{"id":29,"date":"2024-03-28T16:34:11","date_gmt":"2024-03-28T15:34:11","guid":{"rendered":"http:\/\/wp.pikellimi.info\/?page_id=29"},"modified":"2025-02-09T11:09:19","modified_gmt":"2025-02-09T10:09:19","slug":"anmeldung","status":"publish","type":"page","link":"https:\/\/www.pikellimi.info\/bs\/anmeldung\/","title":{"rendered":"Registracija"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"29\" class=\"elementor elementor-29\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fa012fc e-flex e-con-boxed e-con e-parent\" data-id=\"fa012fc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-475211e elementor-widget elementor-widget-shortcode\" data-id=\"475211e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1110-o1\" lang=\"de-DE\" dir=\"ltr\" data-wpcf7-id=\"1110\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/bs\/wp-json\/wp\/v2\/pages\/29#wpcf7-f1110-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Kontaktformular\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1110\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1110-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<h2 style=\"text-align: center; border-bottom: 1px solid #0e4194; color: #0e4194; padding-top: 10px; padding-bottom: 10px;\"><br \/>\nAUFNAHMEANTRAG\n<\/h2>\n<h3 style=\"text-align: center; background-color: #0e4194; color: #ffffff; padding-bottom: 10px; padding-top: 10px;\">Antragsteller\n<\/h3>\n<p>Geschlecht<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"geschlecht\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"geschlecht\" value=\"Weiblich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Weiblich<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"geschlecht\" value=\"M\u00e4nnlich\" \/><span class=\"wpcf7-list-item-label\">M\u00e4nnlich<\/span><\/span><\/span><\/span>\n<\/p>\n<table>\n\t<tr>\n\t\t<td>\n\t\t\t<p>Name, Vorname (*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"name-vorname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name, Vorname\" value=\"\" type=\"text\" name=\"name-vorname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p>Strasse, Hausnummer (*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"strasse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Strasse\" value=\"\" type=\"text\" name=\"strasse\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"hausnummer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Hausnummer\" value=\"\" type=\"text\" name=\"hausnummer\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p>PLZ (*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"plz\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"PLZ\" value=\"\" type=\"text\" name=\"plz\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p>Ort (*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ort\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ort\" value=\"\" type=\"text\" name=\"ort\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p>Telefonummern (*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefonummern\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Telefonummern\" value=\"\" type=\"tel\" name=\"telefonummern\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p>Email (*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"user-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"e-mail\" value=\"\" type=\"email\" name=\"user-email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<h3 style=\"text-align: center;background-color: #0e4194; color: #ffffff; padding-bottom: 10px; padding-top: 10px;\"> Daten und Familienangeh\u00f6rige\n<\/h3>\n<p>Ist eine der im Haushalt lebenden Personen unheilbar chronisch krank oder befindet sich derzeit in \u00e4rztlicher Behandlung?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"behandlung\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"behandlung[]\" value=\"Ja\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"behandlung[]\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span>\n<\/p>\n<div style=\"overflow-x: scroll\">\n\t<table>\n\t\t<tr>\n\t\t\t<th>\n\t\t\t\t<p>Name, Vorname\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<th>\n\t\t\t\t<p>Verh\u00e4ltnis\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<th>\n\t\t\t\t<p>Geb.Datum\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<th>\n\t\t\t\t<p>Geburtsort\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<th>\n\t\t\t\t<p>Nationalit\u00e4t\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t\t<th>\n\t\t\t\t<p>Falls ja, Art der Erkrankung\n\t\t\t\t<\/p>\n\t\t\t<\/th>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-name-vorname-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name, Vorname\" value=\"\" type=\"text\" name=\"mitglied-name-vorname-1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>Antragsteller\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-geb-datum-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Geb.Datum\" value=\"\" type=\"text\" name=\"mitglied-geb-datum-1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-geburtsort-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Geburtsort\" value=\"\" type=\"text\" name=\"mitglied-geburtsort-1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-nationaliaet-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nationalit\u00e4t\" value=\"\" type=\"text\" name=\"mitglied-nationaliaet-1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-erkrankung-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Falls