{"id":342,"date":"2021-01-12T10:42:26","date_gmt":"2021-01-12T10:42:26","guid":{"rendered":"http:\/\/dancecentre-extreme.nl\/wordpress\/?page_id=342"},"modified":"2025-11-13T10:08:26","modified_gmt":"2025-11-13T10:08:26","slug":"342-2","status":"publish","type":"page","link":"https:\/\/dancecentre-extreme.nl\/wordpress\/index.php\/342-2\/","title":{"rendered":"Bestel Formulier"},"content":{"rendered":"\n<div style=\"height:142px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-luminous-vivid-amber-color has-black-background-color has-text-color has-background\">BESTEL FORMULIER<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<div style=\"height:68px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image alignleft size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"624\" height=\"780\" src=\"https:\/\/dancecentre-extreme.nl\/wordpress\/wp-content\/uploads\/2021\/01\/jacket211.jpg\" alt=\"\" class=\"wp-image-318\" srcset=\"https:\/\/dancecentre-extreme.nl\/wordpress\/wp-content\/uploads\/2021\/01\/jacket211.jpg 624w, https:\/\/dancecentre-extreme.nl\/wordpress\/wp-content\/uploads\/2021\/01\/jacket211-240x300.jpg 240w\" sizes=\"(max-width: 624px) 100vw, 624px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:500px\">\n<div class=\"inherit-container-width wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\"><div class=\"wp-block-group__inner-container\">\n<script>window.enableEventObserver=false<\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/ca4ec5ad7ef\/static\/prototype.forms.js\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/ca4ec5ad7ef\/static\/jotform.forms.js\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/ca4ec5ad7ef\/js\/punycode-1.4.1.min.js\" type=\"text\/javascript\" defer><\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/ca4ec5ad7ef\/js\/vendor\/maskedinput_5.0.9.min.js\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/ca4ec5ad7ef\/js\/payments\/PaymentListSettings\/searchInProducts.js\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/ca4ec5ad7ef\/js\/payments\/paymentUtils.js\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/ca4ec5ad7ef\/js\/payments\/validategateways.js\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/ca4ec5ad7ef\/js\/payments\/stock.js\" type=\"text\/javascript\"><\/script>\n\n<script type=\"text\/javascript\">\tJotForm.newDefaultTheme = true;\n\tJotForm.extendsNewTheme = false;\n\tJotForm.singleProduct = false;\n\tJotForm.newPaymentUIForNewCreatedForms = true;\n\tJotForm.texts = {\"confirmEmail\":\"E-mail does not match\",\"pleaseWait\":\"Please wait...\",\"validateEmail\":\"You need to validate this e-mail\",\"confirmClearForm\":\"Are you sure you want to clear the form\",\"lessThan\":\"Your score should be less than or equal to\",\"incompleteFields\":\"There are incomplete required fields. Please complete them.\",\"required\":\"This field is required.\",\"requireOne\":\"At least one field required.\",\"requireEveryRow\":\"Every row is required.\",\"requireEveryCell\":\"Every cell is required.\",\"email\":\"Enter a valid e-mail address\",\"alphabetic\":\"This field can only contain letters\",\"numeric\":\"This field can only contain numeric values\",\"alphanumeric\":\"This field can only contain letters and numbers.\",\"cyrillic\":\"This field can only contain cyrillic characters\",\"url\":\"This field can only contain a valid URL\",\"currency\":\"This field can only contain currency values.\",\"fillMask\":\"Field value must fill mask.\",\"uploadExtensions\":\"You can only upload following files:\",\"noUploadExtensions\":\"File has no extension file type (e.g. .txt, .png, .jpeg)\",\"uploadFilesize\":\"File size cannot be bigger than:\",\"uploadFilesizemin\":\"File size cannot be smaller than:\",\"gradingScoreError\":\"Score total should only be less than or equal to\",\"inputCarretErrorA\":\"Input should not be less than the minimum value:\",\"inputCarretErrorB\":\"Input should not be greater than the maximum value:\",\"maxDigitsError\":\"The maximum digits allowed is\",\"minCharactersError\":\"The number of characters should not be less than the minimum value:\",\"maxCharactersError\":\"The number of characters should not be more than the maximum value:\",\"freeEmailError\":\"Free email accounts are not allowed\",\"minSelectionsError\":\"The minimum required number of selections is \",\"maxSelectionsError\":\"The maximum number of selections allowed is \",\"pastDatesDisallowed\":\"Date must not be in the past.\",\"dateLimited\":\"This date is unavailable.\",\"dateInvalid\":\"This date is not valid. The date format is {format}\",\"dateInvalidSeparate\":\"This date is not valid. Enter a valid {element}.\",\"ageVerificationError\":\"You must be older than {minAge} years old to submit this form.\",\"multipleFileUploads_typeError\":\"{file} has invalid extension. Only {extensions} are allowed.\",\"multipleFileUploads_sizeError\":\"{file} is too large, maximum file size is {sizeLimit}.\",\"multipleFileUploads_minSizeError\":\"{file} is too small, minimum file size is {minSizeLimit}.\",\"multipleFileUploads_emptyError\":\"{file} is empty, please select files again without it.\",\"multipleFileUploads_uploadFailed\":\"File upload failed, please remove it and upload the file again.\",\"multipleFileUploads_onLeave\":\"The files are being uploaded, if you leave now the upload will be cancelled.\",\"multipleFileUploads_fileLimitError\":\"Only {fileLimit} file uploads allowed.\",\"dragAndDropFilesHere_infoMessage\":\"Drag and drop files here\",\"chooseAFile_infoMessage\":\"Choose a file\",\"maxFileSize_infoMessage\":\"Max. file size\",\"generalError\":\"There are errors on the form. Please fix them before continuing.\",\"generalPageError\":\"There are errors on this page. Please fix them before continuing.\",\"wordLimitError\":\"Too many words. The limit is\",\"wordMinLimitError\":\"Too few words.  The minimum is\",\"characterLimitError\":\"Too many Characters.  The limit is\",\"characterMinLimitError\":\"Too few characters. The minimum is\",\"ccInvalidNumber\":\"Credit Card Number is invalid.\",\"ccInvalidCVC\":\"CVC number is invalid.\",\"ccInvalidExpireDate\":\"Expire date is invalid.\",\"ccInvalidExpireMonth\":\"Expiration month is invalid.\",\"ccInvalidExpireYear\":\"Expiration year is invalid.\",\"ccMissingDetails\":\"Please fill up the credit card details.\",\"ccMissingProduct\":\"Please select at least one product.\",\"ccMissingDonation\":\"Please enter numeric values for donation amount.\",\"disallowDecimals\":\"Please enter a whole number.\",\"restrictedDomain\":\"This domain is not allowed\",\"ccDonationMinLimitError\":\"Minimum amount is {minAmount} {currency}\",\"requiredLegend\":\"All fields marked with * are required and must be filled.\",\"geoPermissionTitle\":\"Permission Denied\",\"geoPermissionDesc\":\"Check your browser's privacy settings.\",\"geoNotAvailableTitle\":\"Position Unavailable\",\"geoNotAvailableDesc\":\"Location provider not available. Please enter the address manually.\",\"geoTimeoutTitle\":\"Timeout\",\"geoTimeoutDesc\":\"Please check your internet connection and try again.\",\"selectedTime\":\"Selected Time\",\"formerSelectedTime\":\"Former Time\",\"cancelAppointment\":\"Cancel Appointment\",\"cancelSelection\":\"Cancel Selection\",\"confirmSelection\":\"Confirm Selection\",\"noSlotsAvailable\":\"No slots available\",\"slotUnavailable\":\"{time} on {date} has been selected is unavailable. Please select another slot.\",\"multipleError\":\"There are {count} errors on this page. Please correct them before moving on.\",\"oneError\":\"There is {count} error on this page. Please correct it before moving on.\",\"doneMessage\":\"Well done! All errors are fixed.\",\"invalidTime\":\"Enter a valid time\",\"doneButton\":\"Done\",\"reviewSubmitText\":\"Review and Submit\",\"nextButtonText\":\"Next\",\"prevButtonText\":\"Previous\",\"seeErrorsButton\":\"See Errors\",\"notEnoughStock\":\"Not enough stock for the current selection\",\"notEnoughStock_remainedItems\":\"Not enough stock for the current selection ({count} items left)\",\"soldOut\":\"Sold Out\",\"justSoldOut\":\"Just Sold Out\",\"selectionSoldOut\":\"Selection Sold Out\",\"subProductItemsLeft\":\"({count} items left)\",\"startButtonText\":\"START\",\"submitButtonText\":\"Submit\",\"submissionLimit\":\"Sorry! Only one entry is allowed. <br> Multiple submissions are disabled for this form.\",\"reviewBackText\":\"Back to Form\",\"seeAllText\":\"See All\",\"progressMiddleText\":\"of\",\"fieldError\":\"field has an error.\",\"error\":\"Error\"};\n\tJotForm.newPaymentUI = true;\n\tJotForm.isFormViewTrackingAllowed = true;\n\tJotForm.replaceTagTest = true;\n\tJotForm.activeRedirect = \"thanktext\";\n\tJotForm.uploadServerURL = \"https:\/\/upload.jotform.com\/upload\";\n\tJotForm.clearFieldOnHide=\"disable\";\n\tJotForm.submitError=\"jumpToFirstError\";\n\twindow.addEventListener('DOMContentLoaded',function(){window.brandingFooter.init({\"formID\":202363326277050,\"campaign\":\"powered_by_jotform_le\",\"isCardForm\":false,\"isLegacyForm\":true,\"formLanguage\":\"en\"})});\tJotForm.isFullSource = true;\n\n\tJotForm.init(function(){\n\t\/*INIT-START*\/\n      JotForm.setPhoneMaskingValidator( 'input_6_full', '\\u0023\\u0023\\u002d\\u0023\\u0023\\u0023\\u0023\\u0023\\u0023\\u0023\\u0023' );\n      productID = {\"0\":\"input_3_1010\",\"1\":\"input_3_1002\",\"2\":\"input_3_1001\",\"3\":\"input_3_1000\",\"4\":\"input_3_1003\",\"5\":\"input_3_1004\",\"6\":\"input_3_1009\",\"7\":\"input_3_1006\",\"8\":\"input_3_1005\",\"9\":\"input_3_1008\",\"10\":\"input_3_1007\"};\n      paymentType = \"product\";\n      JotForm.setCurrencyFormat('EUR',true, 'comma');\n      