{"id":7,"date":"2022-10-31T11:03:33","date_gmt":"2022-10-31T10:03:33","guid":{"rendered":"https:\/\/lucid-galileo.109-235-78-55.plesk.page\/breda\/?page_id=7"},"modified":"2026-05-04T11:48:29","modified_gmt":"2026-05-04T09:48:29","slug":"breda","status":"publish","type":"page","link":"https:\/\/aanvragen.jeugdfondssportencultuur.nl\/breda\/","title":{"rendered":"Breda"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework autofill-postcode_wrapper' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_2' style='display:none'><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_2' class='autofill-postcode' action='\/breda\/wp-json\/wp\/v2\/pages\/7#gf_2' data-formid='2' novalidate><div id='gf_page_steps_2' class='gf_page_steps'><div id='gf_step_2_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Check<\/span><\/div><div id='gf_step_2_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Gegevens kind<\/span><\/div><div id='gf_step_2_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>Activiteit<\/span><\/div><div id='gf_step_2_4' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>Gegevens ouder\/verzorger<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_2_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Check<\/h3><\/div><fieldset id=\"field_2_3\" class=\"gfield gfield--type-BigRadio gfield--input-type-BigRadio gfield--width-full fullwidth-true-false gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Woont je kind in de gemeente Breda (Breda, Bavel, Effen, Prinsenbeek, Teteringen, Ulvenhout)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_3'>\n\t\t\t<div class='gchoice gchoice_2_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='ja'  id='choice_2_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_3_0' id='label_2_3_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='nee'  id='choice_2_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_3_1' id='label_2_3_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_122\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full custom-error gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Helaas, wij vergoeden alleen voor kinderen die wonen in de Gemeente Breda. Woont je kind buiten Breda ga dan naar <a target=\"_blank\" href=\"https:\/\/jeugdfondssportencultuur.nl\/\">www.jeugdfondssportencultuur.nl<\/a> om te\nzien bij welk fonds je een aanvraag kan doen.<\/div><fieldset id=\"field_2_114\" class=\"gfield gfield--type-BigRadio gfield--input-type-BigRadio gfield--width-full fullwidth-true-false gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Staat het kind op jouw adres ingeschreven bij de gemeente Breda?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_114'>\n\t\t\t<div class='gchoice gchoice_2_114_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_114' type='radio' value='ja'  id='choice_2_114_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_114_0' id='label_2_114_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_114_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_114' type='radio' value='nee'  id='choice_2_114_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_114_1' id='label_2_114_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_123\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full custom-error gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >De ouder\/verzorger waarbij het kind staat ingeschreven bij de gemeentelijke basisadministratie van de gemeente Breda kan een aanvraag bij het Jeugdfonds Sport &#038; Cultuur Breda indienen. <\/div><fieldset id=\"field_2_5\" class=\"gfield gfield--type-BigRadio gfield--input-type-BigRadio gfield--width-full fullwidth-true-false gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is je kind jonger dan 18 jaar?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_5'>\n\t\t\t<div class='gchoice gchoice_2_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='ja'  id='choice_2_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_5_0' id='label_2_5_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='nee'  id='choice_2_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_5_1' id='label_2_5_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_116\" class=\"gfield gfield--type-BigRadio gfield--input-type-BigRadio gfield--width-full fullwidth-true-false gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is je kind ouder dan 18 jaar en kreeg je op zijn\/haar 17de een vergoeding van het Jeugdfonds Sport &amp; Cultuur Breda<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_116'>\n\t\t\t<div class='gchoice gchoice_2_116_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='ja'  id='choice_2_116_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_116_0' id='label_2_116_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_116_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='nee'  id='choice_2_116_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_116_1' id='label_2_116_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_124\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full custom-error gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Aanvragen mogen worden ingediend voor kinderen tussen de 2 en 18 jaar. Een aanvraag kan worden ingediend tot het moment dat het kind 18 jaar is en de startdatum van de aanvraag voor de 18de verjaardag ligt. Voor jongeren die op hun 17de jaar een vergoeding ontvingen via het Jeugdfonds Sport &#038; Cultuur Breda en na hun 18de willen blijven deelnemen, is het mogelijk een herhaalaanvraag in te dienen. Dit kan tot hun 21ste jaar.\u2028Was er op het 17de jaar geen aanvraag bij het Jeugdfonds Sport &#038; Cultuur Breda, dan kun je geen aanvraag indienen. Je kunt dan wel terecht bij het <a href=\"https:\/\/www.volwassenenfonds.nl\/deelnemers\/breda\/\" target=\"_blank\">Volwassenfonds Sport &#038; Cultuur Breda<\/a><\/div><fieldset id=\"field_2_7\" class=\"gfield gfield--type-BigRadio gfield--input-type-BigRadio gfield--width-full fullwidth-true-false gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Heb jij een BredaPas?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_7'>\n\t\t\t<div class='gchoice gchoice_2_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='ja'  id='choice_2_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_7_0' id='label_2_7_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='nee'  id='choice_2_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_7_1' id='label_2_7_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_125\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full custom-error gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Heb je geen BredaPas en heb je wel een laag inkomen, zijn er schulden of lukt het niet te betalen voor sport, diplomazwemmen of culturele activiteiten van je kind? Dan kan je een aanvraag doen via een tussenpersoon (intermediair). Dit is iemand die jou of je kind begeleidt, bijvoorbeeld maatschappelijk werk, schuldhulpverlening, het centrum voor Jeugd en Gezin of school. Ken je niemand die je kan helpen? Neem dan contact met ons op, dan kijken we met je mee. Je kunt ons bereiken via <a href=\"mailto:&#98;&#114;&#101;d&#97;&#64;&#106;e&#117;g&#100;fond&#115;&#115;p&#111;rte&#110;cu&#108;&#116;&#117;ur&#46;n&#108;\">br&#101;da&#64;&#106;e&#117;&#103;d&#102;o&#110;&#100;&#115;&#115;&#112;o&#114;&#116;encu&#108;&#116;&#117;&#117;&#114;.&#110;&#108;<\/a> of 06 40410453. <\/div><fieldset id=\"field_2_94\" class=\"gfield gfield--type-BigRadio gfield--input-type-BigRadio gfield--width-full fullwidth-true-false gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is jouw kind al aangemeld bij de club (sport, cultuur of zwemmen) waar jouw kind wil meedoen?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_94'>\n\t\t\t<div class='gchoice gchoice_2_94_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='ja'  id='choice_2_94_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_94_0' id='label_2_94_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_94_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='nee'  id='choice_2_94_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_94_1' id='label_2_94_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_126\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full custom-error gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Ga langs bij de club om een kijkje te nemen en laat jouw kind een proefles nemen. Check dan ook of er bij de club\/aanbieder plek is voor jouw kind. Vind je kind het leuk en is er plek, doe dan een aanvraag bij het Jeugdfonds Sport &#038; Cultuur Breda voor een vergoeding. Meld jouw kind zelf aan bij een club, dat doet het Jeugdfonds niet. Heeft je kind nog geen idee welke sport of culturele activiteit hij\/zij wil doen? Ga dan voor proeflessen voor een sport naar <a target=\"_blank\" href=\"https:\/\/sportiefinbreda.nl\">sportiefinbreda.nl<\/a> en voor een culturele activiteit naar <a  target=\"_blank\"  href=\"https:\/\/cultuurmakeninbreda.nl\">cultuurmakeninbreda.nl<\/a><\/div><fieldset id=\"field_2_9\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Voorwaarden<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_9.1' id='input_2_9_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_2_9_1' >Ik heb de <a target=\"_blank\" href=\"https:\/\/jeugdfondssportencultuur.nl\/download\/31690\/?tmstv=1724415481\">spelregels<\/a> gelezen<\/label><input type='hidden' name='input_9.2' value='Ik heb de &lt;a target=&quot;_blank&quot; href=&quot;https:\/\/jeugdfondssportencultuur.nl\/download\/31690\/?tmstv=1724415481&quot;&gt;spelregels&lt;\/a&gt; gelezen' class='gform_hidden' \/><input