Clinic Dynamica

<!-- Begin MailChimp Signup Form --><!-- [et_pb_line_break_holder] --><link href="//cdn-images.mailchimp.com/embedcode/classic-10_7.css" rel="stylesheet" type="text/css"><!-- [et_pb_line_break_holder] --><style type="text/css"><!-- [et_pb_line_break_holder] --> #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }<!-- [et_pb_line_break_holder] --> /* Add your own MailChimp form style overrides in your site stylesheet or in this style block.<!-- [et_pb_line_break_holder] --> We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><div id="mc_embed_signup"><!-- [et_pb_line_break_holder] --><form action="https://passonchances.us16.list-manage.com/subscribe/post?u=cc636d90c0ae667d2021af68c&id=d6f5ed48cf" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate><!-- [et_pb_line_break_holder] --> <div id="mc_embed_signup_scroll"><!-- [et_pb_line_break_holder] --> <h2>Schrijf je in voor een clinic</h2><!-- [et_pb_line_break_holder] --><div class="indicates-required"><span class="asterisk">*</span> Verplichte velden</div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-EMAIL">Email Adres <span class="asterisk">*</span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-FNAME">Voornaam </label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="FNAME" class="" id="mce-FNAME"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-LNAME">Achternaam </label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="LNAME" class="" id="mce-LNAME"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group size1of2"><!-- [et_pb_line_break_holder] --> <label for="mce-MMERGE6">Telefoonnummer </label><!-- [et_pb_line_break_holder] --> <input type="text" name="MMERGE6" class="" value="" id="mce-MMERGE6"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-MMERGE3">Vereniging </label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="MMERGE3" class="" id="mce-MMERGE3"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-MMERGE4">Jouw rol(len) bij deze vereniging </label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="MMERGE4" class="" id="mce-MMERGE4"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-MMERGE5">Woonplaats </label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="MMERGE5" class="" id="mce-MMERGE5"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-MMERGE7">Opmerkingen </label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="MMERGE7" class="" id="mce-MMERGE7"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group input-group"><!-- [et_pb_line_break_holder] --> <strong>Ik vul dit formulier in </strong><!-- [et_pb_line_break_holder] --> <ul><li><input type="radio" value="voor mezelf" name="MMERGE8" id="mce-MMERGE8-0"><label for="mce-MMERGE8-0">voor mezelf</label></li><!-- [et_pb_line_break_holder] --><li><input type="radio" value="voor mijn vereniging" name="MMERGE8" id="mce-MMERGE8-1"><label for="mce-MMERGE8-1">voor mijn vereniging</label></li><!-- [et_pb_line_break_holder] --></ul><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group input-group"><!-- [et_pb_line_break_holder] --> <strong>ik ontvang ook graag de nieuwsbrief van Volleybal- </strong><!-- [et_pb_line_break_holder] --> <ul><li><input type="radio" value="Ja" name="MMERGE9" id="mce-MMERGE9-0"><label for="mce-MMERGE9-0">Ja</label></li><!-- [et_pb_line_break_holder] --><li><input type="radio" value="Nee" name="MMERGE9" id="mce-MMERGE9-1"><label for="mce-MMERGE9-1">Nee</label></li><!-- [et_pb_line_break_holder] --></ul><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group input-group"><!-- [et_pb_line_break_holder] --> <strong>Ik heb interesse in: </strong><!-- [et_pb_line_break_holder] --> <ul><li><input type="checkbox" value="1" name="group[2809][1]" id="mce-group[2809]-2809-0"><label for="mce-group[2809]-2809-0">Trainen en coachen van Pubers</label></li><!-- [et_pb_line_break_holder] --><li><input type="checkbox" value="2" name="group[2809][2]" id="mce-group[2809]-2809-1"><label for="mce-group[2809]-2809-1">Trainen en coachen van 6 tot 12 jarigen</label></li><!-- [et_pb_line_break_holder] --><li><input type="checkbox" value="4" name="group[2809][4]" id="mce-group[2809]-2809-2"><label for="mce-group[2809]-2809-2">(Enkel)Blessure preventie</label></li><!-- [et_pb_line_break_holder] --><li><input type="checkbox" value="8" name="group[2809][8]" id="mce-group[2809]-2809-3"><label for="mce-group[2809]-2809-3">Stille Gym (Meer focus dankzij minder woorden)</label></li><!-- [et_pb_line_break_holder] --><li><input type="checkbox" value="16" name="group[2809][16]" id="mce-group[2809]-2809-4"><label for="mce-group[2809]-2809-4">Dynamica</label></li><!-- [et_pb_line_break_holder] --><li><input type="checkbox" value="32" name="group[2809][32]" id="mce-group[2809]-2809-5"><label for="mce-group[2809]-2809-5">Core Stability</label></li><!-- [et_pb_line_break_holder] --><li><input type="checkbox" value="64" name="group[2809][64]" id="mce-group[2809]-2809-6"><label for="mce-group[2809]-2809-6">Krachttraining zonder krachthonk</label></li><!-- [et_pb_line_break_holder] --><li><input type="checkbox" value="128" name="group[2809][128]" id="mce-group[2809]-2809-7"><label for="mce-group[2809]-2809-7">Techniekvorming</label></li><!-- [et_pb_line_break_holder] --><li><input type="checkbox" value="256" name="group[2809][256]" id="mce-group[2809]-2809-8"><label for="mce-group[2809]-2809-8">MOV (Meerjaren Opleidingsplan Volleybal)</label></li><!-- [et_pb_line_break_holder] --><li><input type="checkbox" value="512" name="group[2809][512]" id="mce-group[2809]-2809-9"><label for="mce-group[2809]-2809-9">Coaching</label></li><!-- [et_pb_line_break_holder] --></ul><!-- [et_pb_line_break_holder] --></div><!-- 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