JotForm.totalCounter({\"input_3_1010\":{\"price\":\"7.50\",\"quantityField\":\"input_3_quantity_1010_0\"},\"input_3_1002\":{\"price\":\"27.5\",\"quantityField\":\"input_3_quantity_1002_0\",\"custom_1\":\"input_3_custom_1002_1\",\"custom_2\":\"input_3_custom_1002_2\"},\"input_3_1001\":{\"price\":\"30.00\",\"quantityField\":\"input_3_quantity_1001_0\",\"custom_1\":\"input_3_custom_1001_1\",\"custom_2\":\"input_3_custom_1001_2\"},\"input_3_1000\":{\"price\":\"20\",\"quantityField\":\"input_3_quantity_1000_0\",\"custom_1\":\"input_3_custom_1000_1\",\"custom_2\":\"input_3_custom_1000_2\"},\"input_3_1003\":{\"price\":\"20\",\"quantityField\":\"input_3_quantity_1003_0\",\"custom_1\":\"input_3_custom_1003_1\",\"custom_2\":\"input_3_custom_1003_2\"},\"input_3_1004\":{\"price\":\"40\",\"quantityField\":\"input_3_quantity_1004_0\",\"custom_1\":\"input_3_custom_1004_1\",\"custom_2\":\"input_3_custom_1004_2\"},\"input_3_1009\":{\"price\":\"32\",\"quantityField\":\"input_3_quantity_1009_0\",\"custom_1\":\"input_3_custom_1009_1\",\"custom_2\":\"input_3_custom_1009_2\"},\"input_3_1006\":{\"price\":\"35\",\"quantityField\":\"input_3_quantity_1006_0\",\"custom_1\":\"input_3_custom_1006_1\",\"custom_2\":\"input_3_custom_1006_2\"},\"input_3_1005\":{\"price\":\"32.50\",\"quantityField\":\"input_3_quantity_1005_0\",\"custom_1\":\"input_3_custom_1005_1\",\"custom_2\":\"input_3_custom_1005_2\"},\"input_3_1008\":{\"price\":\"35\",\"quantityField\":\"input_3_quantity_1008_0\",\"custom_1\":\"input_3_custom_1008_1\",\"custom_2\":\"input_3_custom_1008_2\"},\"input_3_1007\":{\"price\":\"15\"}});\n      $$('.form-product-custom_quantity').each(function(el, i){el.observe('blur', function(){isNaN(this.value) || this.value < 1 ? this.value = '0' : this.value = parseInt(this.value)})});\n      $$('.form-product-custom_quantity').each(function(el, i){el.observe('focus', function(){this.value == 0 ? this.value = '' : this.value})});\n      JotForm.handleProductLightbox();\n      JotForm.alterTexts({\"ageVerificationError\":\"You must be older than {minAge} years old to submit this form.\",\"alphabetic\":\"Dit veld mag alleen letters bevatten\",\"alphanumeric\":\"Dit veld kan alleen letters en cijfers bevatten\",\"appointmentSelected\":\"You\u2019ve selected {time} on {date}\",\"ccDonationMinLimitError\":\"Minimum bedrag is {minAmount} {currency}\",\"ccInvalidCVC\":\"CVC-nummer is ongeldig\",\"ccInvalidExpireDate\":\"De einddatum is ongeldig.\",\"ccInvalidNumber\":\"Het nummer van de creditcard is ongeldig.\",\"ccMissingDetails\":\"Please fill up the credit card details.\",\"ccMissingDonation\":\"Vul enkel numerieke waarden in voor het donatie bedrag.\",\"ccMissingProduct\":\"Graag minimaal \u00e9\u00e9n product selecteren.\",\"characterLimitError\":\"Te veel karakters. 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Herstel dit s.v.p. voordat je verder gaat.\",\"gradingScoreError\":\"Totaalscore kan alleen minder dan of gelijk zijn aan\",\"incompleteFields\":\"Niet alle verplichte velden zijn ingevuld. Vul deze velden s.v.p. in\",\"inputCarretErrorA\":\"Input should not be less than the minimum value:\",\"inputCarretErrorB\":\"De input mag niet groter zijn dan de maximum waarde:\",\"lessThan\":\"Je score zou minder of gelijk moeten zijn aan\",\"maxDigitsError\":\"Het maximum aantal toegelaten tekens is\",\"maxSelectionsError\":\"Het maximum aantal toegestane selecties is\",\"minSelectionsError\":\"Het minimum aantal vereiste selecties is\",\"multipleFileUploads_emptyError\":\"{file} is leeg, selecteer bestanden opnieuw zonder dit bestand.\",\"multipleFileUploads_fileLimitError\":\"Alleen {} FILELIMIT uploaden van bestanden toegestaan.\",\"multipleFileUploads_minSizeError\":\"{file} is te klein, minimale bestandsgrootte is {minSizeLimit}.\",\"multipleFileUploads_onLeave\":\"De bestanden worden ge-upload, als je nu de pagina verlaat, zal de upload worden geannuleerd.\",\"multipleFileUploads_sizeError\":\"{file} is te groot, de maximale bestandsgrootte is {sizeLimit}.\",\"multipleFileUploads_typeError\":\"{file} heeft een ongeldige extensie. Alleen {extensions} zijn toegestaan. \",\"multipleFileUploads_uploadFailed\":\"File upload failed, please remove it and upload the file again.\",\"noSlotsAvailable\":\"No slots available\",\"noUploadExtensions\":\"File has no extension file type (e.g. .txt, .png, .jpeg)\",\"numeric\":\"Dit veld mag alleen numerieke karakters bevatten\",\"pastDatesDisallowed\":\"Datum mag niet in het verleden plaatsvinden.\",\"pleaseWait\":\"Even geduld aub...\",\"required\":\"Dit veld is verplicht.\",\"requireEveryCell\":\"Iedere cel is verplicht\",\"requireEveryRow\":\"Elke rij is verplicht.\",\"requireOne\":\"Tenminste een veld verplicht om in te vullen.\",\"restrictedDomain\":\"This domain is not allowed\",\"slotUnavailable\":\"{time} on {date} has been taken. Please select another slot.\",\"uploadExtensions\":\"Je kunt alleen de volgende bestanden uploaden:\",\"uploadFilesize\":\"De grootte van het bestand kan niet groter zijn dan:\",\"uploadFilesizemin\":\"Bestandsgrootte mag niet kleiner zijn dan:\",\"url\":\"Dit veld kan alleen een geldige URL bevatten\",\"validateEmail\":\"You need to validate this e-mail\",\"wordLimitError\":\"Te veel woorden. De limiet is\",\"wordMinLimitError\":\"Te weinig woorden. Het minimum is\"});\n      JotForm.alterTexts({\"couponApply\":\"Apply\",\"couponBlank\":\"Voer een coupon in.\",\"couponChange\":\"\",\"couponEnter\":\"Coupon invoeren\",\"couponExpired\":\"De coupon is verlopen. Probeer een andere coupon.\",\"couponInvalid\":\"Coupon is invalid.\",\"couponValid\":\"Coupon is valid.\",\"shippingShipping\":\"Verzendopties\",\"taxTax\":\"Belasting\",\"totalSubtotal\":\"Subtotaal\",\"totalTotal\":\"Totaal\"}, true);\n\t\/*INIT-END*\/\n\t});\n\n   setTimeout(function() {\nJotForm.paymentExtrasOnTheFly([null,null,{\"name\":\"submit2\",\"qid\":\"2\",\"text\":\"Versturen\",\"type\":\"control_button\"},{\"description\":\"\",\"name\":\"mijnProducten\",\"qid\":\"3\",\"text\":\"Mijn Producten\",\"type\":\"control_payment\"},{\"description\":\"\",\"name\":\"naam\",\"qid\":\"4\",\"text\":\"Naam\",\"type\":\"control_fullname\"},{\"description\":\"\",\"name\":\"email\",\"qid\":\"5\",\"subLabel\":\"voorbeeld@voorbeeld.com\",\"text\":\"E-mail\",\"type\":\"control_email\"},{\"description\":\"\",\"name\":\"telefoonnummer\",\"qid\":\"6\",\"text\":\"Telefoonnummer\",\"type\":\"control_phone\"}]);}, 20); \n<\/script>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/stylebuilder\/static\/form-common.css?v=e411e43\n\"\/>\n<style type=\"text\/css\">@media print{*{-webkit-print-color-adjust: exact !important;color-adjust: exact !important;}.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}<\/style>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/themes\/CSS\/5e6b428acc8c4e222d1beb91.css?v=3.3.66675&#038;themeRevisionID=5f30e2a790832f3e96009402\"\/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/s\/static\/ca4ec5ad7ef\/css\/styles\/payment\/payment_styles.css?3.3.66675\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/s\/static\/ca4ec5ad7ef\/css\/styles\/payment\/payment_feature.css?3.3.66675\" \/>\n<style type=\"text\/css\" id=\"form-designer-style\">\n    \/* Injected CSS Code *\/\n\n  \n  \n  \n  \n  \n  \n  \n  \/*PREFERENCES STYLE*\/\n  \/* NEW THEME STYLE *\/\n\n  \/* colors *\/\n\n  .form-textbox, .form-textarea {\n    color: undefined;\n  }\n  .rating-item input:hover+label {\n    color: rgba(17, 17, 27, 0.75);\n  }\n  li[data-type=control_fileupload] .qq-upload-button,\n  .until-text,\n  .form-submit-reset {\n    color: rgba(17, 17, 27, 0.75);\n  }\n\n  .stageEmpty.isSmall{\n    color: rgba(17, 17, 27, 0.75);\n  }\n\n  .rating-item label {\n    color: rgba(17, 17, 27, 0.75);\n  }\n  .currentDate,\n  .pickerItem select,\n  .appointmentCalendar .calendarDay,\n  .calendar.popup th,\n  .calendar.popup table tbody td,\n  .calendar-new-header>*,\n  .form-collapse-table {\n    color: #FFFFFF;\n  }\n  .appointmentCalendar .dayOfWeek {\n    color: #FFFFFF;\n  }\n  .appointmentSlotsContainer > * {\n    color: rgba(17, 17, 27, 0.75);\n  }\n  li[data-type=control_fileupload] .jfUpload-heading,\n  ::placeholder,\n  .form-dropdown.is-active,\n  .form-dropdown:first-child,\n  .form-spinner-input {\n    color: #1A1F2F;\n  }\n  .appointmentCalendar .calendarWeek .calendarDay.isUnavailable,\n  .calendar tr.days td.otherDay,\n  .calendar tr.days td:hover:not(.unselectable) {\n    color: #1A1F2F;\n  }\n  span.form-sub-label, label.form-sub-label, div.form-header-group .form-subHeader,\n  .rating-item-title.for-to > label:first-child,\n  .rating-item-title.for-from > label:first-child,\n  .rating-item-title .editor-container * {\n    color: #838895;\n  }\n  .form-pagebreak-back{\n    color: #FFFFFF;\n  }\n  .rating-item input:checked+label,\n  .rating-item input:focus+label {\n    color: #FFFFFF;\n  }\n  .clear-pad-btn {\n    color: #FFFFFF;\n  }\n  .form-textbox::placeholder,\n  .form-dropdown:not(.time-dropdown):not(:required),\n  .form-dropdown:not(:required),\n  .form-dropdown:required:invalid {\n    color: #1A1F2F;\n  }\n  \/* border-colors *\/\n  .form-dropdown,\n  .form-textarea,\n  .form-textbox,\n  li[data-type=control_fileupload] .qq-upload-button,\n  .rating-item label,\n  .rating-item input:focus+label,\n  .rating-item input:checked+label,\n  .jf-form-buttons,\n  .form-checkbox+label:before, .form-checkbox+span:before, .form-radio+label:before, .form-radio+span:before,\n  .signature-pad-passive,\n  .signature-wrapper,\n  .appointmentCalendarContainer,\n  .appointmentField .timezonePickerName,\n  .appointmentDayPickerButton,\n  .appointmentCalendarContainer .monthYearPicker .pickerItem+.pickerItem,\n  .appointmentCalendarContainer .monthYearPicker,\n  .appointmentCalendar .calendarDay.isActive .calendarDayEach, .appointmentCalendar .calendarDay.isToday .calendarDayEach, .appointmentCalendar .calendarDay:not(.empty):hover .calendarDayEach,\n  .calendar.popup:before,\n  .calendar-new-month,\n  .form-matrix-column-headers, .form-matrix-table td, .form-matrix-table td:last-child,\n  .form-matrix-table th, .form-matrix-table th:last-child, .form-matrix-table tr:last-child td, .form-matrix-table tr:last-child th, .form-matrix-table tr:not([role=group])+tr[role=group] th,\n  .form-matrix-headers.form-matrix-column-headers,\n  .isSelected .form-matrix-column-headers:nth-last-of-type(2),\n  li[data-type=control_inline] input[type=email], li[data-type=control_inline] input[type=number],\n  li[data-type=control_inline] input[type=tel], li[data-type=control_inline] input[type=text],\n  .stageEmpty.isSmall {\n    border-color: rgba(17, 17, 27, 0.75);\n  }\n  .rating-item input:hover+label {\n    border-color: rgba(17, 17, 27, 0.75);\n  }\n  .appointmentSlot,\n  .