ja, Art der Erkrankung\" value=\"\" type=\"text\" name=\"mitglied-erkrankung-1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-name-vorname-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name, Vorname\" value=\"\" type=\"text\" name=\"mitglied-name-vorname-2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>Ehegatte\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-geb-datum-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Geb.Datum\" value=\"\" type=\"text\" name=\"mitglied-geb-datum-2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-geburtsort-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Geburtsort\" value=\"\" type=\"text\" name=\"mitglied-geburtsort-2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-nationaliaet-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nationalit\u00e4t\" value=\"\" type=\"text\" name=\"mitglied-nationaliaet-2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-erkrankung-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Falls ja, Art der Erkrankung\" value=\"\" type=\"text\" name=\"mitglied-erkrankung-2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-name-vorname-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name, Vorname\" value=\"\" type=\"text\" name=\"mitglied-name-vorname-3\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sohn-tochter-3\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sohn-tochter-3\" value=\"Sohn\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Sohn<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sohn-tochter-3\" value=\"Tochter\" \/><span class=\"wpcf7-list-item-label\">Tochter<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-geb-datum-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Geb.Datum\" value=\"\" type=\"text\" name=\"mitglied-geb-datum-3\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-geburtsort-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Geburtsort\" value=\"\" type=\"text\" name=\"mitglied-geburtsort-3\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-nationaliaet-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nationalit\u00e4t\" value=\"\" type=\"text\" name=\"mitglied-nationaliaet-3\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-erkrankung-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Falls ja, Art der Erkrankung\" value=\"\" type=\"text\" name=\"mitglied-erkrankung-3\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-name-vorname-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name, Vorname\" value=\"\" type=\"text\" name=\"mitglied-name-vorname-4\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sohn-tochter-4\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sohn-tochter-4\" value=\"Sohn\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Sohn<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sohn-tochter-4\" value=\"Tochter\" \/><span class=\"wpcf7-list-item-label\">Tochter<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-geb-datum-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Geb.Datum\" value=\"\" type=\"text\" name=\"mitglied-geb-datum-4\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-geburtsort-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Geburtsort\" value=\"\" type=\"text\" name=\"mitglied-geburtsort-4\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-nationaliaet-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nationalit\u00e4t\" value=\"\" type=\"text\" name=\"mitglied-nationaliaet-4\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-erkrankung-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Falls ja, Art der Erkrankung\" value=\"\" type=\"text\" name=\"mitglied-erkrankung-4\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-name-vorname-5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name, Vorname\" value=\"\" type=\"text\" name=\"mitglied-name-vorname-5\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sohn-tochter-5\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sohn-tochter-5\" value=\"Sohn\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Sohn<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sohn-tochter-5\" value=\"Tochter\" \/><span class=\"wpcf7-list-item-label\">Tochter<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-geb-datum-5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Geb.Datum\" value=\"\" type=\"text\" name=\"mitglied-geb-datum-5\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-geburtsort-5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Geburtsort\" value=\"\" type=\"text\" name=\"mitglied-geburtsort-5\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-nationaliaet-5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nationalit\u00e4t\" value=\"\" type=\"text\" name=\"mitglied-nationaliaet-5\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mitglied-erkrankung-5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Falls ja, Art der Erkrankung\" value=\"\" type=\"text\" name=\"mitglied-erkrankung-5\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td colspan=\"6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-318\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Zusatzinformation\" name=\"textarea-318\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/div>\n<p>Kinder unter 18 Jahre werden ohne Bescheinigung akzeptiert, von 19 - 27 Jahre nur mit Schulbescheinigung oder Studienbescheinigung.