type='hidden' name='input_9.3' value='2' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_2_18' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Doe een aanvraag'  \/> <button type='button'  id='gform_save_2_2_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Opslaan en later doorgaan<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' data-js='page-field-id-18' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Gegevens Kind<\/h3><\/div><div id=\"field_2_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_11'>Voornaam<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_2_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_21'>Tussenvoegsel<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_2_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_22'>Achternaam<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_2_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Geslacht<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_23'>\n\t\t\t<div class='gchoice gchoice_2_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='M'  id='choice_2_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_23_0' id='label_2_23_0' class='gform-field-label gform-field-label--type-inline'>Jongen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='V'  id='choice_2_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_23_1' id='label_2_23_1' class='gform-field-label gform-field-label--type-inline'>Meisje<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='X'  id='choice_2_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_23_2' id='label_2_23_2' class='gform-field-label gform-field-label--type-inline'>Neutraal<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_24\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_24'>Geboortedatum (dd-mm-jjjj)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_2_24' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_with_icon gdatepicker_with_icon'   placeholder='dd-mm-jjjj' aria-describedby=\"input_2_24_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_24_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_24' class='gform_hidden' value='https:\/\/aanvragen.jeugdfondssportencultuur.nl\/breda\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_32'>Voer het BredaPasnummer van je kind in.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_32'>Dit bestaat uit 6 cijfers en staat op de achterkant van de BredaPas. <br>LET OP: vul het volledige nummer in en voeg een foto van de voor- en achterkant van de geldige BredaPas toe.<\/div><div class='ginput_container ginput_container_text'><input name='input_32' id='input_2_32' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_32\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_118\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_118'>Foto van voorkant van de BredaPas<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_118' id='input_2_118' type='file' class='large' aria-describedby=\"gfield_upload_rules_2_118\" onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_118'>Max. bestandsgrootte: 2 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_118'><\/div> <\/div><\/div><div id=\"field_2_119\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_119'>Foto van achterkant van de BredaPas<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_119' id='input_2_119' type='file' class='large' aria-describedby=\"gfield_upload_rules_2_119\" onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_119'>Max. bestandsgrootte: 2 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_119'><\/div> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_34' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='button' id='gform_next_button_2_34' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> <button type='button'  id='gform_save_2_3_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Opslaan en later doorgaan<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' data-js='page-field-id-34' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_35\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Activiteit<\/h3><\/div><fieldset id=\"field_2_54\" class=\"gfield gfield--type-BigRadio gfield--input-type-BigRadio gfield--width-full fullwidth-true-false gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Kies een categorie<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_54'>\n\t\t\t<div class='gchoice gchoice_2_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='8'  id='choice_2_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_54_0' id='label_2_54_0' class='gform-field-label gform-field-label--type-inline'>Sport<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='11'  id='choice_2_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_54_1' id='label_2_54_1' class='gform-field-label gform-field-label--type-inline'>Cultuur<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_54_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='0'  id='choice_2_54_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_54_2' id='label_2_54_2' class='gform-field-label gform-field-label--type-inline'>Diplomazwemmen<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_108\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_108'>Kies een diploma<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_108' id='input_2_108' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='SP-500' >Zwemles (diploma A)<\/option><option value='SP-510' >Zwemles (diploma B)<\/option><option value='SP-520' >Zwemles (diploma C)<\/option><\/select><\/div><\/div><div id=\"field_2_36\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full populate-activiteiten-sport gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_36'>Kies een sport<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_2_36' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer een sport activiteit<\/option><option value='SP-210' >Atletiek <\/option><option value='SP-200' >Basketbal <\/option><option value='SP-140' >Boksen <\/option><option value='SP-170' >Fitness <\/option><option value='SP-160' >Gymnastiek \/ turnen <\/option><option value='SP-230' >Handbal <\/option><option value='SP-240' >Hockey <\/option><option value='SP-180' >Judo <\/option><option value='SP-150' >Karate <\/option><option value='SP-120' >Kickboksen \/ thai boksen <\/option><option value='SP-220' >Korfbal <\/option><option value='SP-990' >Overig sport <\/option><option value='SP-190' >Paardrijden <\/option><option value='SP-280' >Schaatsen <\/option><option value='SP-130' >Taekwondo <\/option><option value='SP-250' >Tennis (racketsport) <\/option><option value='SP-110' >Vechtsporten overig <\/option><option value='SP-100' >Voetbal <\/option><option value='SP-260' >Volleybal <\/option><option value='SP-270' >Wielrennen \/ BMX\/ mountainbike <\/option><option value='SP-540' >Zwemles overig <\/option><option value='SP-550' >Zwemsport (waterpolo, overig) <\/option><\/select><\/div><\/div><div id=\"field_2_55\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full populate-activiteiten-cultuur gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_55'>Kies een culturele activiteit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_2_55' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer een cultuur activiteit<\/option><option value='CB-100' >Beeldend<\/option><option value='CD-200' >Dans<\/option><option value='CM-400' >Muziek<\/option><option value='CO-990' >Overig cultuur <\/option><option value='CT-700' >Theater en drama<\/option><\/select><\/div><\/div><div id=\"field_2_39\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_39'>Soort les<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_2_39' type='text' value='' class='large' maxlength='40'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_90\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half filter_sport_aanbieder field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_90'>Zoek een club<\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_2_90' type='text' value='' class='large'    placeholder='Vul de naam van de aanbieder in'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_37\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half populate-sport-aanbieders gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_37'>Kies een club<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_2_37' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer een aanbieder<\/option><option value='overig' >Overig<\/option><option value='51754' >010 Cheerleaders (Hordijk 130, Rotterdam)<\/option><option value='72442' >24H Fitness Rotterdam (Pearl Buckplaats 15) (Pearl Buckplaats 15, Rotterdam)<\/option><option value='92697' >2TURN-Rotterdam (postbus 28214, Rotterdam)<\/option><option value='67739' >39 JumpStreet (Nikkelstraat 39, Rotterdam)<\/option><option value='90621' >A.F.C. 010 Trojans (Postbus 25027, Rotterdam)<\/option><option value='54067' >A.V. Sprint (Postbus 9731, Breda)<\/option><option value='65576' >ABC-zwemvereniging (Jacominastraat 41, Rotterdam)<\/option><option value='93011' >ACE Martial Arts (alle vestigingen) (Vijverhofstraat 96, Rotterdam)<\/option><option value='93248' >AKwaak Zwemschool (Sint Jobskade 142, Rotterdam)<\/option><option value='91815' >ALMONTE, basketbal (Postbus 1131, Eindhoven)<\/option><option value='57638' >AOBG (Academie voor Oosterse Bewegings- &amp; Gezondheidsleer) (Voorerf 47, Breda)<\/option><option value='58101' >Aangepast Paardrijden &#039;Bij Jet&#039; (Laanzichtweg 105, Teteringen)<\/option><option value='92699' >Abdel-Kwan Rotterdam (Meezenbroekstraat 92, Rotterdam)<\/option><option value='53778' >Aiki Budocentrum Breda (Gaffelstraat 30, Breda)<\/option><option value='56742' >Aikido Centrum Breda (Jan