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,\n  .form-radio:checked+label:before, .form-radio:checked+span:before,\n  .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\n  .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover {\n    border-color: rgba(17, 17, 27, 0.75);\n  }\n\n  .calendar tr.days td:hover:not(.unselectable):after {\n    border-color: #1A1F2F;\n  }\n  .form-header-group,\n  .form-buttons-wrapper, .form-pagebreak, .form-submit-clear-wrapper,\n  .form-pagebreak-next,\n  .form-pagebreak-back,\n  .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before{\n    border-color: #11111B;\n  }\n  \/* background-colors *\/\n  .form-line-active {\n    background-color: #4F5B77;\n  }\n  .form-line-error {\n    background-color: #642733;\n  }\n  .form-matrix-column-headers, .form-matrix-row-headers,\n  .form-spinner-button-container>*,\n  .form-collapse-table,\n  .form-collapse-table:hover,\n  .appointmentDayPickerButton {\n    background-color: #1A1F2F;\n  }\n  .calendar.popup, .calendar.popup table,\n  .calendar.popup table tbody td:after{\n    background-color: #424756;\n  }\n\n  .appointmentCalendar .calendarDay.isActive .calendarDayEach,\n  .appointmentFieldRow.forSelectedDate,\n  .calendar.popup tr.days td.selected:after,\n  .calendar.popup:after,\n  .submit-button,\n  .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,\n  .form-radio+label:after, .form-radio+span:after,\n  .rating-item input:checked+label,\n  .appointmentCalendar .calendarDay:after,\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\n  .rating-item input:focus+label {\n    background-color: #2E69FF;\n  }\n  .appointmentSlot.active {\n    background-color: #2E69FF !important;\n  }\n  .clear-pad-btn,\n  .appointmentCalendar .dayOfWeek,\n  .calendar.popup th {\n    background-color: #11111B !important;\n  }\n  .appointmentField .timezonePicker:hover+.timezonePickerName,\n  .form-spinner-button-container>*:hover {\n    background-color: #96B4FF;\n  }\n  .form-matrix-values,\n  .form-matrix-values,\n  .signature-wrapper,\n  .signature-pad-passive,\n  .rating-item label,\n  .form-checkbox+label:before, .form-checkbox+span:before,\n  .form-radio+label:before, .form-radio+span:before {\n    background-color: #838895;\n  }\n  li[data-type=control_fileupload] .qq-upload-button {\n    background-color: #838895;\n  }\n  .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected\n  .questionLine-editButton.forRemove:after, \n  .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected .questionLine-editButton.forRemove:before {\n    background-color: #FFFFFF;\n  }\n  .appointmentCalendarContainer, .appointmentSlot,\n  .rating-item-title.for-to > label:first-child,\n  .rating-item-title.for-from > label:first-child,\n  .rating-item-title .editor-container *,\n  .calendar-opened {\n    background-color: transparent;\n  }\n  .appointmentCalendar .calendarDay.isSelected:after {\n    color: #838895;\n  }\n  \/* shadow *\/\n  .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover,\n  .calendar.popup:before,\n  .jSignature:hover,\n  li[data-type=control_fileupload] .qq-upload-button-hover,\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox:hover .select_border,\n  .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before,\n  .calendar.popup:before {\n    border-color: rgba(17, 17, 27, 0.5);\n    box-shadow: 0 0 0 2px rgba(17, 17, 27, 0.25);\n  }\n  .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,\n  li[data-type=control_fileupload] .qq-upload-button-focus,\n  .form-checkbox:focus+label:before, .form-checkbox:focus+span:before, .form-radio:focus+label:before, .form-radio:focus+span:before,\n  .calendar.popup:before {\n    border-color: rgba(17, 17, 27, 1);\n    box-shadow: 0 0 0 3px rgba(17, 17, 27, 0.25);\n  }\n  .calendar.popup table tbody td{\n    box-shadow: none;\n  }\n\n  \/* button colors *\/\n  .submit-button {\n    background-color: #2E69FF;\n    border-color: #2E69FF;\n  }\n  .submit-button:hover {\n    background-color: #1C3F99;\n    border-color: #1C3F99;\n  }\n  .form-pagebreak-next {\n    background-color: #11111B;\n  }\n  .form-pagebreak-back {\n    background-color: #11111B;\n  }\n  .form-pagebreak-back:hover {\n    background-color: #11141C;\n    border-color: #11141C;\n  }\n  .form-pagebreak-next:hover {\n    background-color: #11141C;\n    border-color: #11141C;\n  }\n  .form-sacl-button, .form-submit-print {\n    background-color: transparent;\n    color: rgba(17, 17, 27, 0.75);\n    border-color: rgba(17, 17, 27, 0.75);\n  }\n  .form-sacl-button:hover, .form-submit-print:hover,\n  .appointmentSlot:not(.disabled):not(.active):hover,\n  .appointmentDayPickerButton:hover,\n  .rating-item input:hover+label {\n    background-color: #96B4FF;\n  }\n\n  \/* payment styles *\/\n  \n  .form-line[data-payment=true] .form-textbox,\n  .form-line[data-payment=true] .select-area,\n  .form-line[data-payment=true] #coupon-input,\n  .form-line[data-payment=true] #coupon-container input,\n  .form-line[data-payment=true] input#productSearch-input,\n  .form-line[data-payment=true] .form-product-category-item:after,\n  .form-line[data-payment=true] .filter-container .dropdown-container .select-content,\n  .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .select_border,\n  .form-line[data-payment=\"true\"] .form-product-item .form-product-container .form-sub-label-container span.select_cont,\n  .form-line[data-payment=true] select.form-dropdown {\n    border-color: rgba(17, 17, 27, 0.75);\n    border-color: rgba(17,17,27,.7);\n  }\n  .form-line[data-payment=\"true\"] hr,\n  .form-line[data-payment=true] .p_item_separator,\n  .form-line[data-payment=\"true\"] .payment_footer.new_ui,\n  .form-line.card-3col .form-product-item.new_ui,\n  .form-line.card-2col .form-product-item.new_ui {\n    border-color: rgba(17, 17, 27, 0.75);\n    border-color: rgba(17,17,27,.4);\n  }\n  .form-line[data-payment=true] .form-product-category-item {\n    border-color: rgba(17, 17, 27, 0.75);\n    border-color: undefined;\n  }\n  .form-line[data-payment=true] #coupon-input,\n  .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,\n  .form-line[data-payment=true] input#productSearch-input,\n  .form-line[data-payment=true] .select-area,\n  .form-line[data-payment=true] .custom_quantity,\n  .form-line[data-payment=true] .filter-container .select-content,\n  .form-line[data-payment=true] .p_checkbox .select_border {\n    background-color: #838895;\n  }\n  .form-product-category-item:after {\n   background-color: #11111B;\n   border-color: #11111B;\n  }\n  .form-line[data-payment=true].form-line.card-3col .form-product-item,\n  .form-line[data-payment=true].form-line.card-2col .form-product-item {\n   background-color: rgba(0,0,0,.05);\n  }\n  .form-line[data-payment=true] .payment-form-table input.form-textbox,\n  .form-line[data-payment=true] .payment-form-table input.form-dropdown,\n  .form-line[data-payment=true] .payment-form-table .form-sub-label-container > div,\n  .form-line[data-payment=true] .payment-form-table span.form-sub-label-container iframe,\n  .form-line[data-type=control_square] .payment-form-table span.form-sub-label-container iframe {\n    border-color: rgba(17, 17, 27, 0.75);\n  }\n\n  \/* icons *\/\n  .appointmentField .timezonePickerName:before {\n    background-image: url(data:image\/svg+xml;base64,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);\n  }\n  .appointmentCalendarContainer .monthYearPicker .pickerArrow.prev:after {\n    background-image: url(data:image\/svg+xml;base64,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);\n  }\n  .appointmentCalendarContainer .monthYearPicker .pickerArrow.next:after {\n    background-image: url(data:image\/svg+xml;base64,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);\n  }\n  .appointmentField .timezonePickerName:after {\n    background-image: url(data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMTAiIGhlaWdodD0iNiIgdmlld0JveD0iMCAwIDEwIDYiIGZpbGw9Im5vbmUiIHhtbG5zPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwL3N2ZyI+CjxwYXRoIGQ9Ik0xIDFMNSA1TDkgMSIgc3Ryb2tlPSJ3aGl0ZSIgc3Ryb2tlLXdpZHRoPSIyIiBzdHJva2UtbGluZWNhcD0icm91bmQiIHN0cm9rZS1saW5lam9pbj0icm91bmQiLz4KPC9zdmc+Cg==);\n    width: 11px;\n  }\n  li[data-type=control_datetime] [data-wrapper-react=true].extended>div+.form-sub-label-container .form-textbox:placeholder-shown,\n  li[data-type=control_datetime] [data-wrapper-react=true]:not(.extended) .form-textbox:not(.time-dropdown):placeholder-shown,\n  .appointmentCalendarContainer .currentDate {\n    background-image: url(data:image\/svg+xml;base64,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);\n  }\n  .form-star-rating-star.Stars {\n    background-image: 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 }\n  li[data-type=control_fileupload] .qq-upload-button:before {\n    background-image: url(data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMzkiIGhlaWdodD0iMjgiIHZpZXdCb3g9IjAgMCAzOSAyOCIgZmlsbD0ibm9uZSIgeG1sbnM9Imh0dHA6Ly93d3cudzMub3JnLzIwMDAvc3ZnIj4KPHBhdGggZD0iTTMyLjM3NSAxMi4xODc1QzMxLjUgNS42ODc1IDI2IDAuODc1IDE5LjM3NSAwLjg3NUMxMy42ODc1IDAuODc1IDguNzUgNC40Mzc1IDYuOTM3NSA5LjgxMjVDMi44NzUgMTAuNjg3NSAwIDE0LjE4NzUgMCAxOC4zNzVDMCAyMi45Mzc1IDMuNTYyNSAyNi43NSA4LjEyNSAyNy4xMjVIMzEuODc1SDMxLjkzNzVDMzUuNzUgMjYuNzUgMzguNzUgMjMuNSAzOC43NSAxOS42MjVDMzguNzUgMTUuOTM3NSAzNiAxMi43NSAzMi4zNzUgMTIuMTg3NVpNMjYuMDYyNSAxNS42ODc1QzI1LjkzNzUgMTUuODEyNSAyNS44MTI1IDE1Ljg3NSAyNS42MjUgMTUuODc1QzI1LjQzNzUgMTUuODc1IDI1LjMxMjUgMTUuODEyNSAyNS4xODc1IDE1LjY4NzVMMjAgMTAuNVYyMi43NUMyMCAyMy4xMjUgMTkuNzUgMjMuMzc1IDE5LjM3NSAyMy4zNzVDMTkgMjMuMzc1IDE4Ljc1IDIzLjEyNSAxOC43NSAyMi43NVYxMC41TDEzLjU2MjUgMTUuNjg3NUMxMy4zMTI1IDE1LjkzNzUgMTIuOTM3NSAxNS45Mzc1IDEyLjY4NzUgMTUuNjg3NUMxMi40Mzc1IDE1LjQzNzUgMTIuNDM3NSAxNS4wNjI1IDEyLjY4NzUgMTQuODEyNUwxOC45Mzc1IDguNTYyNUMxOSA4LjUgMTkuMDYyNSA4LjQzNzUgMTkuMTI1IDguNDM3NUMxOS4yNSA4LjM3NSAxOS40Mzc1IDguMzc1IDE5LjYyNSA4LjQzNzVDMTkuNjg3NSA4LjUgMTkuNzUgOC41IDE5LjgxMjUgOC41NjI1TDI2LjA2MjUgMTQuODEyNUMyNi4zMTI1IDE1LjA2MjUgMjYuMzEyNSAxNS40Mzc1IDI2LjA2MjUgMTUuNjg3NVoiIGZpbGw9IiM0MjQ3NTYiLz4KPC9zdmc+Cg==);\n  }\n  .appointmentDayPickerButton {\n    \n  }\n\n  \/* NEW THEME STYLE *\/\n  \/*PREFERENCES STYLE*\/\/*PREFERENCES STYLE*\/\n    .form-all {\n      font-family: Inter, sans-serif;\n    }\n    .form-all .qq-upload-button,\n    .form-all .form-submit-button,\n    .form-all .form-submit-reset,\n    .form-all .form-submit-print {\n      font-family: Inter, sans-serif;\n    }\n    .form-all .form-pagebreak-back-container,\n    .form-all .form-pagebreak-next-container {\n      font-family: Inter, sans-serif;\n    }\n    .form-header-group {\n      font-family: Inter, sans-serif;\n    }\n    .form-label {\n      font-family: Inter, sans-serif;\n    }\n  \n    .form-label.form-label-auto {\n      \n    display: block;\n    float: none;\n    text-align: left;\n    width: 100%;\n  \n    }\n  \n    .form-line {\n      margin-top: 12px;\n      margin-bottom: 12px;\n    }\n  \n    .form-all {\n      max-width: 752px;\n      width: 100%;\n    }\n  \n    .form-label.form-label-left,\n    .form-label.form-label-right,\n    .form-label.form-label-left.form-label-auto,\n    .form-label.form-label-right.form-label-auto {\n      width: 230px;\n    }\n  \n    .form-all {\n      font-size: 16px\n    }\n    .form-all .qq-upload-button,\n    .form-all .qq-upload-button,\n    .form-all .form-submit-button,\n    .form-all .form-submit-reset,\n    .form-all .form-submit-print {\n      font-size: 16px\n    }\n    .form-all .form-pagebreak-back-container,\n    .form-all .form-pagebreak-next-container {\n      font-size: 16px\n    }\n  \n    .supernova .form-all, .form-all {\n      background-color: #000000;\n    }\n  \n    .form-all {\n      color: #FFFFFF;\n    }\n    .form-header-group .form-header {\n      color: #FFFFFF;\n    }\n    .form-header-group .form-subHeader {\n      color: #FFFFFF;\n    }\n    .form-label-top,\n    .form-label-left,\n    .form-label-right,\n    .form-html,\n    .form-checkbox-item label,\n    .form-radio-item label {\n      color: #FFFFFF;\n    }\n    .form-sub-label {\n      color: #ffffff;\n    }\n  \n    .supernova {\n      background-color: #000000;\n    }\n    .supernova body {\n      background: transparent;\n    }\n  \n    .form-textbox,\n    .form-textarea,\n    .form-dropdown,\n    .form-radio-other-input,\n    .form-checkbox-other-input,\n    .form-captcha input,\n    .form-spinner input {\n      background-color: #ffffff;\n    }\n  \n    .supernova {\n      background-image: none;\n    }\n    #stage {\n      background-image: none;\n    }\n  \n    .form-all {\n      background-image: none;\n    }\n  \n  .ie-8 .form-all:before { display: none; }\n  .ie-8 {\n    margin-top: auto;\n    margin-top: initial;\n  }\n  \n  \/*PREFERENCES STYLE*\/\/*__INSPECT_SEPERATOR__*\/\n    \/* Injected CSS Code *\/\n<\/style>\n\n<form class=\"jotform-form\" onsubmit=\"return typeof testSubmitFunction !== 'undefined' &#038;&#038; testSubmitFunction();\" action=\"https:\/\/eu-submit.jotform.com\/submit\/202363326277050\" method=\"post\" name=\"form_202363326277050\" id=\"202363326277050\" accept-charset=\"utf-8\" autocomplete=\"on\"><input type=\"hidden\" name=\"formID\" value=\"202363326277050\" \/><input type=\"hidden\" id=\"JWTContainer\" value=\"\" \/><input type=\"hidden\" id=\"cardinalOrderNumber\" value=\"\" \/><input type=\"hidden\" id=\"jsExecutionTracker\" name=\"jsExecutionTracker\" value=\"build-date-1763028458622\" \/><input type=\"hidden\" id=\"submitSource\" name=\"submitSource\" value=\"unknown\" \/><input type=\"hidden\" id=\"submitDate\" name=\"submitDate\" value=\"undefined\" \/><input type=\"hidden\" id=\"buildDate\" name=\"buildDate\" value=\"1763028458622\" \/><input type=\"hidden\" name=\"uploadServerUrl\" value=\"https:\/\/upload.jotform.com\/upload\" \/><input type=\"hidden\" name=\"eventObserverPayment\" value=\"control_payment\" \/>\n  <div role=\"main\" class=\"form-all\">\n    <ul class=\"form-section page-section\" role=\"presentation\">\n      <li class=\"form-line jf-required\" data-type=\"control_fullname\" id=\"id_4\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_4\" for=\"first_4\" aria-hidden=\"false\"> Naam<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_4\" class=\"form-input-wide jf-required\" data-layout=\"full\">\n          <div data-wrapper-react=\"true\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"first\"><input type=\"text\" id=\"first_4\" name=\"q4_naam[first]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_4 given-name\" size=\"10\" data-component=\"first\" aria-labelledby=\"label_4 sublabel_4_first\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"first_4\" id=\"sublabel_4_first\" style=\"min-height:13px\">Voornaam<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\"><input type=\"text\" id=\"last_4\" name=\"q4_naam[last]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_4 family-name\" size=\"15\" data-component=\"last\" aria-labelledby=\"label_4 sublabel_4_last\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"last_4\" id=\"sublabel_4_last\" style=\"min-height:13px\">Achternaam<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_email\" id=\"id_5\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_5\" for=\"input_5\" aria-hidden=\"false\"> E-mail<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_5\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"email\" id=\"input_5\" name=\"q5_email\" class=\"form-textbox validate[required, Email]\" data-defaultvalue=\"\" autoComplete=\"section-input_5 email\" style=\"width:310px\" size=\"310\" data-component=\"email\" aria-labelledby=\"label_5 sublabel_input_5\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_5\" id=\"sublabel_input_5\" style=\"min-height:13px\">voorbeeld@voorbeeld.com<\/label><\/span> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_phone\" id=\"id_6\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_6\" for=\"input_6_full\"> Telefoonnummer<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_6\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" id=\"input_6_full\" name=\"q6_telefoonnummer[full]\" data-type=\"mask-number\" class=\"mask-phone-number form-textbox validate[required, Fill Mask]\" data-defaultvalue=\"\" autoComplete=\"section-input_6 tel-national\" style=\"width:310px\" data-masked=\"true\" placeholder=\"00-00000000\" data-component=\"phone\" aria-labelledby=\"label_6 sublabel_6_masked\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_6_full\" id=\"sublabel_6_masked\" style=\"min-height:13px\">Voer een geldig telefoonnummer in.<\/label><\/span> <\/div>\n      <\/li>\n      <li class=\"form-line card-1col\" data-type=\"control_payment\" id=\"id_3\" data-payment=\"true\"><label class=\"form-label form-label-top search-enabled p-filter-one-column\" id=\"label_3\" for=\"input_3\" aria-hidden=\"false\"> Mijn Producten <\/label>\n        <div id=\"cid_3\" class=\"form-input-wide\" data-layout=\"full\">\n          <div data-wrapper-react=\"true\">\n            <div data-wrapper-react=\"true\" class=\"product-container-wrapper\">\n              <div class=\"filter-container\"><input name=\"productSearch-input\" class=\"form-textbox\" id=\"productSearch-input\" type=\"text\" size=\"15\" placeholder=\"zoeken\" autoComplete=\"off\" \/><\/div><input type=\"hidden\" name=\"simple_fpc\" data-payment_type=\"payment\" data-component=\"payment1\" value=\"3\" \/><input type=\"hidden\" name=\"payment_transaction_uuid\" id=\"paymentTransactionId\" \/><input type=\"hidden\" name=\"payment_version\" id=\"payment_version\" value=\"4\" \/><input type=\"hidden\" name=\"payment_total_checksum\" id=\"payment_total_checksum\" data-component=\"payment2\" \/><input type=\"hidden\" name=\"payment_discount_value\" id=\"payment_discount_value\" data-component=\"payment3\" \/>\n              <div id=\"image-overlay\" class=\"overlay-content\" style=\"display:none\"><img id=\"current-image\" \/><span class=\"lb-prev-button\">prev<\/span><span class=\"lb-next-button\">next<\/span><span class=\"lb-close-button\">( X )<\/span><span class=\"image-overlay-product-container\">\n                  <ul class=\"form-overlay-item\" pid=\"1010\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/gaode_mee_oeteldonk_2026_2_db8193dd79a7b69941a8217dc398ffe8.png\" \/><\/li>\n                  <\/ul>\n                  <ul class=\"form-overlay-item\" pid=\"1002\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/trui21.jpg\" \/><\/li>\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/kleur trui kids.jpg\" \/><\/li>\n                  <\/ul>\n                  <ul class=\"form-overlay-item\" pid=\"1001\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/trui21.jpg\" \/><\/li>\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/truikleur.jpg\" \/><\/li>\n                  <\/ul>\n                  <ul class=\"form-overlay-item\" pid=\"1000\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/shirt21.jpg\" \/><\/li>\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/shirtkleur.jpg\" \/><\/li>\n                  <\/ul>\n                  <ul class=\"form-overlay-item\" pid=\"1003\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/shirt21.jpg\" \/><\/li>\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/shirtkleur.jpg\" \/><\/li>\n                  <\/ul>\n                  <ul class=\"form-overlay-item\" pid=\"1004\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/baseballjacket1.jpg\" \/><\/li>\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/baseballjacketkleuren.jpg\" \/><\/li>\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/afmetingenjack.jpg\" \/><\/li>\n                  <\/ul>\n                  <ul class=\"form-overlay-item\" pid=\"1009\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/hood21.jpg\" \/><\/li>\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/Kleur hoodies.jpg\" \/><\/li>\n                  <\/ul>\n                  <ul class=\"form-overlay-item\" pid=\"1006\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/hood21.jpg\" \/><\/li>\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/Kleur hoodies.jpg\" \/><\/li>\n                  <\/ul>\n                  <ul