\n<\/p>\n<h3 style=\"text-align: center;background-color: #0e4194; color: #ffffff; padding-bottom: 10px; padding-top: 10px;\"> Aufnahmegeb\u00fchr\n<\/h3>\n<table>\n\t<tr>\n\t\t<td>\n\t\t\t<p>Alter\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"alter-18-29\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"alter-18-29[]\" value=\"18 -- 29\" \/><span class=\"wpcf7-list-item-label\">18 -- 29<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p>0,00 Euro\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td rowspan=\"4\" style=\"vertical-align:middle; text-align:center; font-weight: bold;\">\n\t\t\t<p>Einmalige Aufnahmegeb\u00fchr\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td rowspan=\"4\" style=\"vertical-align:middle; text-align:center; font-weight: bold;\">\n\t\t\t<p>Plus 119.95 Euro J\u00e4hrlich\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p>Alter\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"alter-30-49\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"alter-30-49[]\" value=\"30 -- 49\" \/><span class=\"wpcf7-list-item-label\">30 -- 49<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p>49,95 Euro\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p>Alter\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"alter-50-54\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"alter-50-54[]\" value=\"50 -- 54\" \/><span class=\"wpcf7-list-item-label\">50 -- 54<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p>399,95 Euro\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p>Alter\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"alter-55-59\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"alter-55-59[]\" value=\"55 -- 59\" \/><span class=\"wpcf7-list-item-label\">55 -- 59<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p>899,95 Euro\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td colspan=\"5\">\n\t\t\t<p>Wartefrist 180 Tage (6 Monate) nach Beginn der Mitgliedschaft.\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<h3 style=\"text-align: center;background-color: #0e4194; color: #ffffff; padding-bottom: 10px; padding-top: 10px;\">Gew\u00fcnschte Zahlungsart\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zahlungsart\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"zahlungsart\" value=\"\u00dcberweisung\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u00dcberweisung<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"zahlungsart\" value=\"SEPA-Lastschriftmandat\" \/><span class=\"wpcf7-list-item-label\">SEPA-Lastschriftmandat<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Ich\/Wir erm\u00e4chtige(n) Sie, Zahlungen von meinem\/unserem Konto mittels Lastschrift einzuziehen. Zugleich weise(n) ich\/wir mein\/unser Kreditinstitut an, die von den Pikellimi GmbH auf mein\/unser Konto gezogenen Lastschriften einzul\u00f6sen. Hinweis: Ich kann\/Wir k\u00f6nnen innerhalb von acht Wochen, beginnend mit dem Belastungsdatum, die Erstattung des belasteten Betrags verlangen. Es gelten dabei die mit meinem\/unserem Kreditinstitut vereinbarten Bedingungen.\n<\/p>\n<div id=\"bank-details\">\n\t<h4 style=\"color: #0e4194\">Bankdaten\n\t<\/h4>\n\t<table>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Name der Bank: <span class=\"wpcf7-form-control-wrap\" data-name=\"name-der-bank\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name der Bank\" value=\"\" type=\"text\" name=\"name-der-bank\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>IBAN: <span class=\"wpcf7-form-control-wrap\" data-name=\"iban\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"IBAN\" value=\"\" type=\"text\" name=\"iban\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Kontoinhaber falls abweichend: <span class=\"wpcf7-form-control-wrap\" data-name=\"kontoinhaber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Kontoinhaber falls abweichend\" value=\"\" type=\"text\" name=\"kontoinhaber\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/div>\n<p>Die allgemeinen Gesch\u00e4ftsbedingungen (AGB) von Pikellimi GmbH habe ich gelesen und bin damit einverstanden. <span class=\"wpcf7-form-control-wrap\" data-name=\"agb\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"agb[]\" value=\"AGB\" \/><span class=\"wpcf7-list-item-label\">AGB<\/span><\/span><\/span><\/span><a href=\"http:\/\/www.pikellimi.info\/de\/agb-de\/\">LINK<\/a>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p>\n<p><script>\n document.addEventListener(\"DOMContentLoaded\", function () {\n const paymentRadios = document.querySelectorAll('input[name=\"zahlungsart\"]');\n const bankDetails = document.getElementById(\"bank-details\");\n\n \/\/ Select all bank input fields\n const bankInputs = [\n document.querySelector('input[name=\"name-der-bank\"]'),\n document.querySelector('input[name=\"iban\"]'),\n document.querySelector('input[name=\"kontoinhaber\"]')\n ];\n\n function toggleBankDetails() {\n const selectedValue = document.querySelector('input[name=\"zahlungsart\"]:checked')?.value;\n\n if (selectedValue === \"SEPA-Lastschriftmandat\") {\n bankDetails.style.display = \"block\";\n \/\/ Make fields required\n bankInputs.forEach(input => input.setAttribute(\"required\", \"required\"));\n } else {\n bankDetails.style.display = \"none\";\n \/\/ Remove required attribute when hidden\n bankInputs.forEach(input => input.removeAttribute(\"required\"));\n }\n }\n\n \/\/ Add event listeners\n paymentRadios.forEach(radio => {\n radio.addEventListener(\"change\", toggleBankDetails);\n });\n\n \/\/ Initialize visibility on page load\n toggleBankDetails();\n });\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce4cd8a elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"ce4cd8a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;N\\u00e4chster&quot;,&quot;step_previous_label&quot;:&quot;Voriger&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Neues Formular\" aria-label=\"Neues Formular\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"29\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"ce4cd8a\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Anmeldung - Pikellimi GmbH\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"29\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_88f8387 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_88f8387\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeschlecht\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Weiblich \" id=\"form-field-field_88f8387-0\" name=\"form_fields[field_88f8387]\" required=\"required\"> <label for=\"form-field-field_88f8387-0\">Weiblich <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"M\u00e4nnlich\" id=\"form-field-field_88f8387-1\" name=\"form_fields[field_88f8387]\" required=\"required\"> <label for=\"form-field-field_88f8387-1\">M\u00e4nnlich<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_66bb375 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_66bb375]\" id=\"form-field-field_66bb375\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name, Vorname\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3288f9b elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3288f9b]\" id=\"form-field-field_3288f9b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Strasse, Hausnummer\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d90ac11 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d90ac11]\" id=\"form-field-field_d90ac11\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"PLZ \" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e26da41 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e26da41]\" id=\"form-field-field_e26da41\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Ort \" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_3d10600 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_3d10600]\" id=\"form-field-field_3d10600\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Telefonummern \" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Nur Nummern oder Telefon-Zeichen (#, -, *, etc) werden akzeptiert.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_387bfdc elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_387bfdc]\" id=\"form-field-field_387bfdc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"E-mail \" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_340d706 elementor-col-100\">\n\t\t\t\t\t<h4 style=text-align:center;color:#0D4094>DATEN UND FAMILIENANGEH\u00d6RIGE<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_c7664db elementor-col-100\">\n\t\t\t\t\tIst eine der im Haushalt lebenden Personen unheilbar chronisch krank oder befindet sich derzeit in \u00e4rztlicher Behandlung?\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_7f2ca72 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-field_7f2ca72-0\" name=\"form_fields[field_7f2ca72]\" required=\"required\"> <label for=\"form-field-field_7f2ca72-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-field_7f2ca72-1\" name=\"form_fields[field_7f2ca72]\" required=\"required\"> <label for=\"form-field-field_7f2ca72-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a850a3c elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a850a3c]\" id=\"form-field-field_a850a3c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name, Vorname\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_151a999 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_151a999]\" id=\"form-field-field_151a999\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"GEB.DATUM\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5016ab8 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5016ab8]\" id=\"form-field-field_5016ab8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"GEBURTSORT\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7b4c591 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7b4c591]\" id=\"form-field-field_7b4c591\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"NATIONALIT\u00c4T\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ae9df6b elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ae9df6b]\" id=\"form-field-field_ae9df6b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"FALLS JA, ART