze ---<\/option><option value='Man' >Man<\/option><option value='Vrouw' >Vrouw<\/option><option value='Anders \/ Zeg ik liever niet' >Anders \/ Zeg ik liever niet<\/option><\/select><\/div><\/div><div id=\"field_5_86\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_86\" ><label class='gfield_label gform-field-label' for='input_5_86'>Voornamen (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_5_86' type='text' value='' class='large'   tabindex='70'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_91\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_91\" ><label class='gfield_label gform-field-label' for='input_5_91'>Achternaam (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_5_91' type='text' value='' class='large'   tabindex='71'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_96\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_96\" ><label class='gfield_label gform-field-label' for='input_5_96'>Geboortedatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_96' id='input_5_96' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='72'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_96_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_96_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_96' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_105\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_105\" ><label class='gfield_label gform-field-label' for='input_5_105'>Woonland<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_5_105' type='text' value='' class='large'   tabindex='73'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_110\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_110\" ><label class='gfield_label gform-field-label' for='input_5_110'>Nationaliteit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_110' id='input_5_110' type='text' value='' class='large'   tabindex='74'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_115\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_115\" ><label class='gfield_label gform-field-label' for='input_5_115'>Paspoortnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_115' id='input_5_115' type='text' value='' class='large'   tabindex='75'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_119\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_119\" ><label class='gfield_label gform-field-label' for='input_5_119'>Verloopdatum paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_119' id='input_5_119' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='76'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_119_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_119_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_119' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_124\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_124\" ><label class='gfield_label gform-field-label' for='input_5_124'>Voedselrestricties<\/label><div class='ginput_container ginput_container_text'><input name='input_124' id='input_5_124' type='text' value='' class='large'   tabindex='77'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_130\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_130\" ><label class='gfield_label gform-field-label' for='input_5_130'>Medische restricties\/allergi\u00ebn<\/label><div class='ginput_container ginput_container_text'><input name='input_130' id='input_5_130' type='text' value='' class='large'   tabindex='78'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_136\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_136\" ><label class='gfield_label gform-field-label' for='input_5_136'>Naam reisverzekeraar<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_136' id='input_5_136' type='text' value='' class='large'   tabindex='79'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_140\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_140\" ><label class='gfield_label gform-field-label' for='input_5_140'>Polisnummer reisverzekering<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_140' id='input_5_140' type='text' value='' class='large'   tabindex='80'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_162\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_162\" ><label class='gfield_label gform-field-label' for='input_5_162'>Schoenmaat<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_162' id='input_5_162' type='text' value='' class='small'   tabindex='81'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_145\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_145\" ><label class='gfield_label gform-field-label' for='input_5_145'>Contactpersoon in geval van nood<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_145' id='input_5_145' type='text' value='' class='large'   tabindex='82'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_150\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_150\" ><label class='gfield_label gform-field-label' for='input_5_150'>Telefoonnummer van contactpersoon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_150' id='input_5_150' type='text' value='' class='large'   tabindex='83'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_155\" class=\"gfield gfield--type-fileupload gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_155\" ><label class='gfield_label gform-field-label' for='input_5_155'>Upload een kopie van het paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input name='input_155' id='input_5_155' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_155\" onchange='javascript:gformValidateFileSize( this, 2147483648 );' tabindex='84' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_155'>Max. bestandsgrootte: 2 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_155'><\/div><\/div><\/div><div id=\"field_5_98\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_98\" ><h3 class=\"gsection_title\">Reiziger 6<\/h3><\/div><div id=\"field_5_80\" class=\"gfield gfield--type-select gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_80\" ><label class='gfield_label gform-field-label' for='input_5_80'>Geslacht<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_5_80' class='large gfield_select' tabindex='85'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--- Maak een keuze ---<\/option><option value='Man' >Man<\/option><option value='Vrouw' >Vrouw<\/option><option value='Anders \/ Zeg ik liever niet' >Anders \/ Zeg ik liever niet<\/option><\/select><\/div><\/div><div id=\"field_5_87\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_87\" ><label class='gfield_label gform-field-label' for='input_5_87'>Voornamen (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_5_87' type='text' value='' class='large'   tabindex='86'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_92\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_92\" ><label class='gfield_label gform-field-label' for='input_5_92'>Achternaam (zoals in paspoort)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_5_92' type='text' value='' class='large'   tabindex='87'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_97\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_97\" ><label class='gfield_label gform-field-label' for='input_5_97'>Geboortedatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_97' id='input_5_97' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='88'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_97_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_97_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_97' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_106\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_106\" ><label class='gfield_label gform-field-label' for='input_5_106'>Woonland<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_106' id='input_5_106' type='text' value='' class='large'   tabindex='89'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_111\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_111\" ><label class='gfield_label gform-field-label' for='input_5_111'>Nationaliteit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_5_111' type='text' value='' class='large'   tabindex='90'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_116\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_116\" ><label class='gfield_label gform-field-label' for='input_5_116'>Paspoortnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_116' id='input_5_116' type='text' value='' class='large'   tabindex='91'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_121\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_121\" ><label class='gfield_label gform-field-label' for='input_5_121'>Verloopdatum paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_121' id='input_5_121' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon' tabindex='92'  placeholder='dd-mm-yyyy' aria-describedby=\"input_5_121_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_121_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_121' class='gform_hidden' value='https:\/\/adoreecuador.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_126\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_126\" ><label class='gfield_label gform-field-label' for='input_5_126'>Voedselrestricties<\/label><div class='ginput_container ginput_container_text'><input name='input_126' id='input_5_126' type='text' value='' class='large'   tabindex='93'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_131\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_131\" ><label class='gfield_label gform-field-label' for='input_5_131'>Medische restricties\/allergi\u00ebn<\/label><div class='ginput_container ginput_container_text'><input name='input_131' id='input_5_131' type='text' value='' class='large'   tabindex='94'   aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_135\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_135\" ><label class='gfield_label gform-field-label' for='input_5_135'>Naam reisverzekeraar<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_135' id='input_5_135' type='text' value='' class='large'   tabindex='95'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_141\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_141\" ><label class='gfield_label gform-field-label' for='input_5_141'>Polisnummer reisverzekering<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_141' id='input_5_141' type='text' value='' class='large'   tabindex='96'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_163\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_163\" ><label class='gfield_label gform-field-label' for='input_5_163'>Schoenmaat<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_163' id='input_5_163' type='text' value='' class='small'   tabindex='97'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_146\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_146\" ><label class='gfield_label gform-field-label' for='input_5_146'>Contactpersoon in geval van nood<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_146' id='input_5_146' type='text' value='' class='large'   tabindex='98'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_151\" class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_151\" ><label