{"id":171,"date":"2020-07-11T17:19:59","date_gmt":"2020-07-11T17:19:59","guid":{"rendered":"http:\/\/musikermedizin-beta.ch\/?page_id=171"},"modified":"2025-07-01T08:58:13","modified_gmt":"2025-07-01T08:58:13","slug":"anmeldeformular","status":"publish","type":"page","link":"https:\/\/swissmedmusica.ch\/en\/mitgliedschaft\/anmeldeformular\/","title":{"rendered":"Registration form"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row][vc_column]<style id=\"wpforms-css-vars-2348\">\n\t\t\t\t#wpforms-2348 {\n\t\t\t\t\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-2348\"><form id=\"wpforms-form-2348\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"2348\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/171\" data-token=\"2a8b7c0d6558009c5ec35d73230ca144\" data-token-time=\"1790033169\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-2348-field_2-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Affiliation<\/legend><ul id=\"wpforms-2348-field_2\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2348-field_2_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][2][]\" value=\"Active Member - CHF 150.-\/Year\" aria-errormessage=\"wpforms-2348-field_2_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2348-field_2_1\">Active Member - CHF 150.-\/Year<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2348-field_2_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][2][]\" value=\"First degree students - CHF 30.-\/Year\" aria-errormessage=\"wpforms-2348-field_2_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2348-field_2_2\">First degree students - CHF 30.-\/Year<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2348-field_2_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][2][]\" value=\"Supporting member - CHF 150.-\/Year\" aria-errormessage=\"wpforms-2348-field_2_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2348-field_2_3\">Supporting member - CHF 150.-\/Year<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2348-field_2_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][2][]\" value=\"Patron - CHF 250.-\/Year or more\" aria-errormessage=\"wpforms-2348-field_2_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2348-field_2_4\">Patron - CHF 250.-\/Year or more<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-2348-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-2348-field_1\" >Number Nr. City<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-2348-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-2348-field_3-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Checkboxen<\/legend><ul id=\"wpforms-2348-field_3\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2348-field_3_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][3][]\" value=\"Mister\" aria-errormessage=\"wpforms-2348-field_3_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2348-field_3_1\">Mister<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2348-field_3_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][3][]\" value=\"Miss\" aria-errormessage=\"wpforms-2348-field_3_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2348-field_3_2\">Miss<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2348-field_3_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][3][]\" value=\"Non binary\" aria-errormessage=\"wpforms-2348-field_3_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2348-field_3_3\">Non binary<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-2348-field_5-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-2348-field_5\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2348-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-2348-field_5-error\" required><\/div><div id=\"wpforms-2348-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-2348-field_13\">First Name<\/label><input type=\"text\" id=\"wpforms-2348-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-2348-field_13-error\" ><\/div><div id=\"wpforms-2348-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2348-field_6\">Street, Nr.<\/label><input type=\"text\" id=\"wpforms-2348-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-2348-field_6-error\" ><\/div><div id=\"wpforms-2348-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-2348-field_7\">Post Code, City<\/label><input type=\"text\" id=\"wpforms-2348-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-2348-field_7-error\" ><\/div><div id=\"wpforms-2348-field_8-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2348-field_8\">e-Mail-Adress <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2348-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" spellcheck=\"false\" aria-errormessage=\"wpforms-2348-field_8-error\" required><\/div><div id=\"wpforms-2348-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-2348-field_9\">Phone Number<\/label><input type=\"text\" id=\"wpforms-2348-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-2348-field_9-error\" ><\/div><div id=\"wpforms-2348-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-2348-field_10\">Occupation<\/label><input type=\"text\" id=\"wpforms-2348-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-2348-field_10-error\" ><\/div><div id=\"wpforms-2348-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-2348-field_11\">Instrument<\/label><input type=\"text\" id=\"wpforms-2348-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-2348-field_11-error\" ><\/div><div id=\"wpforms-2348-field_12-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2348-field_12\">Remarks<\/label><textarea id=\"wpforms-2348-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-2348-field_12-error\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-2348-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-2348-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-2348-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2348\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/swissmedmusica.ch\/en\/wp-json\/wp\/v2\/pages\/171\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2348\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Send\" aria-live=\"assertive\" value=\"wpforms-submit\">Send<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/swissmedmusica.ch\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->[\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":37,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-171","page","type-page","status-publish","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.5","language":"en","enabled_languages":["de","fr","it","en"],"languages":{"de":{"title":true,"content":true,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"it":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/swissmedmusica.ch\/en\/wp-json\/wp\/v2\/pages\/171","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/swissmedmusica.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/swissmedmusica.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/swissmedmusica.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/swissmedmusica.ch\/en\/wp-json\/wp\/v2\/comments?post=171"}],"version-history":[{"count":20,"href":"https:\/\/swissmedmusica.ch\/en\/wp-json\/wp\/v2\/pages\/171\/revisions"}],"predecessor-version":[{"id":2353,"href":"https:\/\/swissmedmusica.ch\/en\/wp-json\/wp\/v2\/pages\/171\/revisions\/2353"}],"up":[{"embeddable":true,"href":"https:\/\/swissmedmusica.ch\/en\/wp-json\/wp\/v2\/pages\/37"}],"wp:attachment":[{"href":"https:\/\/swissmedmusica.ch\/en\/wp-json\/wp\/v2\/media?parent=171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}