class=\"form-overlay-item\" pid=\"1005\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/design%20%281%29%20%281%29.png\" \/><\/li>\n                  <\/ul>\n                  <ul class=\"form-overlay-item\" pid=\"1008\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/design (1) (1).png\" \/><\/li>\n                  <\/ul>\n                  <ul class=\"form-overlay-item\" pid=\"1007\" hasicon=\"false\" hasimages=\"true\" iconvalue=\"\">\n                    <li class=\"image-overlay-image\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/tasdce_edited.jpg\" \/><\/li>\n                  <\/ul>\n                <\/span><\/div>\n              <div data-wrapper-react=\"true\"><span class=\"form-product-item hover-product-item  show_image show_option new_ui\" categories=\"non-categorized\" pid=\"1010\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1010\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: Geborduurd Strijk Embleem\" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1010\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"Geborduurd Strijk Embleem\" alt=\"Geborduurd Strijk Embleem Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/gaode_mee_oeteldonk_2026_2_db8193dd79a7b69941a8217dc398ffe8.png\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1010\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1010\">Geborduurd Strijk Embleem<\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1010\"><\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1010_price\">7,50<\/span><\/span><\/b><\/span>\n                      <\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_quantity_1010_0\" style=\"min-height:13px\">Hoeveelheid<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1010][item_0]\" id=\"input_3_quantity_1010_0\" aria-label=\"Select Hoeveelheid\">\n                            <option value=\"1\">1<\/option>\n                            <option value=\"2\">2<\/option>\n                            <option value=\"3\">3<\/option>\n                            <option value=\"4\">4<\/option>\n                            <option value=\"5\">5<\/option>\n                            <option value=\"6\">6<\/option>\n                            <option value=\"7\">7<\/option>\n                            <option value=\"8\">8<\/option>\n                          <\/select><\/span><\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"p_item_separator \"><\/div><span class=\"form-product-item hover-product-item  show_image show_desc show_option new_ui\" categories=\"non-categorized\" pid=\"1002\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1002\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: Sweater Kids\" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1002\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"Sweater Kids\" alt=\"Sweater Kids Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/trui21.jpg\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1002\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1002\">Sweater Kids<\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1002\">Kindersweater<\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1002_price\">27,50<\/span><\/span><\/b><\/span>\n                      <\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_quantity_1002_0\" style=\"min-height:13px\">Quantity<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1002][item_0]\" id=\"input_3_quantity_1002_0\" aria-label=\"Select Quantity\">\n                            <option value=\"1\">1<\/option>\n                            <option value=\"2\">2<\/option>\n                            <option value=\"3\">3<\/option>\n                            <option value=\"4\">4<\/option>\n                            <option value=\"5\">5<\/option>\n                            <option value=\"6\">6<\/option>\n                            <option value=\"7\">7<\/option>\n                            <option value=\"8\">8<\/option>\n                            <option value=\"9\">9<\/option>\n                            <option value=\"10\">10<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1002_1\" style=\"min-height:13px\">Sweater<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1002][item_1]\" id=\"input_3_custom_1002_1\" aria-label=\"Select Sweater\">\n                            <option value=\"Youth S maat 116 - 122\">Youth S maat 116 - 122<\/option>\n                            <option value=\"Youth M  maat 128 -132\">Youth M maat 128 -132<\/option>\n                            <option value=\"Youth L maat 140 - 148\">Youth L maat 140 - 148<\/option>\n                            <option value=\"Youth XL maat 152 - 164\">Youth XL maat 152 - 164<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1002_2\" style=\"min-height:13px\">Kleur<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1002][item_2]\" id=\"input_3_custom_1002_2\" aria-label=\"Select Kleur\">\n                            <option value=\"Zwart\">Zwart<\/option>\n                            <option value=\"Donker Grijs\">Donker Grijs<\/option>\n                            <option value=\"Forest Groen\">Forest Groen<\/option>\n                            <option value=\"Cherry Rood\">Cherry Rood<\/option>\n                            <option value=\"Grijs\">Grijs<\/option>\n                            <option value=\"Donker Cherry Rood\">Donker Cherry Rood<\/option>\n                            <option value=\"Navy Blauw\">Navy Blauw<\/option>\n                            <option value=\"Rood\">Rood<\/option>\n                            <option value=\"Blauw\">Blauw<\/option>\n                            <option value=\"Roze\">Roze<\/option>\n                            <option value=\"Licht Grijs\">Licht Grijs<\/option>\n                            <option value=\"Wit\">Wit<\/option>\n                            <option value=\"Geel\">Geel<\/option>\n                            <option value=\"Goud Geel\">Goud Geel<\/option>\n                          <\/select><\/span><\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"p_item_separator \"><\/div><span class=\"form-product-item hover-product-item  show_image show_desc show_option new_ui\" categories=\"non-categorized\" pid=\"1001\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1001\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: Sweater Adults\" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1001\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"Sweater Adults\" alt=\"Sweater Adults Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/www.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/trui21.jpg\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1001\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1001\">Sweater Adults<\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1001\">Sweater Adults<\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1001_price\">30,00<\/span><\/span><\/b><\/span>\n                      <\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_quantity_1001_0\" style=\"min-height:13px\">Hoeveelheid<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1001][item_0]\" id=\"input_3_quantity_1001_0\" aria-label=\"Select Hoeveelheid\">\n                            <option value=\"1\">1<\/option>\n                            <option value=\"2\">2<\/option>\n                            <option value=\"3\">3<\/option>\n                            <option value=\"4\">4<\/option>\n                            <option value=\"5\">5<\/option>\n                            <option value=\"6\">6<\/option>\n                            <option value=\"7\">7<\/option>\n                            <option value=\"8\">8<\/option>\n                            <option value=\"9\">9<\/option>\n                            <option value=\"10\">10<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1001_1\" style=\"min-height:13px\">Sweater Adults<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1001][item_1]\" id=\"input_3_custom_1001_1\" aria-label=\"Select Sweater Adults\">\n                            <option value=\"XS\">XS<\/option>\n                            <option value=\"S\">S<\/option>\n                            <option value=\"M\">M<\/option>\n                            <option value=\"L\">L<\/option>\n                            <option value=\"XL\">XL<\/option>\n                            <option value=\"XXL\">XXL<\/option>\n                            <option value=\"XXXL\">XXXL<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1001_2\" style=\"min-height:13px\">Kleur<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1001][item_2]\" id=\"input_3_custom_1001_2\" aria-label=\"Select Kleur\">\n                            <option value=\"Zwart\">Zwart<\/option>\n                            <option value=\"Blauw\">Blauw<\/option>\n                            <option value=\"Navy Blauw\">Navy Blauw<\/option>\n                            <option value=\"Goud geel\">Goud geel<\/option>\n                            <option value=\"Rood\">Rood<\/option>\n                            <option value=\"Cherry Rood\">Cherry Rood<\/option>\n                            <option value=\"Grijs\">Grijs<\/option>\n                            <option value=\"Donker Grijs\">Donker Grijs<\/option>\n                            <option value=\"Groen\">Groen<\/option>\n                            <option value=\"Forest Groen\">Forest Groen<\/option>\n                            <option value=\"Roze\">Roze<\/option>\n                            <option value=\"Bruin\">Bruin<\/option>\n                            <option value=\"Wit\">Wit<\/option>\n                          <\/select><\/span><\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"p_item_separator \"><\/div><span class=\"form-product-item hover-product-item  show_image show_desc show_option new_ui\" categories=\"non-categorized\" pid=\"1000\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1000\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: T-shirt Kids\" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1000\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"T-shirt