{"id":688,"date":"2017-12-06T13:12:15","date_gmt":"2017-12-06T12:12:15","guid":{"rendered":"http:\/\/contrapunkt.filk.de\/wordpress\/?page_id=688"},"modified":"2018-05-22T14:33:26","modified_gmt":"2018-05-22T12:33:26","slug":"anmeldeformular","status":"publish","type":"page","link":"http:\/\/contrapunkt.filk.de\/en\/anmeldung_start\/anmeldeformular\/","title":{"rendered":"Registration Form"},"content":{"rendered":"<p><\/p>\n<table border=\"1\" cellspacing=\"0\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\" bgcolor=\"#CED7E8\">\n<h1 align=\"center\">CONtrapunkt Registration Form<\/h1>\n<p class=\"dontPrint\" align=\"center\"><span class=\"fancy\">Please fill out this form before submitting any payment.<\/span><\/p>\n<form id=\"contrapunktreg\" action=\"\/cgi-bin\/formmailf.pl\" method=\"post\" name=\"contrapunktreg\"><input name=\"redirect\" type=\"hidden\" value=\"http:\/\/contrapunkt.filk.de\/anmeldung_start\/danke-fur-deine-anmeldung\/\" \/><input name=\"recipient\" type=\"hidden\" value=\"contrapunkt@filk.de\" \/><input name=\"subject\" type=\"hidden\" value=\"2018 CONtrapunkt Registration\" \/><input name=\"domain\" type=\"hidden\" value=\"filk.de\" \/><input name=\"print_config\" type=\"hidden\" value=\"subject,\" \/><input name=\"required\" type=\"hidden\" value=\"realname, street1, city, postcode, country, email, birth\" \/><\/p>\n<div>\n<div id=\"member0\" class=\"member\">\n<table border=\"0\" width=\"800\" cellspacing=\"0\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td style=\"text-align: right;\" width=\"171\"><span class=\"super\"><span style=\"color: #ff0000;\">*<\/span><\/span>Full Name:<\/td>\n<td style=\"text-align: left;\" width=\"325\"><input maxlength=\"45\" name=\"realname\" size=\"45\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: right;\">Name on Badge <span class=\"super\">*<\/span>:<\/td>\n<td style=\"text-align: left;\"><input maxlength=\"45\" name=\"badgename0\" size=\"40\" type=\"text\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"super\"><em><span style=\"font-size: small;\">*<\/span><\/em><\/span><span style=\"font-size: small;\"><em> if different from first\/last name<\/em><\/span><\/p>\n<hr \/>\n<p class=\"dontPrint\" align=\"center\"><em>If you would like to register additional members <strong> of your household<\/strong>, please provide the information <a href=\"#member1\">at the bottom of this form<\/a>. Members with a different address have to be registered separately, please!<\/em><\/p>\n<p style=\"text-align: left;\"><span class=\"super\"><span style=\"color: #ff0000;\">*<\/span><\/span> <em>required entries<\/em><\/p>\n<\/div>\n<div class=\"contactInfo\">\n<table border=\"0\" width=\"100%\" cellspacing=\"0\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td style=\"text-align: right;\" align=\"right\" width=\"15%\"><span class=\"super\"><span style=\"color: #ff0000;\">*<\/span><\/span>Adress:<\/td>\n<td style=\"text-align: left;\" colspan=\"2\" align=\"left\"><input maxlength=\"60\" name=\"street1\" size=\"60\" type=\"text\" value=\"\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\"><\/td>\n<td style=\"text-align: left;\" colspan=\"2\" align=\"left\"><input maxlength=\"60\" name=\"street2\" size=\"60\" type=\"text\" value=\"\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: right;\" align=\"right\"><span class=\"super\"><span style=\"color: #ff0000;\">*<\/span><\/span>City:<\/td>\n<td style=\"text-align: left;\" colspan=\"2\" align=\"left\"><input maxlength=\"30\" name=\"city\" size=\"30\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: right;\" align=\"right\"><span class=\"super\"><span style=\"color: #ff0000;\">*<\/span><\/span>Postcode:<\/td>\n<td style=\"text-align: left;\" colspan=\"2\" align=\"left\"><input maxlength=\"20\" name=\"postcode\" size=\"14\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: right;\" align=\"right\"><span class=\"super\"><span style=\"color: #ff0000;\">*<\/span><\/span>Country:<\/td>\n<td style=\"text-align: left;\" colspan=\"2\" align=\"left\"><input maxlength=\"26\" name=\"country\" size=\"26\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: right;\" align=\"right\">Telephone:<\/td>\n<td style=\"text-align: left;\" colspan=\"2\" align=\"left\"><input