Nieuwenhuyzenstraat 9, Breda)<\/option><option value='69609' >Aikidocentrum Van Ginkel (Langdonk 15A, Breda)<\/option><option value='69429' >Aikikids Shoryukai (Ruusbroecstraat 21, Breda)<\/option><option value='72985' >Albion Gym (Metroplein 104, Rotterdam)<\/option><option value='64967' >Albion zwemclub (Gooilandsingel 107, Rotterdam)<\/option><option value='56172' >Aleco Sport Visions (Nispenseweg 3, Roosendaal)<\/option><option value='90638' >Alg. Zevenbergse Turnvereniging (Noordhaven 8a, Zevenbergen)<\/option><option value='91884' >All Fit Gym (Turnhoutlaan 15b, Eindhoven)<\/option><option value='63846' >Anytime Fitness Bavel (Pastoor Doenstraat 8A, Bavel)<\/option><option value='62589' >Anytime Fitness Breda (Dr. Struyckenplein 63, Breda)<\/option><option value='71838' >Anytime Fitness Made (Schoolstraat 19, Made)<\/option><option value='72450' >Anytime Fitness Prinsenbeek (Schoolstraat 11, Prinsenbeek)<\/option><option value='68252' >Anytime Fitness Rotterdam Zevenkamp (Griendwerkerstraat 7-13, Rotterdam)<\/option><option value='68540' >Aqua Academy (Rotterdam en Zandvoort) (Orionstraat 30, Rotterdam)<\/option><option value='68466' >Aquamarant Dani\u00ebl de Brouwerpark (Bredaseweg 570, Tilburg)<\/option><option value='60810' >Archery Breda (Rietdijk 6, Breda)<\/option><option value='62437' >Area Fifty One Skatepark (Klokgebouw 51, Eindhoven)<\/option><option value='52646' >Arendse Health Club (Terheijdenseweg 504, Breda)<\/option><option value='68235' >Arendse Health Club Dongen B.V. (Doelstraat 16, Dongen)<\/option><option value='72497' >Arendse health club oosterhout (Innovatiepark 7, Oosterhout NB)<\/option><option value='93038' >Ata Olympic (Van Aerssenlaan 40B, Rotterdam)<\/option><option value='57892' >Atletiek Vereniging Groene Ster (Zevenbergen) (De Knip 1, Zevenbergen)<\/option><option value='51397' >Atletiekvereniging Groene Ster (Klompenmakerstraat 5, Etten Leur)<\/option><option value='62679' >Atletiekvereniging Spiridon (Mgr. Nolensstraat 3 3, Rijen)<\/option><option value='90655' >Auris dienstverlening (Westblaak 132, Rotterdam)<\/option><option value='54145' >B.S.V. Boeimeer (Heksendans 4, Breda)<\/option><option value='67448' >BB Rotterdam (Oldegaarde 21, Rotterdam)<\/option><option value='62683' >BBF Migliore (Burg. Sweensplein 37, Rijen)<\/option><option value='54069' >BC Bavel (Deken Dr. Dirckxweg 4, Bavel)<\/option><option value='50493' >BC HANEVOET (Opveld 13, Eindhoven)<\/option><option value='55267' >BC Ommoord (Max Woiskistraat 21, Rotterdam)<\/option><option value='55733' >BC Racket-Swingers &#039;79 (Vosselaar 32, Bavel)<\/option><option value='57865' >BC VIDO (Solmsweg 30, Eindhoven)<\/option><option value='63013' >BC Woodpecker (Ganzerik 1, Breda)<\/option><option value='73591' >BCP (Badmintonclub Princenhage) (Graaf Engelbertlaan 7C, Breda)<\/option><option value='54075' >BISO &#039;65 (Zonstraat 51, Breda)<\/option><option value='61633' >BMX Fietsclub (Dansh Urban Gym) (Lieve Verschuierstraat 31c, Rotterdam)<\/option><option value='57621' >BRESS sportcenter (Nieuwe Inslag 99, Breda)<\/option><option value='53905' >Back 2 the Gym (Franse Akker 21A, Breda)<\/option><option value='50020' >Back2Power (Willem Roosestraat 18, Eindhoven)<\/option><option value='55453' >Badminton Club Achtse Barrier (Savoipad 14, Eindhoven)<\/option><option value='55437' >Badminton Club Eindhoven (Wamberg 40, Eindhoven)<\/option><option value='53075' >Badminton Schollevaar (Max Woiskistraat 26, Rotterdam)<\/option><option value='62680' >Badmintonclub de Bever (Leibeemd 156, Rijen)<\/option><option value='90668' >Badmintonvereniging Groene Ster (De Borgh, Ijshof 1, Zevenbergen)<\/option><option value='60204' >Baek Yong Martial Arts vereniging (Spartastraat 1, Rotterdam)<\/option><option value='50077' >Balletstudio Tamara (Zuidrand 5, Zevenbergen)<\/option><option value='55148' >Balrak Sport Consultancy (Rauwenhoffstraat 39, Rotterdam)<\/option><option value='54074' >Barons Breda Basketball (Postbus 9289, Breda)<\/option><option value='68428' >Barraco Team Rotterdam (Goudsesingel 232, Rotterdam)<\/option><option value='92826' >Basketbalvereniging Rotterdam Zuid (Postbus 91108, Rotterdam)<\/option><option value='53824' >Bc de zwaluwen Prinsenbeek (Postbus 136, Prinsenbeek)<\/option><option value='68946' >Beachsportvereniging Beach Club Rotterdam (Kosboulevard 6, Rotterdam)<\/option><option value='69320' >Bear Studios (Dynamostraat 28, Rotterdam)<\/option><option value='64837' >Bij Bir, Pedagogiek, Coaching, Training (Drakesteinstraat 5, Breda)<\/option><option value='72691' >Blauw-Wit Basketball (Gregoriusdonk 8, Roosendaal)<\/option><option value='54064' >Bliemer Arashi Sport, Judoschool Budokwai Arashi (Heemraadsdam 16, Oosterhout NB)<\/option><option value='62879' >Bodies Gym Fitness Zuid Slinge (Hijkerveld 164, Rotterdam)<\/option><option value='62875' >Bodies Sports Club Delfshaven (FemOnly) (Willem Buytewegstraat 61a, Rotterdam)<\/option><option value='56131' >Body Active (vijfhuizenweg 15, Etten Leur)<\/option><option value='91816' >Boksclub de Golden Gloves (Bedrijvenweg 9, Eindhoven)<\/option><option value='72651' >Boksing Tilburg (Nazarethstraat 76, Tilburg)<\/option><option value='53238' >Boksvereniging Bonita (Laanslootseweg 20, Rotterdam)<\/option><option value='54076' >Boksvereniging Bredase Ring (Oranjeboomstraat 163, Breda)<\/option><option value='92795' >Boksvereniging Crooswijk (Pootstraat 41, Rotterdam)<\/option><option value='64400' >Bolder Neoliet (Keilestraat 9, Rotterdam)<\/option><option value='64556' >Boulderhal Bruut (Spinveld 66A1, Breda)<\/option><option value='92711' >Bowling Vereniging Rotterdam Ijsselmonde (Akkeroord 10, Rotterdam)<\/option><option value='70988' >Boxing Company Roosendaal (Borchwerf 4, Roosendaal)<\/option><option value='56422' >Boxing University (Jeugdland 1, Ulvenhout)<\/option><option value='64015' >BoxingGymHolzken (Herentalsweg 19, Eindhoven)<\/option><option value='72507' >Brainboxing (Abdis van Thornstraat 40, Oosterhout NB)<\/option><option value='59389' >Breda Beach (Wolfslaardreef 105, Breda)<\/option><option value='70978' >Breda Bigfoots Lacrosse (Nieuwe Inslag 97, Breda)<\/option><option value='56138' >Breda West paramedisch centrum (Laan van Mertersem 65, Breda)<\/option><option value='54092' >BredaGym (Rotsvlinder 1, Breda)<\/option><option value='54079' >Bredase Bowling Vereniging (Nassausingel 28, Breda)<\/option><option value='54081' >Bredase Rugby Club (Postbus 1, Teteringen)<\/option><option value='65481' >Bridgeclub Chaam (Ulicotenweg 26a, Chaam)<\/option><option value='69968' >Broeders sport en welzijn centrum (Abdis van Thornstraat 40, Oosterhout NB)<\/option><option value='92713' >Budo Ryu Rotterdam (Henri Eversstraat 226, Rotterdam)<\/option><option value='54398' >Budokai Breda (Postbus 64, Prinsenbeek)<\/option><option value='67483' >Budoschool Kiai (Sophiastraat 71, Roosendaal)<\/option><option value='62685' >Budovereniging Rijen (Rector Buyselstraat 19, Rijen)<\/option><option value='92714' >Budovereniging Unity99 (Botmeer 50, Rotterdam)<\/option><option value='63718' >Budovereniging-Rijen (Rector Buyselstraat 19, Rijen)<\/option><option value='69753' >Buurtlab \/ Concrete Lions (Crooswijksebocht 10a, Rotterdam)<\/option><option value='55031' >C.S.V. Zwarte Pijl (Prinsenlaan 991, Rotterdam)<\/option><option value='53793' >CFE Ciba\/VDL Groep (Dr. Cuyperslaan 75, Eindhoven)<\/option><option value='57519' >CVV Spirit (postbus 9132, Rotterdam)<\/option><option value='69997' >Caballos Coaching (Beethovenlaan 113, Tilburg)<\/option><option value='55906' >Capoeiravereniging Camaleaou (Statensingel 29A, Rotterdam)<\/option><option value='57808' >Charitas Oisterwijk (Postbus 394, Oisterwijk)<\/option><option value='66911' >Cheo Go Kwan (Vikingoord 39, Rotterdam)<\/option><option value='59304' >ChinHungMeijel (Kurversweg 2, Meijel)<\/option><option value='55647' >Chong Hong Rotterdam (Bothastraat 122, Rotterdam)<\/option><option value='61124' >Circusschool Oosterhout (Keiweg 119, Oosterhout NB)<\/option><option value='92724' >City-Gym (Linkerrottekade 12b, Rotterdam)<\/option><option value='66055' >Classic Gym Rotterdam (Aelbrechtskade 28b, Rotterdam)<\/option><option value='71606' >Club Maaskracht (Schiehaven 15, Rotterdam)<\/option><option value='56518' >Club Pellikaan Breda (Bijster 17, Breda)<\/option><option value='56448' >ClubFutsalEindhoven (Siennalaan 40, Eindhoven)<\/option><option value='61651' >Combat Brothers (Tramsingel 48, Breda)<\/option><option value='66139' >Commit Freerun (Professor Horowitzstraat 200, Eindhoven)<\/option><option value='92728' >Constant-Charlois Rotterdam (CCR) (Nehrusingel 4, Rotterdam)<\/option><option value='59394' >Cool 2B Fit (Graaf Hendrik III plein 132A7, Breda)<\/option><option value='67418' >Copa Football Academy (Mathenesserweg 12A 02, Rotterdam)<\/option><option value='69537' >CorpoTraining (Grote Visserijstraat 84b, Rotterdam)<\/option><option value='71965' >CrossFit Climbers Cabin (Terheijdenseweg 498, Breda)<\/option><option value='68798' >Crossfit Gold Pact (Brielselaan 69, Rotterdam)<\/option><option value='66102' >Crossfit MCA (Watertorenstraat 14a, Made)<\/option><option value='61379' >DJA Zundert (Akkermolenweg 11, Zundert)<\/option><option value='63333' >DK Sport (Laagstraat 315, Eindhoven)<\/option><option value='50675' >DSC Korfbal (Vijfkamplaan 1, Eindhoven)<\/option><option value='70886' >DUO Sport Rotterdam (Toepad 95, Rotterdam)<\/option><option value='91916' >DURAN GYM (Barrierweg 217, Eindhoven)<\/option><option value='66406' >DVVC Dongense Voetbalvereniging Concordia (Sportlaan 4, Dongen)<\/option><option value='68856' >Daily Eventz (Kaapstraat 34, Rotterdam)<\/option><option