DER ERKRANKUNG\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_99c1d53 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_99c1d53]\" id=\"form-field-field_99c1d53\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name, Vorname\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7e38ce7 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7e38ce7]\" id=\"form-field-field_7e38ce7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"GEB.DATUM\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ae12e02 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ae12e02]\" id=\"form-field-field_ae12e02\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"GEBURTSORT\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d60caab elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d60caab]\" id=\"form-field-field_d60caab\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"NATIONALIT\u00c4T\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_64c78b6 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_64c78b6]\" id=\"form-field-field_64c78b6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"FALLS JA, ART DER ERKRANKUNG\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e3e7d35 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e3e7d35]\" id=\"form-field-field_e3e7d35\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name, Vorname\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_f872b53 elementor-col-20\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Sohn\" id=\"form-field-field_f872b53-0\" name=\"form_fields[field_f872b53]\"> <label for=\"form-field-field_f872b53-0\">Sohn<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Tochter\" id=\"form-field-field_f872b53-1\" name=\"form_fields[field_f872b53]\"> <label for=\"form-field-field_f872b53-1\">Tochter<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_896bfaa elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_896bfaa]\" id=\"form-field-field_896bfaa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"GEBURTSORT\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_29fb68e elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_29fb68e]\" id=\"form-field-field_29fb68e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"NATIONALIT\u00c4T\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_03e1eef elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_03e1eef]\" id=\"form-field-field_03e1eef\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"FALLS JA, ART DER ERKRANKUNG\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_eaeaf58 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_eaeaf58]\" id=\"form-field-field_eaeaf58\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name, Vorname\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_03ef6b5 elementor-col-20\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Sohn\" id=\"form-field-field_03ef6b5-0\" name=\"form_fields[field_03ef6b5]\"> <label for=\"form-field-field_03ef6b5-0\">Sohn<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Tochter\" id=\"form-field-field_03ef6b5-1\" name=\"form_fields[field_03ef6b5]\"> <label for=\"form-field-field_03ef6b5-1\">Tochter<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e225ebf elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e225ebf]\" id=\"form-field-field_e225ebf\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"GEBURTSORT\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_686a72e elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_686a72e]\" id=\"form-field-field_686a72e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"NATIONALIT\u00c4T\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_45a2799 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_45a2799]\" id=\"form-field-field_45a2799\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"FALLS JA, ART DER ERKRANKUNG\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1590978 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1590978]\" id=\"form-field-field_1590978\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name, Vorname\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_2682171 elementor-col-20\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Sohn\" id=\"form-field-field_2682171-0\" name=\"form_fields[field_2682171]\"> <label for=\"form-field-field_2682171-0\">Sohn<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Tochter\" id=\"form-field-field_2682171-1\" name=\"form_fields[field_2682171]\"> <label for=\"form-field-field_2682171-1\">Tochter<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_bdd90aa elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_bdd90aa]\" id=\"form-field-field_bdd90aa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"GEBURTSORT\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f04ffe9 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f04ffe9]\" id=\"form-field-field_f04ffe9\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"NATIONALIT\u00c4T\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d132bd3 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d132bd3]\" id=\"form-field-field_d132bd3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"FALLS JA, ART DER ERKRANKUNG\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_5f0020f elementor-col-100\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_5f0020f]\" id=\"form-field-field_5f0020f\" rows=\"4\" placeholder=\"Zusatzinformation\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_93f6303 elementor-col-100\">\n\t\t\t\t\tKinder unter 18 Jahre werden ohne Bescheinigung akzeptiert, von 19 - 27 Jahre nur mit Schulbescheinigung oder Studienbescheinigung.