class='gfield_label gform-field-label' for='input_5_151'>Telefoonnummer van contactpersoon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_151' id='input_5_151' type='text' value='' class='large'   tabindex='99'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_156\" class=\"gfield gfield--type-fileupload gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_156\" ><label class='gfield_label gform-field-label' for='input_5_156'>Upload een kopie van het paspoort<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input name='input_156' id='input_5_156' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_156\" onchange='javascript:gformValidateFileSize( this, 2147483648 );' tabindex='100' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_156'>Max. bestandsgrootte: 2 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_156'><\/div><\/div><\/div><div id=\"field_5_47\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_47\" ><h3 class=\"gsection_title\">Contactinformatie<\/h3><\/div><div id=\"field_5_16\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_16\" ><label class='gfield_label gform-field-label' for='input_5_16'>Je e-mailadres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_16' id='input_5_16' type='email' value='' class='large' tabindex='101'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_15\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_15\" ><label class='gfield_label gform-field-label' for='input_5_15'>Je telefoonnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_5_15' type='text' value='' class='large'   tabindex='102'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_5_48\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_48\" ><h3 class=\"gsection_title\">Betaling<\/h3><div class='gsection_description' id='gfield_description_5_48'>Lees meer over onze <a href=\"\/nl\/betaalopties-voorwaarden\/\" target=\"_blank\">betaalopties<\/a>.<\/div><\/div><div id=\"field_5_57\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_57\" ><label class='gfield_label gform-field-label' for='input_5_57'>Hoe wil je betalen?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_57' id='input_5_57' class='large gfield_select' tabindex='103'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--- Maak een keuze ---<\/option><option value='iDEAL, Bancontact of SEPA-incasso in EURO (1% verwerkingskosten + $0,30)' >iDEAL, Bancontact of SEPA-incasso in EURO (1% verwerkingskosten + $0,30)<\/option><option value='Overboeking binnen Europa in EURO (\u20ac25 per overboeking)' >Overboeking binnen Europa in EURO (\u20ac25 per overboeking)<\/option><option value='Overboeking naar Ecuador in USD (Alle bankkosten voor eigen rekening &quot;OUR&quot;)' >Overboeking naar Ecuador in USD (Alle bankkosten voor eigen rekening &quot;OUR&quot;)<\/option><option value='Creditcard\/debitcard in EURO (1% verwerkingskosten + $0,30 + kaartopslag (1,5% voor VISA &amp; Mastercard - 2,9% voor AMEX))' >Creditcard\/debitcard in EURO (1% verwerkingskosten + $0,30 + kaartopslag (1,5% voor VISA &amp; Mastercard - 2,9% voor AMEX))<\/option><option value='Creditcard\/debitcard in USD (1% verwerkingskosten + $0,30 + kaartopslag (2,9% voor VISA &amp; Mastercard - 3,9% voor AMEX))' >Creditcard\/debitcard in USD (1% verwerkingskosten + $0,30 + kaartopslag (2,9% voor VISA &amp; Mastercard - 3,9% voor AMEX))<\/option><option value='US Checking Account - ACH payment (1% verwerkingskosten + $0,30)' >US Checking Account - ACH payment (1% verwerkingskosten + $0,30)<\/option><option value='Storting van contant geld in een van de betaalkantoren van Banco Pichincha in Ecuador' >Storting van contant geld in een van de betaalkantoren van Banco Pichincha in Ecuador<\/option><option value='Ik heb al betaald via TourRadar' >Ik heb al betaald via TourRadar<\/option><\/select><\/div><\/div><div id=\"field_5_49\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_49\" ><h3 class=\"gsection_title\">Jouw donatie<\/h3><div class='gsection_description' id='gfield_description_5_49'>We geven 1% van onze inkomsten aan lokale goede doelen. Wil je meer lezen over de goede doelen die wij steunen? Klik dan <a href=\"\/nl\/stichtingen\/\" target=\"_blank\">hier<\/a>.<\/div><\/div><div id=\"field_5_56\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_56\" ><label class='gfield_label gform-field-label' for='input_5_56'>Welke stichting wil je graag ondersteunen met jouw reis?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_56' id='input_5_56' class='large gfield_select' tabindex='104'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--- Maak een keuze ----<\/option><option value='Stichting Quina Care - Medische zorg in Putumayo (Amazone regenwoud)' >Stichting Quina Care - Medische zorg in Putumayo (Amazone regenwoud)<\/option><option value='Stichting Rainforest Family - Herbebossingsprojecten in Tawasap (Amazone regenwoud)' >Stichting Rainforest Family - Herbebossingsprojecten in Tawasap (Amazone regenwoud)<\/option><option value='Stichting Plato Para Todos - Gezonde maaltijden voor kansarme kinderen in Quito' >Stichting Plato Para Todos - Gezonde maaltijden voor kansarme kinderen in Quito<\/option><\/select><\/div><\/div><div id=\"field_5_50\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_50\" ><h3 class=\"gsection_title\">Overig<\/h3><\/div><div id=\"field_5_53\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_53\" ><label class='gfield_label gform-field-label' for='input_5_53'>Hoe heb je ons gevonden?<\/label><div class='ginput_container ginput_container_text'><input 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