value='63216' >Dancer Studio (Dransebaan 36, Eindhoven)<\/option><option value='60953' >Danieflow (Talmastraat 5, Oosterhout NB)<\/option><option value='61858' >Dansschool Desi Steps (Suiestraat 25C, Rotterdam)<\/option><option value='57220' >Dansschool Lotuz (Donkvaart 9C11, Breda)<\/option><option value='55079' >De Betrokken Spartaan (ROTTERDAM) (Spartapark-Noord 1, Rotterdam)<\/option><option value='52400' >De Brito Gym (Industrieweg 129a, Rotterdam)<\/option><option value='72528' >De Groene Garage (Mathenesserdijk 193, Rotterdam)<\/option><option value='62692' >De Kleine Heraut (Pr. Hendrikstraat 7, Rijen)<\/option><option value='55880' >De Klimmuur Rotterdam (Prinsenlaan 910, Rotterdam)<\/option><option value='53822' >De Oosterhoutse manege (Bredaseweg 152, Oosterhout NB)<\/option><option value='54879' >De Pont, vereniging voor gehandicapten sport (Ringdijk 84, Rotterdam)<\/option><option value='67126' >De RIJeRIJ (Mommersstraat 8, Hoeven)<\/option><option value='56594' >De Tongelreep (Antoon Coolenlaan 1, Eindhoven)<\/option><option value='69476' >De praktijk, paramedisch centrum (De Werf 3, Chaam)<\/option><option value='52308' >Demex Holland Super Pro Boxing (Campagneweg 38, Zevenbergen)<\/option><option value='92638' >Divine Basketball (Mathenesserlaan 258, Rotterdam)<\/option><option value='60927' >Dojo Saiha (Emerweg 29, Breda)<\/option><option value='66882' >Dojoka (Aardbeistraat 13, Eindhoven)<\/option><option value='53944' >Doskonale (Postbus 9536, Breda)<\/option><option value='69251' >Duikcentrum KYMO (Veldsteen 14, Breda)<\/option><option value='54167' >Duikteam Dusky (Postbus 9289, Breda)<\/option><option value='55364' >Duikvereniging Lucky Divers (Metaalhof 17, Rotterdam)<\/option><option value='92734' >Duikvereniging Rijnmond (Gong 13, Rotterdam)<\/option><option value='57838' >Duo Sport Schaatsen Breda (Terheijdenseweg 506, Breda)<\/option><option value='64757' >DwienFit (Vredehofplaats 5, Rotterdam)<\/option><option value='53421' >Dydans centrum voor dans en beweging (Gasthuisstraat 30, Kaatsheuvel)<\/option><option value='62057' >Dynamic (Hillevliet 90, Rotterdam)<\/option><option value='58472' >Dynamo Eindhoven (Postbus 2077, Eindhoven)<\/option><option value='56816' >Dynamo-Roosendaal (Postbus 79, Roosendaal)<\/option><option value='68038' >E. Sanders (Hurksestraat 19, Eindhoven)<\/option><option value='59474' >E.O.C. Turnvereniging (Postbus 4251, Oosterhout NB)<\/option><option value='91821' >E.T.S., voetbal (Jan van Goyenstraat 21, Eindhoven)<\/option><option value='71902' >ECC Eindhoven Cricketclub Club -PSV Tegenbosch (Locatellistraat 3, Eindhoven)<\/option><option value='50346' >EINDHOVEN RHINOS (Herentalsweg 2, Eindhoven)<\/option><option value='65593' >ELBC   Etten-Leurse Basketball Club (Schimmelpennincklaan 31, Etten-Leur NB)<\/option><option value='60671' >ELTV (Koudenhovenseweg Noord 70, Eindhoven)<\/option><option value='61094' >EN Sport Fight Academy (Multatulistraat 72, Rotterdam)<\/option><option value='91917' >ESSBRA fitgym b.v. (Philips de Goedelaan 2A, Eindhoven)<\/option><option value='91822' >ETV OLYMPIA, turnen (Auvergnelaan 36, Eindhoven)<\/option><option value='51677' >ETV VOLLEY (Vondellaan 19, Eindhoven)<\/option><option value='92736' >EUR Roadrunners (Postbus 1738, Rotterdam)<\/option><option value='59774' >Eastwood Tigers (Lodewijk Napoleonlaan 111, Oosterhout NB)<\/option><option value='51678' >Eerste Eindhovense Pony Manege (Genneperweg 144, Eindhoven)<\/option><option value='91886' >Eindhoven Atletiek (Postbus 1171, Eindhoven)<\/option><option value='91857' >Eindhoven Kemphanen (Postbus 4094, Eindhoven)<\/option><option value='62249' >Eindhoven Raptors (Roostenlaan 296, Eindhoven)<\/option><option value='64873' >Eindhoven Roeivereniging Beatrix (Kanaaldijk-Noord 61, Eindhoven)<\/option><option value='61750' >Eindhoven Roorda Tennisschool (Dukaatstraat 20, Eindhoven)<\/option><option value='59168' >Eindhovense Handbal Vereniging (Rijstenweg 13, Eindhoven)<\/option><option value='63742' >Eindhovense Kanovereniging Beatrix (Beatrixkade 50, Eindhoven)<\/option><option value='72017' >Eindhovense Manege (Roostenlaan 309, Eindhoven)<\/option><option value='57577' >Eindhovense Voetbalvereniging PSV (Postbus 886, Eindhoven)<\/option><option value='91818' >Eindhovense reddingsbrigade (Postbus 2421, Eindhoven)<\/option><option value='69198' >Elevate (Basketball Training) (Cannenburchstraat 108, Rotterdam)<\/option><option value='60265' >Elite Gym (Tielrodestraat 46, Breda)<\/option><option value='53952' >Elitegym (Koelemei 14, Breda)<\/option><option value='55427' >Erasmus Volley (Burgemeester Oudlaan 50, Rotterdam)<\/option><option value='53646' >Essink City Gym (Willemstraat 22, Eindhoven)<\/option><option value='91865' >Essink Sportcentrum (Toon Schroderlaan 2, Eindhoven)<\/option><option value='65358' >Eyeternal Lifestyle (Polderlaan 54a, Rotterdam)<\/option><option value='64760' >Ezzy&#039;s Eindhoven (Grobbendonkstraat 20, Eindhoven)<\/option><option value='55861' >FC Eindhoven (Sportcomplex &quot;De Weide Blick, Velddoornweg 6, Eindhoven)<\/option><option value='69508' >FC Eindhoven Academy (Charles Roelslaan 1, Eindhoven)<\/option><option value='61142' >FC IJsselmonde (Buitendijk 100b, Rotterdam)<\/option><option value='92739' >FC Maense (Spaanseweg 3, Rotterdam)<\/option><option value='69167' >FC Tilburg (Spoordijk 30, Tilburg)<\/option><option value='72440' >FC Voetbalpeuters (Philip Vingboonsstraat 11, Rotterdam)<\/option><option value='71178' >FCB-HWD (Taludweg 5, Rotterdam)<\/option><option value='61343' >FCE Academy (Charles Roelslaan 1, Eindhoven)<\/option><option value='52390' >FLIPPER, zwemcl;ub (Strijlant 4, Eindhoven)<\/option><option value='57403' >FRWRD Fight Academy Personal Training and Coaching (1e Jerichostraat 20, Rotterdam)<\/option><option value='62878' >FemOnly Women Sports Club Fit Charlois (Wolphaertsbocht 186, Rotterdam)<\/option><option value='62877' >FemOnly Women Sports Club Fit Noord (Soetendaalseweg 99, Rotterdam)<\/option><option value='69203' >Fempower Center (Laagjesweg 44, Rotterdam)<\/option><option value='51976' >Fernando Alonso (Kyokushin Karate Dojo (Oostmaaslaan 391, Rotterdam)<\/option><option value='92804' >Feyenoord Maatschappelijk (Oldegaarde 21, Rotterdam)<\/option><option value='72249' >Fibby (Stationsplein 45, Rotterdam)<\/option><option value='91893' >Fidan Gym (Willaertplein 8A, Eindhoven)<\/option><option value='72122' >Fierce Self Defence (alle locaties) (Bloedkoraal 1, Zevenbergen)<\/option><option value='61571' >Fight Academy Rotterdam (Zevenkampse Ring 305, Rotterdam)<\/option><option value='72821' >Fight Smart (Andries Copierhof 1D, Rotterdam)<\/option><option value='53786' >Fight4victory (Voorerf 37, Breda)<\/option><option value='60407' >Fightclub The Mixx (Accumulatorstraat 3, Eindhoven)<\/option><option value='73181' >Fighting Heesbeen (Belgi\u00ebstraat 7, Kaatsheuvel)<\/option><option value='56187' >Fighting Spirit (Crooswijksestraat 178, Rotterdam)<\/option><option value='73316' >First Services B.V. (Plaswijcklaan 56, Rotterdam)<\/option><option value='57761' >Fit All Day Eindhoven (Dommelstraat 40, Eindhoven)<\/option><option value='73307' >Fit Kade (Drievriendenstraat 38A, Rotterdam)<\/option><option value='55454' >Fit en Squash Rijen (Pastoor Gillisstraat 30, Rijen)<\/option><option value='69104' >Fitboyz010 (Crooswijksestraat 93, Rotterdam)<\/option><option value='69233' >Fitdynamics (Spinveld 66C, Breda)<\/option><option value='63105' >Fitland Eindhoven (Vijfkamplaan 8B, Eindhoven)<\/option><option value='55064' >Fitness America (Jacques Dutilhweg 207, Rotterdam)<\/option><option value='56912' >Fitness Corner (Van Adrichemweg 271, Rotterdam)<\/option><option value='64416' >Fitness Prinsenbeek (Klaverveld 55, Prinsenbeek)<\/option><option value='55894' >Fitnesscentrum Fitland Rotterdam Alexander (Hoofdweg 490, Rotterdam)<\/option><option value='66310' >Football Performance (Smeetslandseweg 11, Rotterdam)<\/option><option value='63118' >Football4Fun (Groenveld 5, Meijel)<\/option><option value='73672' >Forward Fit en Weerbaar (Mijnsheerenlandstraat 45p\/a, Tilburg)<\/option><option value='73142' >Freerunnersz LAB (Schelfhorststraat 17, Tilburg)<\/option><option value='69683' >Freerunning Cobra&#039;s (Jordaensplein 14, Roosendaal)<\/option><option value='59457' >Freestyle Motion (Rotterdam) (Nikkelstraat 39, Rotterdam)<\/option><option value='71150' >Frits Philips College (Avignonlaan 1, Eindhoven)<\/option><option value='63702' >Fuji-Yama sportclub Princenhage (touwslagerstraat 7, Breda)<\/option><option value='68216' >Fysical Hillegersberg (Elgarhof 5-9, Rotterdam)<\/option><option value='63035' >Fysiotherapie Bredero (Graaf Hendrik III plein 132, Breda)<\/option><option value='90826' >Fysiowave (Veldkers 2, Zevenbergen)<\/option><option value='72695' >G.T.V. Turning Point Tilburg (Ratin\u00e9straat 1, Tilburg)<\/option><option value='91856' >GYMNASTIEKVERENIGING VAN ARS (Topaasring 46, Eindhoven)<\/option><option value='50106' >Gemeente Eindhoven (Postbus 90150, Eindhoven)<\/option><option value='54341' >Ghislaine Dance Company (Voorerf 39, Breda)<\/option><option value='54047' >Glitters dance &amp; Twirlvereniging Prinsenbeek (Spoorstraat 19, Prinsenbeek)<\/option><option value='53326' >Goju-Kan (Oranjeboomstraat 297, Rotterdam)<\/option><option value='73498' >Golf Club Prise d&#039;Eau (Gilzerbaan 400, Tilburg)<\/option><option value='92741' >Golfclub Kralingen (Kralingseweg 200, Rotterdam)<\/option><option value='93207' >Gym Noord (Meidoornstraat 55, Rotterdam)<\/option><option value='72734' >Gymfinity (Voorerf 47, Breda)<\/option><option value='71525' >Gymnastiek- en