þÿ<script src="http://max.jotfor.ms/min/g=jotform?3.0.1694" type="text/javascript"></script> <script type="text/javascript"> JotForm.init(function(){ $('input_18').hint('ex: myname@example.com'); }); </script> <link href="http://max.jotfor.ms/min/g=formCss?3.0.1694" rel="stylesheet" type="text/css" /> <style type="text/css"> .form-label{ width:150px !important; } .form-label-left{ width:150px !important; } .form-line{ padding:10px; } .form-label-right{ width:150px !important; } .form-all{ width:1300px; color:Black !important; font-family:Verdana; font-size:12px; } </style> <form class="jotform-form" action="http://german.jotform.com/submit.php" method="post" name="form_13064002072" id="13064002072" accept-charset="utf-8"> <input type="hidden" name="formID" value="13064002072" /> <div class="form-all"> <ul class="form-section"> <li id="cid_1" class="form-input-wide"> <div class="form-header-group"> <h2 id="header_1" class="form-header"> Online-Anmeldeformular </h2> </div> </li> <li class="form-line" id="id_3"> <div id="cid_3" class="form-input-wide"> <div id="text_3" class="form-html"> <p><span style="font-size: medium;">Strohf&uuml;&uuml;r-Meisterschaft 2012</span> </p> </div> </div> </li> <li class="form-line" id="id_4"> <label class="form-label-left" id="label_4" for="input_4"> Sektion<span class="form-required">*</span> </label> <div id="cid_4" class="form-input"> <input type="text" class="form-textbox validate[required]" id="input_4" name="q4_sektion" size="32" /> </div> </li> <li class="form-line" id="id_5"> <label class="form-label-left" id="label_5" for="input_5"> Gruppenname </label> <div id="cid_5" class="form-input"> <input type="text" class="form-textbox" id="input_5" name="q5_gruppenname" size="32" /> </div> </li> <li class="form-line" id="id_6"> <div id="cid_6" class="form-input-wide"> <div id="text_6" class="form-html"> <p> <strong> Gruppenchef: </strong> </p> </div> </div> </li> <li class="form-line" id="id_9"> <label class="form-label-left" id="label_9" for="input_9"> Vollständiger Name<span class="form-required">*</span> </label> <div id="cid_9" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q9_vollstandigerName[first]" id="first_9" /> <label class="form-sub-label" for="first_9" id="sublabel_first"> Vorname </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q9_vollstandigerName[last]" id="last_9" /> <label class="form-sub-label" for="last_9" id="sublabel_last"> Nachname </label></span> </div> </li> <li class="form-line" id="id_8"> <label class="form-label-left" id="label_8" for="input_8"> Adresse<span class="form-required">*</span> </label> <div id="cid_8" class="form-input"> <input type="text" class="form-textbox validate[required]" id="input_8" name="q8_adresse" size="32" maxlength="150" /> </div> </li> <li class="form-line" id="id_10"> <label class="form-label-left" id="label_10" for="input_10"> PLZ, Wohnort<span class="form-required">*</span> </label> <div id="cid_10" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q10_plzWohnort[first]" id="first_10" /> <label class="form-sub-label" for="first_10" id="sublabel_first"> PLZ </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q10_plzWohnort[last]" id="last_10" /> <label class="form-sub-label" for="last_10" id="sublabel_last"> Wohnort </label></span> </div> </li> <li class="form-line" id="id_12"> <label class="form-label-left" id="label_12" for="input_12"> Telefonnummer </label> <div id="cid_12" class="form-input"><span class="form-sub-label-container"><input class="form-textbox" type="tel" name="q12_telefonnummer12[area]" id="input_12_area" size="3"> - <label class="form-sub-label" for="input_12_area" id="sublabel_area"> Vorwahl </label></span><span class="form-sub-label-container"><input class="form-textbox" type="tel" name="q12_telefonnummer12[phone]" id="input_12_phone" size="8"> <label class="form-sub-label" for="input_12_phone" id="sublabel_phone"> Telefonnummer </label></span> </div> </li> <li class="form-line" id="id_18"> <label class="form-label-left" id="label_18" for="input_18"> Email </label> <div id="cid_18" class="form-input"> <input type="email" class="form-textbox validate[Email]" id="input_18" name="q18_email18" size="32" maxlength="200" /> </div> </li> <li class="form-line" id="id_31"> <div id="cid_31" class="form-input-wide"> <div id="text_31" class="form-html"> <p><span style="font-size: small;"><strong> Teilnehmer: </strong></span> </p> </div> </div> </li> <li class="form-line" id="id_30"> <label class="form-label-left" id="label_30" for="input_30"> </label> <div id="cid_30" class="form-input"> <table summary="" cellpadding="4" cellspacing="0" class="form-matrix-table"> <tr> <th style="border:none"> &nbsp; </th> <th class="form-matrix-column-headers" style="width:14.5%"> Name </th> <th class="form-matrix-column-headers" style="width:14.5%"> Vorname </th> <th class="form-matrix-column-headers" style="width:14.5%"> Jahrgang </th> <th class="form-matrix-column-headers" style="width:14.5%"> Lizenz </th> <th class="form-matrix-column-headers" style="width:14.5%"> PLZ. Wohnort </th> <th class="form-matrix-column-headers" style="width:14.5%"> M/E </th> <th class="form-matrix-column-headers" style="width:14.5%"> Datum </th> <th class="form-matrix-column-headers" style="width:14.5%"> Zeit </th> </tr> <tr> <th align="left" class="form-matrix-row-headers" nowrap="nowrap"> Teilnehmer 1 </th> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[0][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[0][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[0][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[0][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[0][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[0][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[0][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[0][]" /> </td> </tr> <tr> <th align="left" class="form-matrix-row-headers" nowrap="nowrap"> Teilnehmer 