maxlength=\"20\" name=\"phone\" size=\"40\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: right;\" align=\"right\"><span class=\"super\"><span style=\"color: #ff0000;\">*<\/span><\/span>E-mail Adress:<\/td>\n<td style=\"text-align: left;\" colspan=\"2\" align=\"left\"><input maxlength=\"55\" name=\"email\" size=\"55\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: right;\" align=\"right\"><span class=\"super\"><span style=\"color: #ff0000;\">*<\/span><\/span>Date of Birth:<\/td>\n<td style=\"text-align: left;\" colspan=\"2\" align=\"left\"><input maxlength=\"15\" name=\"birth\" size=\"15\" type=\"date\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: right;\" align=\"right\"><\/td>\n<td style=\"text-align: left;\" width=\"38%\"><label for=\"help\"><em>I am willing to help at the con.<\/em><\/label><br \/>\n<select id=\"help2\" name=\"help\"><option selected=\"selected\" value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Maybe\">Yes, but no physical work.<\/option><\/select><\/td>\n<td width=\"50%\"><input id=\"concert\" name=\"concert\" type=\"checkbox\" value=\"yes\" \/><em>\u00a0I would be interested in a concert slot (30 min).<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table border=\"0\" width=\"100%\" cellspacing=\"0\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td width=\"95%\">I would like to offer a workshop \/ I have ideas for programming:<br \/>\n<textarea id=\"workshops\" cols=\"80\" name=\"workshops\" rows=\"5\">Enter your text here &#8230;<\/textarea><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<p style=\"text-align: left;\"><strong>I register:<\/strong><\/p>\n<\/div>\n<div class=\"ledger\">\n<table border=\"0\" width=\"100%\" cellspacing=\"0\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td width=\"40\"><input maxlength=\"2\" name=\"members\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\" width=\"420\">Adult Membership(s) at 50\u20ac<\/td>\n<td style=\"text-align: left;\" width=\"140\">\u20ac <input maxlength=\"10\" name=\"membertotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><input maxlength=\"2\" name=\"junior\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\">Youth Membership(s) (16-18) at 30\u20ac (children below the age of 16 are free)<\/td>\n<td style=\"text-align: left;\">\u20ac <input maxlength=\"10\" name=\"juniortotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><input maxlength=\"2\" name=\"supporting\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\">Supporting Membership(s) &#8211; 15\/18\/20\u20ac (Non-Attending, we will mail you your badge &amp; programme booklet and mention you as a contributor)<\/td>\n<td style=\"text-align: left;\">\u20ac <input maxlength=\"10\" name=\"supporttotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40\"><input maxlength=\"2\" name=\"kidbadge\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\" width=\"420\">Kid-\/Plushie-Badge: 1\u20ac<\/td>\n<td style=\"text-align: left;\" width=\"140\">\u20ac <input maxlength=\"10\" name=\"kidbadgetotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40\"><input maxlength=\"2\" name=\"jhadultsun\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\" width=\"420\">Hostel Accomodation Adult(s)\u00a0Friday &#8211; Sunday: 79\u20ac<\/td>\n<td style=\"text-align: left;\" width=\"140\">\u20ac <input maxlength=\"10\" name=\"jhadultsuntotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40\"><input maxlength=\"2\" name=\"jhkid11sun\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\" width=\"420\">Hostel Accomodation Child(ren) 11-17\u00a0 Friday &#8211; Sunday: 77\u20ac<\/td>\n<td style=\"text-align: left;\" width=\"140\">\u20ac <input maxlength=\"10\" name=\"jhkid11suntotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40\"><input maxlength=\"2\" name=\"jhkid6sun\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\" width=\"420\">Hostel Accomodation Child(ren) 6-10\u00a0 \u00a0Friday &#8211; Sunday: 48\u20ac<\/td>\n<td style=\"text-align: left;\" width=\"140\">\u20ac <input maxlength=\"10\" name=\"jhkid6suntotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40\"><input maxlength=\"2\" name=\"jhkid3sun\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\" width=\"420\">Hostel Accomodation Child(ren) 3-5\u00a0 \u00a0Friday &#8211; Sunday: 41\u20ac<\/td>\n<td style=\"text-align: left;\" width=\"140\">\u20ac <input maxlength=\"10\" name=\"jhkid3suntotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><input maxlength=\"2\" name=\"jhadultmon\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\">Hostel Accomodation Adult(s) Friday &#8211; Monday: 103\u20ac<\/td>\n<td style=\"text-align: left;\">\u20ac <input maxlength=\"10\" name=\"jhadultmontotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><input maxlength=\"2\" name=\"jhkid11mon\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\">Hostel Accomodation Child(ren) 11-17\u00a0 \u00a0Friday &#8211; Monday: 99\u20ac<\/td>\n<td style=\"text-align: left;\">\u20ac <input maxlength=\"10\" name=\"jhkid11montotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><input maxlength=\"2\" name=\"jhkid6mon\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\">Hostel Accomodation Child(ren) 6-10\u00a0 \u00a0Friday &#8211; Monday: 61\u20ac<\/td>\n<td style=\"text-align: left;\">\u20ac <input maxlength=\"10\" name=\"jhkid6montotall EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><input maxlength=\"2\" name=\"jhkid3mon\" size=\"2\" type=\"text\" \/><\/td>\n<td style=\"text-align: left;\">Hostel Accomodation Child(ren) 3-5 \u00a0Friday &#8211; Monday: 53\u20ac<\/td>\n<td style=\"text-align: left;\">\u20ac <input maxlength=\"10\" name=\"jhkid3montotal EU\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td style=\"text-align: right;\"><strong>Total Amount:<\/strong><\/td>\n<td style=\"text-align: left;\">\u20ac <input maxlength=\"10\" name=\"totalAmount EU\" size=\"10\" type=\"text\" \/><em><br \/>\n(All amounts are in Euro)<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table border=\"0\" width=\"100%\" cellspacing=\"0\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td width=\"95%\"><input id=\"veg\" name=\"veg\" type=\"checkbox\" value=\"yes\" \/>\u00a0I would like vegetarian meals.<\/td>\n<\/tr>\n<tr>\n<td width=\"95%\">I am allergic to:<br \/>\n<textarea id=\"allergies\" cols=\"80\" name=\"allergies\" rows=\"2\">Please enter here&#8230;<\/textarea><\/td>\n<\/tr>\n<tr>\n<td width=\"95%\">I would like to share the room with:<br \/>\n<textarea id=\"sharing\" cols=\"80\" name=\"sharing\" rows=\"2\">Please enter the name(s) here&#8230;<\/textarea><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table border=\"0\" width=\"100%\" cellspacing=\"0\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td width=\"50%\"><input id=\"single\" name=\"single\" type=\"checkbox\" value=\"yes\" \/><i>\u00a0If possible, I would like to have a single room<br \/>\n(Add-on: 10 EUR\/Night **)<\/i><\/td>\n<td width=\"50%\"><input id=\"twin\" name=\"twin\" type=\"checkbox\" value=\"yes\" \/><i>\u00a0If possible, I would like to have a twin room<br \/>\n(Add-on: 5 EUR\/Night **)<\/i><\/td>\n<\/tr>\n<tr>\n<td width=\"50%\"><input id=\"nomix\" name=\"nomix\" type=\"checkbox\" value=\"yes\" \/><em>\u00a0I do NOT want to share a mixed room.<\/em><\/td>\n<td width=\"50%\"><input id=\"snore\" name=\"snore\" type=\"checkbox\" value=\"yes\" \/><i>\u00a0I am a snorer \/ a somewhat noisy roomie.<\/i><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: left;\"><strong>I will pay by:<\/strong><\/p>\n<table border=\"0\" width=\"100%\" cellspacing=\"0\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td width=\"30\"><input name=\"Payment\" type=\"radio\" value=\"Bank Transfer\" \/><\/td>\n<td style=\"text-align: left;\" width=\"600\">Bank Transfer<\/td>\n<\/tr>\n<tr>\n<td width=\"30\"><input name=\"Payment\" type=\"radio\" value=\"Cash\" \/><\/td>\n<td style=\"text-align: left;\" width=\"600\">cash <em>(please give further information &#8212; when, where? &#8212; in the comment function!)<\/em><\/td>\n<\/tr>\n<tr>\n<td><input name=\"Payment\" type=\"radio\" value=\"Paypal\" \/><\/td>\n<td style=\"text-align: left;\">Paypal <em>(please note that additional costs of 3,50\u20ac do incur for the transaction fee!)<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<hr \/>\n<p><a id=\"member1\" name=\"member1\"><\/a><\/p>\n<h3>Please provide information for each additional membership:<\/h3>\n<table border=\"1\" width=\"800\" cellspacing=\"2\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td style=\"text-align: left;\">Full Name: <input maxlength=\"45\" name=\"addname1\" size=\"45\" type=\"text\" \/><br \/>\nDate of Birth: <input maxlength=\"15\" name=\"bd1\" size=\"16\" type=\"date\" \/><br \/>\nName on Badge:\u00a0<input maxlength=\"40\" name=\"badgename1\" size=\"40\" type=\"text\" \/><br \/>\nChild?