Turnvereniging Dionysius (Westerpark 80, Tilburg)<\/option><option value='51799' >Gymnastiek\/Turnvereniging Quickly &#8211; Waspik (Leopold Sondagstraat 5, Oosterhout NB)<\/option><option value='54094' >Gymnastiekvereniging De Samensprong (Groot Hoogsteen 20, Breda)<\/option><option value='52631' >Gymnastiekvereniging O &amp; O (Ferdinand Bolstraat 89, Rotterdam)<\/option><option value='56559' >Gymnastiekvereniging OBC Eindhoven (Heezerweg 130, Eindhoven)<\/option><option value='71529' >Gymnastiekvereniging Turnlust (Waterloostraat 25, Oosterhout NB)<\/option><option value='90852' >H.C. Zevenbergen (Westrand 5, Zevenbergen)<\/option><option value='58386' >HC Delfshaven (Energieweg 15, Rotterdam)<\/option><option value='93685' >HC Eindhoven (Postbus 2, Eindhoven)<\/option><option value='92750' >HC Feijenoord (Buitendijk 100C, Rotterdam)<\/option><option value='50607' >HILALSPOR (HSE) (Paul Krugerlaan 6, Eindhoven)<\/option><option value='71493' >HSC Blue Lions Tilburg (Centaurusweg 40, Tilburg)<\/option><option value='63511' >HSV Rascals (Nieuwenhoornstraat 142, Rotterdam)<\/option><option value='62655' >HV United Breda (Postbus 82, Breda)<\/option><option value='61384' >Handbalvereniging Groene ster (Galgenweg 64, Zevenbergen)<\/option><option value='65470' >Handbalvereniging RHV (Sportparkweg 21, Rijen)<\/option><option value='68638' >Handboogschuttersgilde St. Sebastiaan (Korenbocht 20, Oosterhout NB)<\/option><option value='54068' >Handboogsportvereniging Alliance d&#039;Amiti\u00e9 (Jeugdland 1, Ulvenhout)<\/option><option value='65472' >Handboogvereniging Vriendenkring Rijen (Sportparkweg 1, Rijen)<\/option><option value='72246' >Handvalvereniging Internos (Trivium 102, Etten Leur)<\/option><option value='73058' >Haven BJJ (Weena 1099, Rotterdam)<\/option><option value='70346' >Helden Academy B.V. (Ruitenveenstraat 24, Tilburg)<\/option><option value='53827' >Hemmers Gym (Druivenstraat 33, Breda)<\/option><option value='69969' >High Five Tilburg (Zegveldstraat 8, Tilburg)<\/option><option value='54098' >Hockey Club Prinsenbeek (Postbaan 38, Prinsenbeek)<\/option><option value='68201' >Hockeyclub Etten-Leur (Olympiade 51, Etten Leur)<\/option><option value='62687' >Hockeyclub Gilze-Rijen (Postbus 113, Rijen)<\/option><option value='54099' >Hockeyvereniging B.H.V. Push (Postbus 1979, Breda)<\/option><option value='54100' >Hockeyvereniging B.N.M.H.C. Zwart-Wit (Breda) (Postbus 4709, Breda)<\/option><option value='54101' >Hockeyvereniging BH &amp; BC Breda (Burgemeester de Manlaan 26, Breda)<\/option><option value='54102' >Hockeyvereniging MHCT (Postbus 31, Teteringen)<\/option><option value='54103' >Honk en Softbal HSC Jeka (Langveld 6, Breda)<\/option><option value='53313' >Honk- en Softbalvereniging PSV (Roostenlaan 307C, Eindhoven)<\/option><option value='61395' >HoopDreams (Strevelsweg 747, Rotterdam)<\/option><option value='93132' >Huk-tti (Bergselaan 162a, Rotterdam)<\/option><option value='66628' >Hunterclub (Herendam 19, Oosterhout NB)<\/option><option value='55533' >I Believe boksschool (Benedenstraat 115, Rotterdam)<\/option><option value='72331' >IJsclub Tilburg (Westerpark 109, Tilburg)<\/option><option value='71522' >Ijshockey Nederland (Stappegoorweg 1, Tilburg)<\/option><option value='70955' >Ijssportcentrum Eindhoven (Antoon Coolenlaan 3, Eindhoven)<\/option><option value='54960' >Impact Sports Academy (Oosterhoutseweg 73, Breda)<\/option><option value='54353' >Insight Tennis Academy (Verbeetenstraat 69B, Breda)<\/option><option value='65068' >Integrale Yoga Rotterdam (Heemraadssingel 64, Rotterdam)<\/option><option value='67430' >Irene&#039;58 (Ruiterspoor 21, Den Hout)<\/option><option value='92758' >Isshin (Eerste Jerichostraat d 33, Rotterdam)<\/option><option value='90895' >J.V. Zevenbergen (De Borgh, Ijshof 1, Zevenbergen)<\/option><option value='70113' >JAR Zaalvoetbal (Pretorialaan 102, Rotterdam)<\/option><option value='69652' >JORRRFIT (Westerflierstraat 4, Rotterdam)<\/option><option value='92760' >JSV Kralingen Schaken (Couwaelstraat 43, Rotterdam)<\/option><option value='66240' >JUULSYOGA (Haagweg 361, Breda)<\/option><option value='62730' >Jayra (Postbus 44051, Rotterdam)<\/option><option value='54105' >Jeugd Klimvereniging Cocon (Postbus 2236, Breda)<\/option><option value='54874' >Jiu Jitsu Breda (Minister Kanstraat 11, Breda)<\/option><option value='60821' >JiuJitsu Breda (Schapendreef 13, Breda)<\/option><option value='73236' >Joey van den Houten (Joey V Houten PT) (Tandwielstraat 707, Rotterdam)<\/option><option value='55012' >JollyIceSports (Bergstraat 9a, Zegge)<\/option><option value='69618' >Judoschool IKIGAI (Lange Brugstraat 43B, Breda)<\/option><option value='60415' >Judoschool Martin Mordang (Sweelinckstraat 23, Eindhoven)<\/option><option value='54744' >Judovereniging Baronie (Bergschot 63, Breda)<\/option><option value='54107' >Judovereniging Bavel (Semenarieweg 18, Bavel)<\/option><option value='54108' >Judovereniging Haagse Beemden Breda (Wandelakker 66, Breda)<\/option><option value='58601' >Judovereniging Meijel (Straatakker 17, Meijel)<\/option><option value='68324' >Jumbo Golf &amp; Hockey Teteringen (Oosterhoutseweg 129B, Teteringen)<\/option><option value='72076' >K.V. Springfield (Bovendonksestraat 39, Hoeven)<\/option><option value='70234' >KATSU HEIWA (Harddraverstraat 47A, Rotterdam)<\/option><option value='58176' >KC Feijenoord (Brede Hilledijk 19, Rotterdam)<\/option><option value='51680' >KEDA (De Wagemaekerstraat 11, Eindhoven)<\/option><option value='72068' >KGV (Huygenstraat 73, Kaatsheuvel)<\/option><option value='69668' >KIK Kinderopvang Breda BV (Hoolstraat 49, Teteringen)<\/option><option value='61280' >Kaatsheuvelse Gym Vereniging (Postbus 34, Kaatsheuvel)<\/option><option value='66831' >Kalabhavan by Keya (Torenberglaan 48, Eindhoven)<\/option><option value='69360' >Karate-do Archida (Diamantdijk 349, Roosendaal)<\/option><option value='53660' >Karateschool Bushido (IJshof 1, Zevenbergen)<\/option><option value='71936' >KasirgaSports (Marnixstraat 72, Rotterdam)<\/option><option value='51434' >Kazoku (Schelmeroord 34, Rotterdam)<\/option><option value='50860' >Kees Tempel sportschool (Brederolaan 50, Eindhoven)<\/option><option value='73732' >Kensei Dojo (Lisdodde 77, Breda)<\/option><option value='62189' >Khalids Gym (Oudedijkse Schiekade 51, Rotterdam)<\/option><option value='65100' >Kiai budoschool Schuurbiers (Sophiastraat 71, Roosendaal)<\/option><option value='68311' >Kick-It Academy (Spaanseweg 3, Rotterdam)<\/option><option value='70976' >Kickboks Academy Tilburg (Von Supp\u00e9straat 35, Tilburg)<\/option><option value='68947' >Kickboxing 010 (Laantjesweg 230, Rotterdam)<\/option><option value='59477' >Kickfit (Slingerweg 110, Breda)<\/option><option value='72089' >Kidssafety Oosterhout (Wilhelminalaan 117, Oosterhout NB)<\/option><option value='66298' >Kidssport (Aronskelkstraat 43B, Rotterdam)<\/option><option value='71187' >Kihin Martial Arts Breda (Dennenbroek 6, Breda)<\/option><option value='51142' >Kikkersprong B.V. zwemschool (Postbus 1772, Eindhoven)<\/option><option value='63334' >Kim4kidz (Duinkerkenlaan 30, Eindhoven)<\/option><option value='50508' >Kimaita (Larikslaan 188, Rotterdam)<\/option><option value='69217' >Klimcentrum Yellow-Stone (Buijenstraat 16, Roosendaal)<\/option><option value='92766' >Korfbal OZC (Immanuel Kantstraat 170, Rotterdam)<\/option><option value='70580' >Korfbal vereniging Tilburg (bladelstraat 1, Tilburg)<\/option><option value='54111' >Korfbalvereniging Terda (Willem Alexanderstraat 4, Breda)<\/option><option value='55928' >Korfbalvereniging Trekvogels (Folkert Elsingastraat 13 15, Rotterdam)<\/option><option value='92764' >Kralingsche Zeilclub (Langepad 25, Rotterdam)<\/option><option value='60383' >Krav Maga Breda (Speelhuislaan 149, Breda)<\/option><option value='54678' >Krav Maga International (Lodewijk Napoleonplein 35, Eindhoven)<\/option><option value='70419' >Kuk Sool Won Rotterdam (Prinsenlaan 82, Rotterdam)<\/option><option value='57415' >Kunst en Kracht Tilburg (Van Maarseveenstraat 105, Tilburg)<\/option><option value='64871' >Kunstzwemvereniging Synchro Breda (Hoge Steenweg 12A, Breda)<\/option><option value='93005' >Kyokushinkai (Rauwenshoffstraat 42, Rotterdam)<\/option><option value='53375' >LIBRA REVALIDATIE AUDIOLOGIE (Postbus 1355, Eindhoven)<\/option><option value='60111' >LTC Meijel (Heufesweg 27, Meijel)<\/option><option value='66653' >La Femme Vitaal Breda (Wolvenring 35, Breda)<\/option><option value='63465' >LaForsa (grote visserijstraat 85b1, Rotterdam)<\/option><option value='54457' >Leap studo Rotterdam (Jaxques Dutilhweg 203, Rotterdam)<\/option><option value='66684' >Lekker Fit met Sander \/ SSV (Arcenstraat 31, Rotterdam)<\/option><option value='52065' >Leon&#039;s Boxing Gym (Folkert Elsingastraat 13 13, Rotterdam)<\/option><option value='66337' >Leonis Ju Jitsu Club (Postbus 9276, Breda)<\/option><option value='72529' >Let&#039;s Go Fitness &amp; Health Club B.V. (Thurledeweg 93, Rotterdam)<\/option><option value='69996' >LethalSports (Tandwielstraat 24, Rotterdam)<\/option><option value='71954' >Levels Breda (Spinveld 66a9, Breda)<\/option><option value='58653' >Lighttown Fit (Nijenrode 67, Eindhoven)<\/option><option value='59937' >Lil Dragon (Speelhuislaan 143, Breda)<\/option><option value='54010' >Longo Breda (Postbus 4937, Breda)<\/option><option value='64470' >Lumens Freerunnen Commit 040 (Postbus 2077, Eindhoven)<\/option><option value='93813' >M&amp;R Sports (gerrit v\/d lindestraat 37C, Rotterdam)<\/option><option value='53721' >MATCH (Munnekeburenstraat 56, Tilburg)<\/option><option value='70245' >MHC D.E.S. (Eikendijk 25, Kaatsheuvel)<\/option><option