29 lines
809 B
PHP
29 lines
809 B
PHP
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<table>
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<tr>
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<td>Name, Vorname:</td>
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<td><input type="text" name="ansprechpartner" id="ansprechpartner" /></td>
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</tr>
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<tr>
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<td>Telefon:</td>
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<td><input type="text" name="telefon_2" id="telefon_2" /></td>
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</tr>
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<tr>
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<td>E-Mail:</td>
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<td><input type="text" name="email_2" id="email_2"/></td>
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</tr>
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<tr>
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<td>Bade-Erlaubnis:</td>
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<td>
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<select name="badeerlaubnis">
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<option value="none">Keine Badeerlaubnis</option>
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<option value="partial">Mein kind darf baden, kann aber NICHT SCHWIMMEN</option>
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<option value="complete">Mein Kind darf baden und kann schwimmen</option>
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</select>
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</td>
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</tr>
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</table>
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<input type="button" value="Weiter" onclick="checkAnsprechpartner()" />
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