\n\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_04334f9 elementor-col-100\">\n\t\t\t\t\t<h4 style=text-align:center;color:#0D4094>AUFNAHMEGEB\u00dcHR<\/h4>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_7c859ff elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7c859ff\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAlter\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_7c859ff]\" id=\"form-field-field_7c859ff\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"18 - 29 \/ 0,00 Euro\">18 - 29 \/ 0,00 Euro<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"30 - 49 \/ 49,95 Euro\">30 - 49 \/ 49,95 Euro<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"50 - 54 \/ 399,95 Euro\">50 - 54 \/ 399,95 Euro<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"55 - 59 \/ 899,95 Euro \">55 - 59 \/ 899,95 Euro <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_354c859 elementor-col-33\">\n\t\t\t\t\tEinmalige Aufnahmegeb\u00fchr\n\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_0456ba9 elementor-col-33\">\n\t\t\t\t\tPlus 119.95 Euro J\u00e4hrlich\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_cfdd6df elementor-col-100\">\n\t\t\t\t\tWartefrist 180 Tage (6 Monate) nach Beginn der Mitgliedschaft.\n\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_7f10356 elementor-col-100\">\n\t\t\t\t\t<h4 style=text-align:center;color:#0D4094>GEW\u00dcNSCHTE ZAHLUNGSART\n<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_546a3c9 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"\u00dcberweisung\" id=\"form-field-field_546a3c9-0\" name=\"form_fields[field_546a3c9]\" required=\"required\"> <label for=\"form-field-field_546a3c9-0\">\u00dcberweisung<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"SEPA-Lastschriftmandat\" id=\"form-field-field_546a3c9-1\" name=\"form_fields[field_546a3c9]\" required=\"required\"> <label for=\"form-field-field_546a3c9-1\">SEPA-Lastschriftmandat<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_3dd567e elementor-col-100\">\n\t\t\t\t\tIch\/Wir erm\u00e4chtige(n) Sie, Zahlungen von meinem\/unserem Konto mittels Lastschrift einzuziehen. Zugleich weise(n) ich\/wir mein\/unser Kreditinstitut an, die von den Pikellimi GmbH auf mein\/unser Konto gezogenen Lastschriften einzul\u00f6sen. Hinweis: Ich kann\/Wir k\u00f6nnen innerhalb von acht Wochen, beginnend mit dem Belastungsdatum, die Erstattung des belasteten Betrags verlangen. Es gelten dabei die mit meinem\/unserem Kreditinstitut vereinbarten Bedingungen.\n\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_80c519d elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_80c519d]\" id=\"form-field-field_80c519d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\" Name der Bank\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6aa0c3a elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6aa0c3a]\" id=\"form-field-field_6aa0c3a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"IBAN\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6081b71 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6081b71]\" id=\"form-field-field_6081b71\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Kontoinhaber falls abweichend\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_49fdf76 elementor-col-80\">\n\t\t\t\t\tDie allgemeinen Gesch\u00e4ftsbedingungen (AGB) von Pikellimi GmbH habe ich gelesen und bin damit einverstanden.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_29803fc elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"AGB\" id=\"form-field-field_29803fc-0\" name=\"form_fields[field_29803fc]\"> <label for=\"form-field-field_29803fc-0\">AGB<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_f3e1fd4 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_f3e1fd4\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LdlMMUUAAAAACC8rPs0Y4ej6w-khkepFMi63o4G\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Senden<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-29","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Anmeldung - Pikellimi GmbH<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pikellimi.info\/bs\/anmeldung\/\" \/>\n<meta property=\"og:locale\" content=\"bs_BA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anmeldung - Pikellimi GmbH\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.pikellimi.info\/bs\/anmeldung\/\" \/>\n<meta property=\"og:site_name\" content=\"Pikellimi GmbH\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/people\/Pikellimi-sigurim\/100063480193163\/\" \/>\n<meta property=\"article:modified_time\" content=\"2025-02-09T10:09:19+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minuta\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.pikellimi.info\\\/anmeldung\\\/\",\"url\":\"https:\\\/\\\/www.pikellimi.info\\\/anmeldung\\\/\",\"name\":\"Anmeldung - 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