\u00a0<input name=\"child1\" type=\"checkbox\" value=\"yes\" \/> <em>(If your child is below the age of 16 and does not have to pay for their membership, please do fill out these boxes if you want them to have a badge! You can also order &#8220;plushie badges&#8221; this way.)<\/em><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">Full Name: <input maxlength=\"45\" name=\"addname2\" size=\"45\" type=\"text\" \/><br \/>\nDate of Birth: <input maxlength=\"15\" name=\"bd2\" size=\"15\" type=\"date\" \/><br \/>\nName on Badge:\u00a0<input maxlength=\"40\" name=\"badgename2\" size=\"40\" type=\"text\" \/> Child?\u00a0<input name=\"child2\" type=\"checkbox\" value=\"yes\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">Full Name: <input maxlength=\"45\" name=\"addname3\" size=\"45\" type=\"text\" \/> Date of Birth: <input maxlength=\"15\" name=\"bd3\" size=\"15\" type=\"date\" \/><br \/>\nName on Badge:\u00a0<input maxlength=\"40\" name=\"badgename3\" size=\"40\" type=\"text\" \/> Child?\u00a0<input name=\"child3\" type=\"checkbox\" value=\"yes\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">Full Name: <input maxlength=\"45\" name=\"addname4\" size=\"45\" type=\"text\" \/> Date of Birth: <input maxlength=\"15\" name=\"bd4\" size=\"15\" type=\"date\" \/><br \/>\nName on Badge:\u00a0<input maxlength=\"40\" name=\"badgename4\" size=\"40\" type=\"text\" \/> Child?\u00a0<input name=\"child4\" type=\"checkbox\" value=\"yes\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"member1\" class=\"member\"><\/div>\n<table border=\"0\" width=\"100%\" cellspacing=\"0\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td width=\"95%\">I would like to leave you comments or messages:<br \/>\n<textarea id=\"comments\" cols=\"80\" name=\"comments\" rows=\"5\">Please enter your text here &#8230;<\/textarea><\/td>\n<\/tr>\n<tr>\n<td width=\"95%\"><input id=\"terms\" name=\"terms\" type=\"checkbox\" value=\"yes\" \/>\u00a0I have read and accepted the <a href=\"http:\/\/contrapunkt.filk.de\/wordpress\/anmeldung_start\/anmeldung\/#terms\">terms &amp; conditions<\/a> as well as the <a href=\"http:\/\/contrapunkt.filk.de\/impressum\/datenschutzerklaerung\/\">privacy policy<\/a>.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"member1\" class=\"member\"><\/div>\n<hr \/>\n<p align=\"center\"><span class=\"foot\">(Please remember, payment is due within 30 days or we have to cancel your reservation!)<\/span><\/p>\n<h1 align=\"center\"><strong>Thank you for registering!<\/strong><\/h1>\n<div class=\"g-recaptcha\" data-sitekey=\"6LeodycTAAAAAA-eflyBIyK0A1Y46Rnvtj2O_PPd\"><\/div>\n<p align=\"center\"><input name=\"submit\" type=\"submit\" value=\"SUBMIT\" \/>\u00a0<input name=\"reset\" type=\"reset\" value=\"START OVER!\" \/><\/p>\n<\/form>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>CONtrapunkt Registration Form Please fill out this form before submitting any payment. *Full Name: Name on Badge *: * if<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":252,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-centered.php","meta":{"footnotes":""},"class_list":["post-688","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/contrapunkt.filk.de\/en\/wp-json\/wp\/v2\/pages\/688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/contrapunkt.filk.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/contrapunkt.filk.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/contrapunkt.filk.de\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/contrapunkt.filk.de\/en\/wp-json\/wp\/v2\/comments?post=688"}],"version-history":[{"count":21,"href":"http:\/\/contrapunkt.filk.de\/en\/wp-json\/wp\/v2\/pages\/688\/revisions"}],"predecessor-version":[{"id":872,"href":"http:\/\/contrapunkt.filk.de\/en\/wp-json\/wp\/v2\/pages\/688\/revisions\/872"}],"up":[{"embeddable":true,"href":"http:\/\/contrapunkt.filk.de\/en\/wp-json\/wp\/v2\/pages\/252"}],"wp:attachment":[{"href":"http:\/\/contrapunkt.filk.de\/en\/wp-json\/wp\/v2\/media?parent=688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}