value='67222' >MHC HOCO (Postbus 213, Oisterwijk)<\/option><option value='59156' >MMA Ruthless Fight Company (Schoterboshof 5, Rotterdam)<\/option><option value='53414' >MONK BOULDERGYM Eindhoven (Glaslaan 2, Eindhoven)<\/option><option value='66374' >MSV Delfshaven (Single 250, Rotterdam)<\/option><option value='57654' >MVC De Hangar (Zanddreef 156, Eindhoven)<\/option><option value='67276' >MVTO Martin Vloemans Tennis Opleiding (Haagwinde 11, Zevenbergen)<\/option><option value='67846' >Mabuhay Self-Defense (Mon Plaisir 2A, Etten Leur)<\/option><option value='55016' >Maeng-Ho Sportvereniging Martial-Arts Breda (Liniestraat 107, Breda)<\/option><option value='66104' >Majaheicha Ryu Made (Reestraat 5, Made)<\/option><option value='55939' >Makoto Dokokaj (Jasmijnstraat 3, Hoeven)<\/option><option value='71434' >Manege &#039;t Halster (Sportlaan 2, Oisterwijk)<\/option><option value='66636' >Manege Hoeve Galderzicht Hippique (Rijsbergsebaan 9, Breda)<\/option><option value='55911' >Manege Molenschot (Broekstraat 30, Molenschot)<\/option><option value='59478' >Manege Overbos (Beekse Stationsweg 2, Prinsenbeek)<\/option><option value='62044' >Manege Pullens (van Haestrechtstraat 36A, Kaatsheuvel)<\/option><option value='53091' >Manege Schanswijk (Kanaalweg 82, Rotterdam)<\/option><option value='65620' >Manege Sintels BV (Rijsbergseweg 590, Breda)<\/option><option value='70350' >Manege Thielen (Oudelijn 7, Tilburg)<\/option><option value='90953' >Manege Visdonk (Marterdreef 5, Roosendaal)<\/option><option value='58532' >Manege de Belle (Bellendreef 4, Etten Leur)<\/option><option value='51993' >Manege de Drechterweide (Zuiderparkweg 606, Rotterdam)<\/option><option value='56016' >Manege de Rosrakkers (Bavelstraat 11A, Dorst)<\/option><option value='58542' >Man\u00e9g\u00e8 Piaffe (Roosendaalsebaan 76a, Oud Gastel)<\/option><option value='50243' >Marell Sports tennisacademy (Vijfkamplaan 10, Eindhoven)<\/option><option value='68352' >Master Soccer Academy (Smeetslandseweg 15, Rotterdam)<\/option><option value='66767' >Medifit Breda (Zoete Inval 29, Breda)<\/option><option value='71003' >Medisports Etten Leur BV (Voorsteven 32, Etten Leur)<\/option><option value='51508' >Mega Training (Spoorweghaven 172, Rotterdam)<\/option><option value='59056' >Mesa Sport Boxing &amp; Fitness (Van Berckenrodestraat 13, Rotterdam)<\/option><option value='92776' >Middelland (Berkelselaan  b 78, Rotterdam)<\/option><option value='69467' >Mimfit (Sommelsdijkstraat 17, Rotterdam)<\/option><option value='58780' >Mixx Sports (Reinaertlaan 39, Eindhoven)<\/option><option value='69716' >Moerseboys (Akkermolenweg 11, Zundert)<\/option><option value='64995' >Monk Bouldergym Rotterdam B.V. (Ceintuurbaan 183, Rotterdam)<\/option><option value='71973' >Monkey Moves Eindhoven (Tarasconweg 2, Eindhoven)<\/option><option value='73038' >Monkey Moves Rotterdam (Bizetlaan 8, Rotterdam)<\/option><option value='55434' >Monteiro Gym Rotterdam (Dr.Zamerhofstraat 57d, Rotterdam)<\/option><option value='59354' >Morgenstond Schoonspringen (zwem baden Den Haag) (Soentedaalsestraat 29c, Rotterdam)<\/option><option value='54054' >Move On (Jan Vermeerlaan 115, Roosendaal)<\/option><option value='93250' >MoveDis (Beijerlandselaan 51, Rotterdam)<\/option><option value='58213' >Muay Thai Academy Duran Gym (Raedeckerstraat 9, Eindhoven)<\/option><option value='53077' >Muay Thai Siva (Rekerdijk 61, Rotterdam)<\/option><option value='58522' >My Gym Club (Ir Kalffstraat 224, Eindhoven)<\/option><option value='73174' >My Health De Wegwijzer B.V. (Steendorpstraat 2, Breda)<\/option><option value='64105' >My Way Fitness (Banmolen 15, Meijel)<\/option><option value='64546' >MyLife Breda BV (Zandoogjes 15, Breda)<\/option><option value='52903' >NAC Breda (Stadionstraat 23, Breda)<\/option><option value='70276' >NIBBANAGYM (onderdeel van Mindfulnessopschool) (Melanchtonweg 70, Rotterdam)<\/option><option value='92778' >NKBV-Regio Rotterdam (Nico van der Valkweg 1010, Rotterdam)<\/option><option value='92779' >NOCKralingen (Kralingse Zoom 100-11, Rotterdam)<\/option><option value='62595' >Nederlandse Wushu Academie Xia Quan (Vijverhofstraat 64, Rotterdam)<\/option><option value='64895' >Neoliet Eindhoven (Vijfkamplaan 14, Eindhoven)<\/option><option value='70337' >O.S.V. Duikteam Argonauta (Meester Bierensweg 74, Prinsenbeek)<\/option><option value='73619' >OSADO (Mary Zeldenrustlaan 28, Rijen)<\/option><option value='69158' >OVC &#039;26 (Matterhornstraat 3-5, Tilburg)<\/option><option value='64688' >OZ&amp;PC De Warande (Postbus 216, Oosterhout NB)<\/option><option value='71164' >Okinawa Dragons (Breedschotsestraat 10A, Rijsbergen)<\/option><option value='63468' >OmiYoga (Dreessingel 72, Rotterdam)<\/option><option value='92781' >Ommoordse Mixed Hockey Club (O.M.H.C.) (Postbus 81070, Rotterdam)<\/option><option value='50105' >Ons Genoegen in Oranje (Amazonelaan 4, Eindhoven)<\/option><option value='63197' >Oosterbaan Gym (Laagjesweg 34, Rotterdam)<\/option><option value='68786' >Optimum Athletes (Schubertstraat 84, Tilburg)<\/option><option value='57021' >Optisport Den Butter (Hannie Schaftlaan 20, Rijen)<\/option><option value='56726' >Optisport Den Donk. (Sportlaan 12, Oisterwijk)<\/option><option value='66169' >Optisport Kunstijsbaan (Terheijdenseweg 506, Breda)<\/option><option value='53833' >Optisport Sonsbeeck B.V. (Pieter Christiaanstraat 2, Breda)<\/option><option value='58272' >Optisport Swimming Academy B.V. Tilburg (Postbus 4173, Tilburg)<\/option><option value='53902' >Optisport Wisselaar B.V. (Terheijdenseweg 494, Breda)<\/option><option value='68080' >Optisport Zundert BV (Wildertsedijk 61, Zundert)<\/option><option value='54444' >Optisport Zwembad Alexanderhof (Bramanteplein 2, Rotterdam)<\/option><option value='68941' >Outside Defense (Walhallalaan 114, Rotterdam)<\/option><option value='92785' >PC de Schieruiters en LR Schiebroek (volkelstraat 31, Rotterdam)<\/option><option value='53801' >PKC&#039;85 (Postbus 8090, Rotterdam)<\/option><option value='91859' >PSV GYMNASTIEK (Olympialaan 22, Eindhoven)<\/option><option value='91883' >PSV HANDBAL (Malmedylaan 14, Eindhoven)<\/option><option value='63430' >PSV Schermen (Oirschotsedijk 14b, Eindhoven)<\/option><option value='73380' >PSV Zwemsporten afd. wedstrijdzwemmen (Postbus 161, Eindhoven)<\/option><option value='71256' >PSV Zwemsporten, afdeling schoonspringen (Christina Bakker-van Bossestraat 8, Eindhoven)<\/option><option value='91813' >PSV zwemmen en waterpolo (Schalmstraat 37, Eindhoven)<\/option><option value='58937' >Paaldansstudio &amp; Dance Centre (Reigerstraat 22, Breda)<\/option><option value='65480' >Paardensportvereniging Trouwe Kameraden (Gilzeweg 43a, Chaam)<\/option><option value='63467' >Padelclub Victoria (Kralingseweg 226, Rotterdam)<\/option><option value='51996' >Pals fitness en fysiotherapie (Kristallaan 25a, Zevenbergen)<\/option><option value='66529' >Panna Knock Out Akkademie (Gouvernestraat 70E, Rotterdam)<\/option><option value='66264' >Parkour Breda (Generaal Maczekstraat 80, Breda)<\/option><option value='60957' >Pascale Swagemakers (Antwerpsestraat 28, Made)<\/option><option value='66256' >Pattaya Gym (Heenvlietstraat 44, Rotterdam)<\/option><option value='67025' >Pencak Silat Pukulan Tendangan Maduro (Hobokenstraat 353, Breda)<\/option><option value='62761' >Pendekar (Slaak 15, Rotterdam)<\/option><option value='54309' >Perisai-Diri (Hordijk 80, Rotterdam)<\/option><option value='53855' >Perisai-diri (Palmentuin 6, Rotterdam)<\/option><option value='55820' >Pier 15 | Indoor skate park Breda (Veilingkade 12, Breda)<\/option><option value='92788' >Portland Poema&#039;s (Oldegaarde 425, Rotterdam)<\/option><option value='57774' >Powerhouse 040 (Zandgolf 32, Eindhoven)<\/option><option value='68862' >Powerleague Holland Olympia (Rotterdam) (Leningradplaats 12, Rotterdam)<\/option><option value='92722' >Punjab Cricket Club Rotterdam (Zuiderparkweg 608, Rotterdam)<\/option><option value='73036' >R.B.T. Sports (Koenraad van Zwabenstraat 48, Rotterdam)<\/option><option value='92811' >R.K.S.V. Spartaan 1920 (ROTTERDAM) (Postbus 53109, Rotterdam)<\/option><option value='65327' >R.U.Inspired (Zestienhovensekade 361, Rotterdam)<\/option><option value='92792' >R.W.V. (Graaf Balderikstraat 36, Rotterdam)<\/option><option value='92793' >RAV Pro Patria ALO Combinatie (PAC) (Postbus 21334, Rotterdam)<\/option><option value='58983' >RBC voetbalvereniging (Borchwerf 4, Roosendaal)<\/option><option value='92819' >RBV Herman van T Hof (Slachthuiskade 39, Rotterdam)<\/option><option value='91887' >RC De Lichtstad (St. Trudostraat 1a, Eindhoven)<\/option><option value='91888' >RCE\/PSV  (rugby) (Postbus 778, Eindhoven)<\/option><option value='70783' >RFC OISTERWIJK OYSTERS (Scheibaan 2, Oisterwijk)<\/option><option value='70855' >RK Sport (Hollands tuin 79, Rotterdam)<\/option><option value='57074' >RKMSV (Heufesweg 24, Meijel)<\/option><option value='91861' >RKVV BRABANTIA (Postbus 8619, Eindhoven)<\/option><option value='53823' >RKVV DIA (Donkerstraat 34, Teteringen)<\/option><option value='70974' >RSC Alliance (Zundertseweg 17, Roosendaal)<\/option><option value='65203' >RTC Zuid-Oost (Antoon Coolenlaan 1, Eindhoven)<\/option><option value='92825' >RVV Kocatepe (Postbus 54075, Rotterdam)<\/option><option value='51995' >Racing Club \/ Blue Marlins (Schoenerplaats 72, Rotterdam)<\/option><option value='68963' >ReBalance Fysiotherapie (Brasschaatstraat 71, Breda)<\/option><option value='50357' >Real Parbo (Ln van Avantgarde 411, Rotterdam)<\/option><option value='60147' >Recreatie vereniging IJshockey Team Joe Bar (Laurierplein 39, Eindhoven)<\/option><option value='54116' >Reddingsbrigade