Kids\" alt=\"T-shirt Kids Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/shirt21.jpg\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1000\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1000\">T-shirt Kids<\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1000\">T-shirts Kids<\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1000_price\">20,00<\/span><\/span><\/b><\/span>\n                      <\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_quantity_1000_0\" style=\"min-height:13px\">Quantity<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1000][item_0]\" id=\"input_3_quantity_1000_0\" aria-label=\"Select Quantity\">\n                            <option value=\"1\">1<\/option>\n                            <option value=\"2\">2<\/option>\n                            <option value=\"3\">3<\/option>\n                            <option value=\"4\">4<\/option>\n                            <option value=\"5\">5<\/option>\n                            <option value=\"6\">6<\/option>\n                            <option value=\"7\">7<\/option>\n                            <option value=\"8\">8<\/option>\n                            <option value=\"9\">9<\/option>\n                            <option value=\"10\">10<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1000_1\" style=\"min-height:13px\">T-Shirt<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1000][item_1]\" id=\"input_3_custom_1000_1\" aria-label=\"Select T-Shirt\">\n                            <option value=\"Youth XS maat 104 -110\">Youth XS maat 104 -110<\/option>\n                            <option value=\"Youth S maat 116 - 122\">Youth S maat 116 - 122<\/option>\n                            <option value=\"Youth M  maat 128 -132\">Youth M maat 128 -132<\/option>\n                            <option value=\"Youth L maat 140 - 148\">Youth L maat 140 - 148<\/option>\n                            <option value=\"Youth XL maat 152 - 164\">Youth XL maat 152 - 164<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1000_2\" style=\"min-height:13px\">Kleur<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1000][item_2]\" id=\"input_3_custom_1000_2\" aria-label=\"Select Kleur\">\n                            <option value=\"Zwart\">Zwart<\/option>\n                            <option value=\"Wit\">Wit<\/option>\n                            <option value=\"Navy Blauw\">Navy Blauw<\/option>\n                            <option value=\"Licht Blauw\">Licht Blauw<\/option>\n                            <option value=\"Blauw\">Blauw<\/option>\n                            <option value=\"Paars\">Paars<\/option>\n                            <option value=\"Rood\">Rood<\/option>\n                            <option value=\"Oranje\">Oranje<\/option>\n                            <option value=\"Licht Roze\">Licht Roze<\/option>\n                            <option value=\"Roze\">Roze<\/option>\n                            <option value=\"Groen\">Groen<\/option>\n                            <option value=\"Geel\">Geel<\/option>\n                            <option value=\"Bruin\">Bruin<\/option>\n                            <option value=\"Donker Grijs\">Donker Grijs<\/option>\n                            <option value=\"Grijs\">Grijs<\/option>\n                          <\/select><\/span><\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"p_item_separator \"><\/div><span class=\"form-product-item hover-product-item  show_image show_desc show_option new_ui\" categories=\"non-categorized\" pid=\"1003\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1003\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: T-shirt Adults\" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1003\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"T-shirt Adults\" alt=\"T-shirt Adults Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/shirt21.jpg\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1003\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1003\">T-shirt Adults<\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1003\">T-shirts Adults<\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1003_price\">20,00<\/span><\/span><\/b><\/span>\n                      <\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_quantity_1003_0\" style=\"min-height:13px\">Quantity<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1003][item_0]\" id=\"input_3_quantity_1003_0\" aria-label=\"Select Quantity\">\n                            <option value=\"1\">1<\/option>\n                            <option value=\"2\">2<\/option>\n                            <option value=\"3\">3<\/option>\n                            <option value=\"4\">4<\/option>\n                            <option value=\"5\">5<\/option>\n                            <option value=\"6\">6<\/option>\n                            <option value=\"7\">7<\/option>\n                            <option value=\"8\">8<\/option>\n                            <option value=\"9\">9<\/option>\n                            <option value=\"10\">10<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1003_1\" style=\"min-height:13px\">T-Shirt<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1003][item_1]\" id=\"input_3_custom_1003_1\" aria-label=\"Select T-Shirt\">\n                            <option value=\"S\">S<\/option>\n                            <option value=\"M\">M<\/option>\n                            <option value=\"L\">L<\/option>\n                            <option value=\"XL\">XL<\/option>\n                            <option value=\"XXL\">XXL<\/option>\n                            <option value=\"XXXL\">XXXL<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1003_2\" style=\"min-height:13px\">Kleur<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1003][item_2]\" id=\"input_3_custom_1003_2\" aria-label=\"Select Kleur\">\n                            <option value=\"Zwart\">Zwart<\/option>\n                            <option value=\"Wit\">Wit<\/option>\n                            <option value=\"Navy Blauw\">Navy Blauw<\/option>\n                            <option value=\"Licht Blauw\">Licht Blauw<\/option>\n                            <option value=\"Blauw\">Blauw<\/option>\n                            <option value=\"Paars\">Paars<\/option>\n                            <option value=\"Rood\">Rood<\/option>\n                            <option value=\"Oranje\">Oranje<\/option>\n                            <option value=\"Licht Roze\">Licht Roze<\/option>\n                            <option value=\"Roze\">Roze<\/option>\n                            <option value=\"Groen\">Groen<\/option>\n                            <option value=\"Geel\">Geel<\/option>\n                            <option value=\"Bruin\">Bruin<\/option>\n                            <option value=\"Donker Grijs\">Donker Grijs<\/option>\n                            <option value=\"Grijs\">Grijs<\/option>\n                          <\/select><\/span><\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"p_item_separator \"><\/div><span class=\"form-product-item hover-product-item  show_image show_desc show_option new_ui\" categories=\"non-categorized\" pid=\"1004\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1004\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: Baseball Jacket\" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1004\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"Baseball Jacket\" alt=\"Baseball Jacket Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/baseballjacket1.jpg\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1004\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1004\">Baseball Jacket<\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1004\">Baseball Jacket<\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1004_price\">40,00<\/span><\/span><\/b><\/span>\n                      <\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_quantity_1004_0\" style=\"min-height:13px\">Hoeveelheid<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1004][item_0]\" id=\"input_3_quantity_1004_0\" aria-label=\"Select Hoeveelheid\">\n                            <option value=\"1\">1<\/option>\n                            <option value=\"2\">2<\/option>\n                            <option value=\"3\">3<\/option>\n                            <option value=\"4\">4<\/option>\n                            <option value=\"5\">5<\/option>\n                            <option value=\"6\">6<\/option>\n                            <option value=\"7\">7<\/option>\n                            <option value=\"8\">8<\/option>\n                            <option value=\"9\">9<\/option>\n                            <option value=\"10\">10<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1004_1\" style=\"min-height:13px\">Baseball Jacket <\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1004][item_1]\" id=\"input_3_custom_1004_1\" aria-label=\"Select Baseball Jacket \">\n                            <option value=\"3 - 4 Jaar  B: 39cm x L: 44cm\">3 - 4 Jaar B: 39cm x L: 44cm<\/option>\n                            <option value=\"5 - 6 Jaar  B: 41cm x L: 48cm\">5 - 6 Jaar B: 41cm x L: 48cm<\/option>\n                            <option value=\"7 - 8 Jaar  B: 43cm x L: 52cm\">7 - 8 Jaar B: 43cm x L: 52cm<\/option>\n                            <option value=\"9 - 11 Jaar  B: 46cm x L: 57cm\">9 - 11 Jaar B: 46cm x L: 57cm<\/option>\n                            <option value=\"12 - 13 Jaar  B: 49cm x L: 62cm\">12 - 13 Jaar B: 49cm x L: 62cm<\/option>\n                            <option value=\"Adults XS B: 44cm x L: 62cm\">Adults XS B: 44cm x L: 62cm<\/option>\n                            <option value=\"Adults S B: 48cm x L: 65cm\">Adults S B: 48cm x L: 65cm<\/option>\n                            <option value=\"Adults M  B: 52cm x L: 68cm\">Adults M B: 52cm x L: 68cm<\/option>\n                            <option value=\"Adults L  B: 56cm x L: 71cm\">Adults L B: 56cm x L: 71cm<\/option>\n                            <option value=\"Adults XL B: 60cm x L: 74cm\">Adults XL B: 60cm x L: 74cm<\/option>\n                            <option value=\"Adults XXL B: 64cm x L: 77cm\">Adults XXL B: 64cm x L: 77cm<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1004_2\" style=\"min-height:13px\">Kleur<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1004][item_2]\" id=\"input_3_custom_1004_2\" aria-label=\"Select Kleur\">\n                            <option value=\"Zwart met witte mouwen\">Zwart met witte mouwen<\/option>\n                            <option value=\"Cherry Rood met witte mouwen\">Cherry Rood met witte mouwen<\/option>\n                            <option value=\"Rood met witte mouwen\">Rood met witte mouwen<\/option>\n                            <option value=\"Grijs met witte mouwen\">Grijs met witte mouwen<\/option>\n                            <option value=\"Roze met witte mouwen\">Roze met witte mouwen<\/option>\n                            <option value=\"Zwart met rode mouwen\">Zwart met rode mouwen<\/option>\n                            <option value=\"Zwart met grijze mouwen\">Zwart met grijze mouwen<\/option>\n                            <option value=\"Zwart met gele mouwen\">Zwart met gele mouwen<\/option>\n                            <option value=\"Groen met witte mouwen\">Groen met witte mouwen<\/option>\n                            <option value=\"Zwart met cherry rode mouwen\">Zwart met cherry rode mouwen<\/option>\n                            <option value=\"Navy Blauw met grijze mouwen\">Navy Blauw met grijze mouwen<\/option>\n                            <option value=\"Navy Blauw met witte mouwen\">Navy Blauw met witte mouwen<\/option>\n                            <option value=\"Paars met  grijze mouwen\">Paars met grijze mouwen<\/option>\n                            <option value=\"Paars met witte mouwen\">Paars met witte mouwen<\/option>\n                            <option value=\"Blauw met grijze mouwen\">Blauw met grijze mouwen<\/option>\n                            <option value=\"Blauw met witte mouwen\">Blauw met witte mouwen<\/option>\n                          <\/select><\/span><\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"p_item_separator \"><\/div><span class=\"form-product-item hover-product-item  show_image show_desc show_option new_ui\" categories=\"non-categorized\" pid=\"1009\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1009\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: Hoodie Kids\" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1009\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"Hoodie Kids\" alt=\"Hoodie Kids Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/hood21.jpg\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1009\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1009\">Hoodie Kids<\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1009\">Hoodie kids<\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1009_price\">32,00<\/span><\/span><\/b><\/span>\n                      <\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_quantity_1009_0\" style=\"min-height:13px\">Quantity<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1009][item_0]\" id=\"input_3_quantity_1009_0\" aria-label=\"Select Quantity\">\n                            <option value=\"1\">1<\/option>\n                            <option value=\"2\">2<\/option>\n                            <option value=\"3\">3<\/option>\n                            <option value=\"4\">4<\/option>\n                            <option value=\"5\">5<\/option>\n                            <option value=\"6\">6<\/option>\n                            <option value=\"7\">7<\/option>\n                            <option value=\"8\">8<\/option>\n                            <option value=\"9\">9<\/option>\n                            <option value=\"10\">10<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1009_1\" style=\"min-height:13px\">Hoodie kids<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1009][item_1]\" id=\"input_3_custom_1009_1\" aria-label=\"Select Hoodie kids\">\n                            <option value=\"Youth XS maat 104 - 110\">Youth XS maat 104 - 110<\/option>\n                            <option value=\"Youth S maat 116 - 122\">Youth S maat 116 - 122<\/option>\n                            <option value=\"Youth M  maat 128 -132\">Youth M maat 128 -132<\/option>\n                            <option value=\"Youth L maat 140 - 148\">Youth L maat 140 - 148<\/option>\n                            <option value=\"Youth XL maat 152 - 164\">Youth XL maat 152 - 164<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1009_2\" style=\"min-height:13px\">Kleur<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1009][item_2]\" id=\"input_3_custom_1009_2\" aria-label=\"Select Kleur\">\n                            <option value=\"Zwart\">Zwart<\/option>\n                            <option value=\"Donker Grijs\">Donker Grijs<\/option>\n                            <option value=\"Forest Groen\">Forest Groen<\/option>\n                            <option value=\"Cherry Rood\">Cherry Rood<\/option>\n                            <option value=\"Grijs\">Grijs<\/option>\n                            <option value=\"Donker Cherry Rood\">Donker Cherry Rood<\/option>\n                            <option value=\"Navy Blauw\">Navy Blauw<\/option>\n                            <option value=\"Rood\">Rood<\/option>\n                            <option value=\"Blauw\">Blauw<\/option>\n                            <option value=\"Roze\">Roze<\/option>\n                            <option value=\"Licht Grijs\">Licht Grijs<\/option>\n                            <option value=\"Wit\">Wit<\/option>\n                            <option value=\"Geel\">Geel<\/option>\n                            <option value=\"Goud Geel\">Goud Geel<\/option>\n                          <\/select><\/span><\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"p_item_separator \"><\/div><span class=\"form-product-item hover-product-item  show_image show_desc show_option new_ui\" categories=\"non-categorized\" pid=\"1006\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1006\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: Hoodie Adults\" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1006\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"Hoodie Adults\" alt=\"Hoodie Adults Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/hood21.jpg\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1006\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1006\">Hoodie Adults<\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1006\">Hoodie Adults<\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1006_price\">35,00<\/span><\/span><\/b><\/span>\n                      <\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_quantity_1006_0\" style=\"min-height:13px\">Quantity<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1006][item_0]\" id=\"input_3_quantity_1006_0\" aria-label=\"Select Quantity\">\n                            <option value=\"1\">1<\/option>\n                            <option value=\"2\">2<\/option>\n                            <option value=\"3\">3<\/option>\n                            <option value=\"4\">4<\/option>\n                            <option value=\"5\">5<\/option>\n                            <option value=\"6\">6<\/option>\n                            <option value=\"7\">7<\/option>\n                            <option value=\"8\">8<\/option>\n                            <option value=\"9\">9<\/option>\n                            <option value=\"10\">10<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1006_1\" style=\"min-height:13px\">Hoodie Adults<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1006][item_1]\" id=\"input_3_custom_1006_1\" aria-label=\"Select Hoodie Adults\">\n                            <option value=\"S\">S<\/option>\n                            <option value=\"M\">M<\/option>\n                            <option value=\"L\">L<\/option>\n                            <option value=\"XL\">XL<\/option>\n                            <option value=\"XXL\">XXL<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1006_2\" style=\"min-height:13px\">Kleur<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1006][item_2]\" id=\"input_3_custom_1006_2\" aria-label=\"Select Kleur\">\n                            <option value=\"Zwart\">Zwart<\/option>\n                            <option value=\"Donker Grijs\">Donker Grijs<\/option>\n                            <option value=\"Forest Groen\">Forest Groen<\/option>\n                            <option value=\"Cherry Rood\">Cherry Rood<\/option>\n                            <option value=\"Grijs\">Grijs<\/option>\n                            <option value=\"Donker Cherry Rood\">Donker Cherry Rood<\/option>\n                            <option value=\"Navy Blauw\">Navy Blauw<\/option>\n                            <option value=\"Rood\">Rood<\/option>\n                            <option value=\"Blauw\">Blauw<\/option>\n                            <option value=\"Roze\">Roze<\/option>\n                            <option value=\"Licht Grijs\">Licht Grijs<\/option>\n                            <option value=\"Wit\">Wit<\/option>\n                            <option value=\"Geel\">Geel<\/option>\n                            <option value=\"Goud Geel\">Goud Geel<\/option>\n                          <\/select><\/span><\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"p_item_separator \"><\/div><span class=\"form-product-item hover-product-item  show_image show_desc show_option new_ui\" categories=\"non-categorized\" pid=\"1005\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1005\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: Sweatpants Kids \" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1005\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"Sweatpants Kids \" alt=\"Sweatpants Kids  Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/www.