2 </th> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[1][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[1][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[1][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[1][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[1][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[1][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[1][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[1][]" /> </td> </tr> <tr> <th align="left" class="form-matrix-row-headers" nowrap="nowrap"> Teilnehmer 3 </th> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[2][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[2][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[2][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[2][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[2][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[2][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[2][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[2][]" /> </td> </tr> <tr> <th align="left" class="form-matrix-row-headers" nowrap="nowrap"> Teilnehmer 4 </th> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[3][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[3][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[3][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[3][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[3][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[3][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[3][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[3][]" /> </td> </tr> <tr> <th align="left" class="form-matrix-row-headers" nowrap="nowrap"> Teilnehmer 5 </th> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[4][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[4][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[4][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[4][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[4][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[4][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[4][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[4][]" /> </td> </tr> <tr> <th align="left" class="form-matrix-row-headers" nowrap="nowrap"> Teilnehmer 6 </th> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[5][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[5][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[5][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[5][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[5][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[5][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[5][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[5][]" /> </td> </tr> <tr> <th align="left" class="form-matrix-row-headers" nowrap="nowrap"> Teilnehmer 7 </th> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[6][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[6][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[6][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[6][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[6][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[6][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[6][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[6][]" /> </td> </tr> <tr> <th align="left" class="form-matrix-row-headers" nowrap="nowrap"> Teilnehmer 8 </th> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[7][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[7][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[7][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[7][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[7][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[7][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[7][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[7][]" /> </td> </tr> <tr> <th align="left" class="form-matrix-row-headers" nowrap="nowrap"> Teilnehmer 9 </th> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[8][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[8][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[8][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[8][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[8][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[8][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[8][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[8][]" /> </td> </tr> <tr> <th align="left" class="form-matrix-row-headers" nowrap="nowrap"> Teilnehmer 10 </th> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[9][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[9][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[9][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[9][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[9][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[9][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[9][]" /> </td> <td align="center" class="form-matrix-values"> <input class="form-textbox" type="text" size="5" name="q30_30[9][]" /> </td> </tr> </table> </div> </li> <li class="form-line" id="id_32"> <label class="form-label-top" id="label_32" for="input_32"> Bemerkungen </label> <div id="cid_32" class="form-input-wide"> <textarea id="input_32" class="form-textarea" name="q32_bemerkungen" cols="80" rows="8"></textarea> </div> </li> <li class="form-line" id="id_33"> <div id="cid_33" class="form-input-wide"> <div style="margin-left:156px" class="form-buttons-wrapper"> <button id="input_33" type="submit" class="form-submit-button"> Formular absenden </button> </div> </div> </li> <li style="display:none"> Should be Empty: <input type="text" name="website" value="" /> </li> </ul> </div> <input type="hidden" id="simple_spc" name="simple_spc" value="13064002072" /> <script type="text/javascript"> document.getElementById("si" + "mple" + "_spc").value = "13064002072-13064002072"; </script> </form>