Breda (Postbus 1199, Breda)<\/option><option value='62689' >Reddingsbrigade Moby Dick&#039;72 (Jurriaen Andriessenstraat 11, Rijen)<\/option><option value='65744' >Reddingsbrigade Tilburg &#039;98 (Hoevelakenstraat 45, Tilburg)<\/option><option value='56311' >Renzo Gracie Holland (Raiva Sports) (Slingerweg 118, Breda)<\/option><option value='71161' >RiDa-Kickboxing (Havenkwartier 29, Etten Leur)<\/option><option value='62690' >Rijense Handbal Vereniging (Hoofdstraat 67, Rijen)<\/option><option value='62691' >Rijense Schaakvereniging (Leibeemd 25, Rijen)<\/option><option value='92921' >Rio 010 (Sportzaal Pantarijn \/ Dubbelstraat 6, Rotterdam)<\/option><option value='66412' >Rising Star Foundation (Prinses Beatrixlaan 499, Rotterdam)<\/option><option value='67102' >Rodneysgym (Arkendonk 74, Oosterhout NB)<\/option><option value='56136' >Roeiver. De Maas (Veerdam 1, Rotterdam)<\/option><option value='69999' >Roosenheuvel -Bewuster Mens &amp; Paard &#8211; (Procureurweg 49, Dongen)<\/option><option value='73708' >Roshani Thaiboxing (Conradstraat 65, Rotterdam)<\/option><option value='92690' >Rotterdam Atletiek (Bentincklaan 40, Rotterdam)<\/option><option value='92163' >Rotterdam Basketbal (Sjanghailaan 275, Rotterdam)<\/option><option value='71265' >Rotterdam Jaguars (Lacrosse) (Honingerdijk 110, Rotterdam)<\/option><option value='92881' >Rotterdam United (West-Kruiskade 75b, Rotterdam)<\/option><option value='53666' >Rotterdams Twirl Team (van der Kloot-Meyburgstraat 20, Rotterdam)<\/option><option value='92817' >Rotterdamsche Cano Club (Kralingseplaslaan 133, Rotterdam)<\/option><option value='92818' >Rotterdamsche Zeilvereniging (Kralingse Plaslaan 113, Rotterdam)<\/option><option value='92820' >Rotterdamse Darts Organisatie (Postbus 91090, Rotterdam)<\/option><option value='73244' >Rotterdamse Kendo Vereniging Fumetsu (Werkhoefstraat 17, Rotterdam)<\/option><option value='92597' >Rotterdamse Reddingsbrigade (Van Bijnkershoekweg 126, Rotterdam)<\/option><option value='59861' >Rotterdamse Rugby Club (Duivenpad 12, Rotterdam)<\/option><option value='92824' >Rotterdamse Studenten Alpen Club (Korte Schoonderloosstraat 1, Rotterdam)<\/option><option value='55009' >Rotterdamse Watervrienden Kralingen Crooswijk (Anthony Tijkenstraat 19, Rotterdam)<\/option><option value='57777' >Round One Kickboksen (Gasthuisstraat 7, Kaatsheuvel)<\/option><option value='61393' >Rugbyclub Roosendaal Commando Combinatie\/Bekaro (Nispenseweg 5, Roosendaal)<\/option><option value='54226' >Ruitersportcentrum Breda (Overakkerstraat 372, Breda)<\/option><option value='54041' >Ruitersportcentrum de Roosberg (Bavelse Hei 9, Bavel)<\/option><option value='65882' >Rush World B.V. 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Nolenstraat 6, Oisterwijk)<\/option><option value='70319' >SPORTSCHOOL IKIGAI (Lange Brugstraat 43-B, Breda)<\/option><option value='64415' >SSC Zwemschool (Onze Lieve Vrouwestraat 1, Eindhoven)<\/option><option value='56387' >SSV 2Turn (Postbus 28214, Rotterdam)<\/option><option value='56673' >SSV ASV Advendo (Leni Sarishof 23, Rotterdam)<\/option><option value='56389' >SSV Altundag (Hoogvlietstraat 25, Rotterdam)<\/option><option value='56676' >SSV Erasmus Volley (Burgemeester Oudlaan 50, Rotterdam)<\/option><option value='56690' >SSV HC Feijenoord (Buitendijk 100C, Rotterdam)<\/option><option value='56806' >SSV Portland Poema&#039;s (Oldegaarde 425, Rotterdam)<\/option><option value='56713' >SSV SV Charlois (Baarschootsekreek 6c, Rotterdam)<\/option><option value='56832' >SSV Spirit Taekwon-do (Verboomstraat 87b, Rotterdam)<\/option><option value='56695' >SSV Tennisvereniging Intra 2000 (Dorpslaan 428, Rotterdam)<\/option><option value='56725' >SSV rc &amp; vv V.O.C. 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(Gerststraat 8, Rotterdam)<\/option><option value='56717' >SSv rghc Tempo 34 (Postbus 53088, Rotterdam)<\/option><option value='53797' >STAGS Honk- en softbalvereniging (Postbus 150, Etten Leur)<\/option><option value='91870' >SV  WOENSELSE BOYS (Postbus 1738, Eindhoven)<\/option><option value='53804' >SV Advendo Breda (Bastenakenstraat 36, Breda)<\/option><option value='55196' >SV Charlois (Baarschootsekreek 6c, Rotterdam)<\/option><option value='91867' >SV LEW (Elburglaan 53, Eindhoven)<\/option><option value='92170' >SV Ommoord (Postbus 85117, Rotterdam)<\/option><option value='91868' >SV TIVOLI (Dion de Karthuizerstraat 18, Eindhoven)<\/option><option value='54311' >SV Terheijden (Ruitersvaartseweg 1, Terheijden)<\/option><option value='91869' >SV UNITAS &#039;59 (Postbus 1135, Eindhoven)<\/option><option value='92954' >SVH waterpolovereniging (Kleiweg 307, Rotterdam)<\/option><option value='66996' >Samen Vita (Schiedamse Vest 154, Rotterdam)<\/option><option value='69163' >Samir Gym (Irislaan 54, Eindhoven)<\/option><option value='64729' >Schaakvereniging De Koddige Koning (Oostzeedijk 296a, Rotterdam)<\/option><option value='68405' >Schaakvereniging de Baronie (Duivelsbruglaan 13, Breda)<\/option><option value='68266' >Schaatsvereniging Ballangrud (Mezenlaan 33, Oosterhout NB)<\/option><option value='67323' >Schaatsvereniging De Striene West-Brabant (Pennendijk 5, Ulvenhout)<\/option><option value='57689' >Schaatsvereniging SV Rotterdam (Veenweg 20, Rotterdam)<\/option><option value='63994' >Scouting Andriessen groep (Hellestraat 2a, Oud Gastel)<\/option><option value='63925' >Scouting Angelo Roncalli (Postbus 7035, Eindhoven)<\/option><option value='65986' >Scouting Bonifaas Rijen (Sportparkweg 23, Rijen)<\/option><option value='59004' >Scouting Doornakkers (Urkhovenseweg 27, Eindhoven)<\/option><option value='54932' >Scouting Haagse Beemden (Somerweide 24, Breda)<\/option><option value='66106' >Scouting Made (Prinsenpolderstraat 44, Made)<\/option><option value='58120' >Scouting P\u00e8re Kersten Stratum (Geraniumstraat 4, Eindhoven)<\/option><option value='53825' >Scouting Sint Joris (Rietdijk 10, Breda)<\/option><option value='65813' >Scouting St. Rafael (Welschapsedijk 24, Eindhoven)<\/option><option value='53866' >Scouting St.Martinus (Doelen 36, Breda)<\/option><option value='59367' >Scouting Zevenbergen (Sportpark De Meeren, Westrand 10, Zevenbergen)<\/option><option value='62974' >Scoutinggroep William Miller (Geestakker 546, Eindhoven)<\/option><option value='73407' >Shape club (Willebrordusplein 21, Rotterdam)<\/option><option value='67365' >Shotocan Karateclub Etten Leur (Concordialaan 158, Etten Leur)<\/option><option value='54340' >Shotokan Karate Do Teteringen (Zuringveld 1, Teteringen)<\/option><option value='54127' >Shotokan Karate- do Youkou Breda (Rithsestraat 22, Breda)<\/option><option value='51787' >Silent Dragon Stichtseplein (Stichtsteplein 2, Rotterdam)<\/option><option value='58564' >Simon&#039;s zwemarena (Steenoven 10, Meijel)<\/option><option value='53083' >Skateland (Piekstraat 45, Rotterdam)<\/option><option value='68745' >Smash Tennis &amp; Padel (Westzeedijk 409D, Rotterdam)<\/option><option value='68164' >Smile2Bfit (Godevaert Montensstraat 2B14, Breda)<\/option><option value='72794' >Snap Fitness Breda (Tramsingel 23A16, Breda)<\/option><option value='73589' >Snap Fitness Nesselande (Corsicalaan 25, Rotterdam)<\/option><option value='63256' >Soccer Academy Spartaan (Zuidhoek 34, Rotterdam)<\/option><option value='66058' >Soccer School West SSW (Spaanseweg 3, Rotterdam)<\/option><option value='91025' >Sociaal Team Feijenoord (zuidplein 200, Rotterdam)<\/option><option value='70786' >Solid Tennis Academy (Stadhoudersweg 181, Rotterdam)<\/option><option value='66407' >Sonic&#039;s Gym (Andrian Janszstraat 1A, Rotterdam)<\/option><option value='62834' >Souldivers (henegouwerlaan 118, Rotterdam)<\/option><option value='51518' >Sparta Rotterdam (Spartapark-Noord 1, Rotterdam)<\/option><option value='71849' >Sparta boxing (Jacob Loisstraat 18, Rotterdam)<\/option><option value='69006' >Speeltuin &amp; Kinderkamer 110-morgen (Minosstraat 6, Rotterdam)<\/option><option value='54959' >Spirit Taekwon-do (Verboomstraat 87b, Rotterdam)<\/option><option value='61821' >Sport Performance Centre Rijnmond (Reitdiep 1, Rotterdam)<\/option><option value='68603' >Sport en Slank studio Oud-Gastel (Het Hof 2B, Oud Gastel)<\/option><option value='51954' >Sport inn (Grobbendonkstraat 20, Eindhoven)<\/option><option value='73317' >Sport4Unity (Ploegstraat 15, Rotterdam)<\/option><option value='71699' >SportCity Breda Franse Akker vestiging 002 (Go Vital) (Franse Akker 23, Breda)<\/option><option value='71700' >SportCity Breda Tramsingel vestiging 087 (Go Vital) (Tramsingel 48, Breda)<\/option><option value='71746' >SportCity Eindhoven Bisschop Beckerslaan vestiging 083 (Go Vital) (Bisschop Bekkerslaan 4, Eindhoven)<\/option><option value='73013' >SportCity Eindhoven-Mecklenburgstraat (Mecklenburgstraat 1a, Eindhoven)<\/option><option value='71550' >SportCity Rotterdam Blijdorp vestiging 073 (Go Vital) (Abraham van Stolkweg 50, Rotterdam)<\/option><option value='71551' >SportCity Rotterdam Ceintuurbaan vestiging 029 (Go VItal) (Ceintuurbaan 181, Rotterdam)<\/option><option value='71552' >SportCity Rotterdam Conradstraat vestiging 019 (Go Vital) (Conradstraat 40, Rotterdam)<\/option><option value='71553' >SportCity Rotterdam De Kuip vestiging 074 (Go Vital) (Cor Kieboomplein 507, Rotterdam)<\/option><option value='71554' >SportCity Rotterdam Lijnbaan vestiging 030 (Go Vital) (Wijde Kerkstraat 5, Rotterdam)<\/option><option value='71555' >SportCity Rotterdam Maashaven vestiging 089 (Go Vital) (Maashaven Z.z. 102, Rotterdam)<\/option><option value='71556' >SportCity Rotterdam Ommoord vestiging 081 (Go Vital) (Ommoordseweg 34, Rotterdam)<\/option><option value='71557' >SportCity