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/design%2520%25281%2529%2520%25281%2529.png\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1005\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1005\">Sweatpants Kids <\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1005\">Sweatpants kids<\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1005_price\">32,50<\/span><\/span><\/b><\/span>\n                      <\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_quantity_1005_0\" style=\"min-height:13px\">Quantity<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1005][item_0]\" id=\"input_3_quantity_1005_0\" aria-label=\"Select Quantity\">\n                            <option value=\"1\">1<\/option>\n                            <option value=\"2\">2<\/option>\n                            <option value=\"3\">3<\/option>\n                            <option value=\"4\">4<\/option>\n                            <option value=\"5\">5<\/option>\n                            <option value=\"6\">6<\/option>\n                            <option value=\"7\">7<\/option>\n                            <option value=\"8\">8<\/option>\n                            <option value=\"9\">9<\/option>\n                            <option value=\"10\">10<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1005_1\" style=\"min-height:13px\">Sweatpants kids<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1005][item_1]\" id=\"input_3_custom_1005_1\" aria-label=\"Select Sweatpants kids\">\n                            <option value=\"Youth XS maat 104 - 110\">Youth XS maat 104 - 110<\/option>\n                            <option value=\"Youth S maat 116 - 122\">Youth S maat 116 - 122<\/option>\n                            <option value=\"Youth M  maat 128 -132\">Youth M maat 128 -132<\/option>\n                            <option value=\"Youth L maat 140 - 148\">Youth L maat 140 - 148<\/option>\n                            <option value=\"Youth XL maat 152 - 164\">Youth XL maat 152 - 164<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1005_2\" style=\"min-height:13px\">Kleur<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1005][item_2]\" id=\"input_3_custom_1005_2\" aria-label=\"Select Kleur\">\n                            <option value=\"Zwart\">Zwart<\/option>\n                            <option value=\"Donker Grijs\">Donker Grijs<\/option>\n                            <option value=\"Forest Groen\">Forest Groen<\/option>\n                            <option value=\"Cherry Rood\">Cherry Rood<\/option>\n                            <option value=\"Grijs\">Grijs<\/option>\n                            <option value=\"Donker Cherry Rood\">Donker Cherry Rood<\/option>\n                            <option value=\"Navy Blauw\">Navy Blauw<\/option>\n                            <option value=\"Rood\">Rood<\/option>\n                            <option value=\"Blauw\">Blauw<\/option>\n                            <option value=\"Roze\">Roze<\/option>\n                            <option value=\"Licht Grijs\">Licht Grijs<\/option>\n                            <option value=\"Wit\">Wit<\/option>\n                            <option value=\"Geel\">Geel<\/option>\n                            <option value=\"Goud Geel\">Goud Geel<\/option>\n                          <\/select><\/span><\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"p_item_separator \"><\/div><span class=\"form-product-item hover-product-item  show_image show_desc show_option new_ui\" categories=\"non-categorized\" pid=\"1008\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1008\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: Sweatpants Adults\" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1008\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"Sweatpants Adults\" alt=\"Sweatpants Adults Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/design%20(1)%20(1).png\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1008\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1008\">Sweatpants Adults<\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1008\">Sweatpants kids<\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1008_price\">35,00<\/span><\/span><\/b><\/span>\n                      <\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_quantity_1008_0\" style=\"min-height:13px\">Quantity<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1008][item_0]\" id=\"input_3_quantity_1008_0\" aria-label=\"Select Quantity\">\n                            <option value=\"1\">1<\/option>\n                            <option value=\"2\">2<\/option>\n                            <option value=\"3\">3<\/option>\n                            <option value=\"4\">4<\/option>\n                            <option value=\"5\">5<\/option>\n                            <option value=\"6\">6<\/option>\n                            <option value=\"7\">7<\/option>\n                            <option value=\"8\">8<\/option>\n                            <option value=\"9\">9<\/option>\n                            <option value=\"10\">10<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1008_1\" style=\"min-height:13px\">Sweatpants<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1008][item_1]\" id=\"input_3_custom_1008_1\" aria-label=\"Select Sweatpants\">\n                            <option value=\"S\">S<\/option>\n                            <option value=\"M\">M<\/option>\n                            <option value=\"L\">L<\/option>\n                            <option value=\"XL\">XL<\/option>\n                            <option value=\"XXL\">XXL<\/option>\n                          <\/select><\/span><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_3_custom_1008_2\" style=\"min-height:13px\">Kleur<\/label><span class=\"select_cont\"><select class=\"form-dropdown\" name=\"q3_mijnProducten[special_1008][item_2]\" id=\"input_3_custom_1008_2\" aria-label=\"Select Kleur\">\n                            <option value=\"Zwart\">Zwart<\/option>\n                            <option value=\"Donker Grijs\">Donker Grijs<\/option>\n                            <option value=\"Forest Groen\">Forest Groen<\/option>\n                            <option value=\"Cherry Rood\">Cherry Rood<\/option>\n                            <option value=\"Grijs\">Grijs<\/option>\n                            <option value=\"Donker Cherry Rood\">Donker Cherry Rood<\/option>\n                            <option value=\"Navy Blauw\">Navy Blauw<\/option>\n                            <option value=\"Rood\">Rood<\/option>\n                            <option value=\"Blauw\">Blauw<\/option>\n                            <option value=\"Roze\">Roze<\/option>\n                            <option value=\"Licht Grijs\">Licht Grijs<\/option>\n                            <option value=\"Wit\">Wit<\/option>\n                            <option value=\"Geel\">Geel<\/option>\n                            <option value=\"Goud Geel\">Goud Geel<\/option>\n                          <\/select><\/span><\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"p_item_separator \"><\/div><span class=\"form-product-item hover-product-item  show_image show_desc new_ui\" categories=\"non-categorized\" pid=\"1007\" aria-labelledby=\"label_3\">\n                  <div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\">\n                    <div class=\"p_col\">\n                      <div class=\"p_checkbox\"><input class=\"form-checkbox  form-product-input\" type=\"checkbox\" id=\"input_3_1007\" name=\"q3_mijnProducten[][id]\" data-inputname=\"q3_mijnProducten[][id]\" readonly=\"\" aria-label=\"Select Product: Gymtas\" data-is-default-required=\"false\" data-is-default-selected=\"false\" value=\"1007\" \/>\n                        <div class=\"checked\"><\/div>\n                        <div class=\"select_border\"><\/div>\n                      <\/div>\n                    <\/div>\n                    <div class=\"p_image\">\n                      <div class=\"image_area form-product-image-with-options\">\n                        <div style=\"position:absolute;width:100%;height:100%\"><img decoding=\"async\" loading=\"lazy\" role=\"img\" aria-label=\"Gymtas\" alt=\"Gymtas Product Image\" style=\"width:100%;height:100%;object-fit:cover\" src=\"https:\/\/eu.jotform.com\/uploads\/brian.dancecentreextreme\/form_files\/tasdce_edited.jpg\" \/><\/div>\n                      <\/div>\n                    <\/div>\n                    <div for=\"input_3_1007\" class=\"form-product-container\"><span data-wrapper-react=\"true\">\n                        <div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_3_1007\">Gymtas<\/span><span class=\"form-product-description\" id=\"product-name-description-input_3_1007\">Gymtas<\/span><\/div><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">\u20ac<span id=\"input_3_1007_price\">15,00<\/span><\/span><\/b><\/span>\n                      <\/span><\/div>\n                    <div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\" tabindex=\"0\" role=\"button\" aria-label=\"Verwijder Product\">\u00a0<\/a><a class=\"btn-inline-product-settings\" tabindex=\"0\" role=\"button\" aria-label=\"Product Instellingen\">\u00a0<\/a><\/div>\n                  <\/div>\n                <\/span>\n                <div class=\"payment_footer new_ui \">\n                  <div class=\"total_area\">\n                    <div class=\"form-payment-total\">\n                      <div id=\"total-text\">Totaal<\/div>\n                      <div class=\"form-payment-price\"><span data-wrapper-react=\"true\">\u20ac<span id=\"payment_total\">0,00<\/span><\/span><\/div>\n                    <\/div>\n                  <\/div>\n                <\/div>\n              <\/div>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_2\">\n        <div id=\"cid_2\" class=\"form-input-wide\" data-layout=\"full\">\n          <div data-align=\"auto\" class=\"form-buttons-wrapper form-buttons-auto   jsTest-button-wrapperField\"><button id=\"input_2\" type=\"submit\" class=\"form-submit-button submit-button jf-form-buttons jsTest-submitField legacy-submit\" data-component=\"button\" data-content=\"\">Versturen<\/button><\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">Should 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