Rotterdam ZOmerhofstraat vestiging 071 (Go Vital)3032CL (Zomerhofstraat 52, Rotterdam)<\/option><option value='71558' >SportCity Rotterdam Zuidplein vestiging 804 (Go Vital) (Zuidplein Hoog 605a, Rotterdam)<\/option><option value='73327' >SportPiazza Kaatsheuvel (Poolsestraat 14, Kaatsheuvel)<\/option><option value='51646' >Sportbedrijf Oisterwijk (Baerdijk 43, Oisterwijk)<\/option><option value='64980' >Sportbedrijf Oosterhout,  Recreatieoord de Warande (Wilhelminakanaal Zuid 66, Oosterhout NB)<\/option><option value='67772' >Sportbedrijf Rotterdam (Annie M.G. Schmidtplein 10, Rotterdam)<\/option><option value='91889' >Sportcentrum ELHATRI (Raedeckerstraat 11, Eindhoven)<\/option><option value='63031' >Sportcentrum Reeshof (Heereveldendreef 8, Tilburg)<\/option><option value='91864' >Sportcentrum Sportvision (Mensfortweg 20, Eindhoven)<\/option><option value='67032' >Sportcentrum West (via Sportbedrijf Rotterdam) (Spaanseweg 4, Rotterdam)<\/option><option value='53062' >Sportcentrum Wilgenring (via Sportbedrijf Rotterdam) (Melanchtonweg 70, Rotterdam)<\/option><option value='52419' >Sportclub &#039;t Zand (Middenschouwenstraat 12, Tilburg)<\/option><option value='67912' >Sportclub Damian\u00b4s (Stichting Het komt goed) (Heemskerkstraat 55, Breda)<\/option><option value='93092' >Sportclub Martial Arts Rotterdam (Hudsonstraat 75, Rotterdam)<\/option><option value='67863' >Sportclub Rudolf Conquet (Nikkelstraat 21, Rotterdam)<\/option><option value='69351' >Sportfondsen Oostelijke Zwembad (Gerdesiaweg 480, Rotterdam)<\/option><option value='63349' >Sportfondsen Oostervant (Oostervantstraat 25, Rotterdam)<\/option><option value='68860' >Sportfondsen Rotterdam Noord \/ Van Maanenbad (Van Maanenstraat 8, Rotterdam)<\/option><option value='70343' >Sporthelden van Meijel (Kalisstraat 30, Meijel)<\/option><option value='51038' >Sportieve Handy&#039;s (Hilledijk 192a, Rotterdam)<\/option><option value='63521' >Sporting Club de Uitweg (Uitweg 11b, Rotterdam)<\/option><option value='56769' >Sporting Experience Nederland (Kralingse Zoom 100, Rotterdam)<\/option><option value='56111' >Sports Up Healthcentre (De Wagemaekerstraat 1d, Eindhoven)<\/option><option value='64126' >Sportschool Bokito Camp (Kogelvangerstraat 52, Rotterdam)<\/option><option value='91057' >Sportschool Dekkers (Grasperk 34, Eindhoven)<\/option><option value='67177' >Sportschool IJsselmonde (Akkeroord 10, Rotterdam)<\/option><option value='93672' >Sportschool Jagan (Multatulistraat 104, Rotterdam)<\/option><option value='53909' >Sportschool Mats (Wandelakker 64, Breda)<\/option><option value='61577' >Sportschool MyHealth Breda (Chass\u00e9veld 9, Breda)<\/option><option value='65249' >Sportschool Sleeswijk (Lambertusstraat 80A, Rotterdam)<\/option><option value='91866' >Sportschool VERHOEVEN (St. Bonifatiuslaan 46, Eindhoven)<\/option><option value='59878' >Sportschool v. d. Heijden (Gaffelstraat 30, Breda)<\/option><option value='68525' >Sportschool013 (Korvelseweg 155A, Tilburg)<\/option><option value='66941' >Sportsfactory010 (Hijkerveld 9, Rotterdam)<\/option><option value='68650' >Sportspel010 (Italiaansestraat 23, Rotterdam)<\/option><option value='52489' >Sportstichting Rotterdam (Elsenhoek 11, Rotterdam)<\/option><option value='54130' >Sportstichting V.L.U.G. (Jeugdland 1, Ulvenhout)<\/option><option value='65128' >Sportswise Kralingen (Focus kickboksen) (IJsclubdwarsstraat 1, Rotterdam)<\/option><option value='59760' >Sportteam 2JAM (De Stoutheuvel 32, Eindhoven)<\/option><option value='65616' >Sportvereniging DIO Etten-Leur (Wouter Berthoutlaan 65, Etten Leur)<\/option><option value='92878' >Sportvereniging Hagendoorn Rotterdam-Zuid (Slinge  A 19, Rotterdam)<\/option><option value='54129' >Sportvereniging Liduina (Postbus 4967, Breda)<\/option><option value='71788' >Sportvereniging SV Reeshof (Kronenbergstraat 10, Tilburg)<\/option><option value='63865' >Sportvereniging Yildiz Kempo (van Galenstraat 86, Rotterdam)<\/option><option value='68773' >Stal &#039;t Sander (Sander 15, Etten Leur)<\/option><option value='59144' >Stal Balemans (Laanzichtweg 105, Teteringen)<\/option><option value='53958' >Stal Hoeveneind (Hoeveneind 118, Teteringen)<\/option><option value='60726' >Stal Huijbregts (Sprundelsebaan 119, Breda)<\/option><option value='65594' >Stal d&#039;n eerste stap (Weimersedreef 2, Prinsenbeek)<\/option><option value='72956' >Stalhouderij Oosthoek (Oude Bovendijk 216, Rotterdam)<\/option><option value='92870' >Steeds Hooger (Erasmuspad 9, Rotterdam)<\/option><option value='92871' >Sterker door Strijd (Groenendaal 363, Rotterdam)<\/option><option value='55902' >Stg Handbalschool Brabant (Linge 23, Kaatsheuvel)<\/option><option value='93217' >Stiching Jong (Mathenesserlaan 173, Rotterdam)<\/option><option value='50959' >Stichting 4sportmanagement (Watertorenweg 296, Rotterdam)<\/option><option value='70956' >Stichting Area51 (Ketelhuisplein 18, Eindhoven)<\/option><option value='57829' >Stichting BAS (Bredase Aangepaste Sporten) (Riethil 11, Breda)<\/option><option value='59638' >Stichting Capoeira Beto (Russischestraat 82a, Rotterdam)<\/option><option value='73102' >Stichting Dreamteam Foundation (Van Zandvlietplein 20, Rotterdam)<\/option><option value='61335' >Stichting Everybody Moves SEM (Dokstraat 47, Rotterdam)<\/option><option value='65304' >Stichting Feyenoord Foundation \/ Street League (Van Zandvlietplein 3, Rotterdam)<\/option><option value='63062' >Stichting Gehandicapten Tennis Alexanderstad (Speerdistel 10, Rotterdam)<\/option><option value='70075' >Stichting Hall of Fame next (Burgemeester Brokxlaan 6, Tilburg)<\/option><option value='58525' >Stichting Hapkido Bond Nederland (Versailleslaan 12, Eindhoven)<\/option><option value='58630' >Stichting Het Bonte Perdje (Wolfslaardreef 98, Breda)<\/option><option value='66257' >Stichting House of Esports (Persoonsdam 139, Rotterdam)<\/option><option value='68620' >Stichting Ik Kan (Strevelsweg 350, Rotterdam)<\/option><option value='63644' >Stichting Imperator Martial Arts (Iependaal 7, Rotterdam)<\/option><option value='72472' >Stichting Jeugdijshockey Tilburg Trappers (Stappegoorweg 3, Tilburg)<\/option><option value='65474' >Stichting Judo Yoshi Chaam (Bokkenweide 21, Chaam)<\/option><option value='59011' >Stichting Kodokan Pendrecht (Berkendaal 18, Rotterdam)<\/option><option value='72574' >Stichting Krav Maga Union (Locatie Rotterdam) (Jacques Dutilhweg 294, Rotterdam)<\/option><option value='59250' >Stichting Lekkerbewegengezondenfit (heindijk 97, Rotterdam)<\/option><option value='68303' >Stichting MoveQ Foundation (Nazarethstraat 7c, Rotterdam)<\/option><option value='65976' >Stichting Normal Difference Mind Health Project (Lepelaarsingel 87c, Rotterdam)<\/option><option value='58517' >Stichting Playfit (Hudsonstraat 89, Rotterdam)<\/option><option value='70847' >Stichting Regionale Voetbal Academy West-Brabant (Nispenseweg 3, Roosendaal)<\/option><option value='64125' >Stichting Reha (Stoker) (Prinsenlaan 80, Rotterdam)<\/option><option value='65754' >Stichting Rotterdamse Sporticonen (Westblaak 95, Rotterdam)<\/option><option value='65875' >Stichting Samen Sterker (Cornelia Wilbrenninckstraat 6, Rotterdam)<\/option><option value='59639' >Stichting Silent Dragon Holland (Baanweg 15D, Rotterdam)<\/option><option value='66848' >Stichting Soccerplus (Spaanseweg 32, Rotterdam)<\/option><option value='68302' >Stichting Sport Fit and Health (Franz Leharstraat 24, Rotterdam)<\/option><option value='68679' >Stichting Sport&#039;sCool (Verre Weiden 25, Rijen)<\/option><option value='67660' >Stichting Sportbureau Tino (Oostervantstraat 25, Rotterdam)<\/option><option value='53814' >Stichting Sportschool Sankaku (Postbus 442, Etten Leur)<\/option><option value='50498' >Stichting Stooer (Postbus 53054, Rotterdam)<\/option><option value='62735' >Stichting Team Landveld (Postbus 85233, Rotterdam)<\/option><option value='61149' >Stichting Team Loyalty (Aelbrechtskade 145, Rotterdam)<\/option><option value='68533' >Stichting Top Turnen Zuid-Holland (Van Zandvlietplein 20, Rotterdam)<\/option><option value='68359' >Stichting golfbaan Landgoed Bergvliet (Salesdreef 2, Oosterhout NB)<\/option><option value='68956' >Stichtng Orenda (Hijkerveld 9, Rotterdam)<\/option><option value='72375' >Studio Bagaya (Jan van Eyckgracht 47, Eindhoven)<\/option><option value='54003' >Studio Grease (waterloostraat 23, Breda)<\/option><option value='68103' >Studio Skye (Hurksestraat 19, Eindhoven)<\/option><option value='61331' >SuperPro Sportcenter (Campagneweg 38, Zevenbergen)<\/option><option value='65335' >Superpro Sportcenter010 (Gerard Scholtenstraat 44b, Rotterdam)<\/option><option value='61155' >Surfschool Hoek van Holland (Daan Kagchellandpad 22, Rotterdam)<\/option><option value='51033' >Susan&#039;s Pony Ranch (Reinaertlaan 32, Eindhoven)<\/option><option value='72216' >T.S.V. Gudok (Spaubeekstraat 201, Tilburg)<\/option><option value='92905' >TAFELTENNISvereniging Alexandria &#039;66 (Tattistraat 25, Rotterdam)<\/option><option value='67661' >TC Breda (Galderseweg 45, Breda)<\/option><option value='51839' >THES (Theo Koomenlaan 11, Eindhoven)<\/option><option value='59137' >TMO brabant (P\/A Rubenshof 63, Oosterhout NB)<\/option><option value='92898' >TPP Rotterdam (Feyenoord Futsal) (Postbus 81034, Rotterdam)<\/option><option value='54139' >TPV Heksenwiel (tennis en padel) (Lange Slagen 27, Breda)<\/option><option value='56782' >TSC Oosterhout (Warandelaan 10, Oosterhout NB)<\/option><option value='71304' >TSV Rapier (Bijvoetstraat 36, Dongen)<\/option><option value='54134' >TTV Belcrum (Kadijkje 7, Breda)<\/option><option value='92914' >TV Nedlloyd&#039;70 (Blaak 271, Rotterdam)<\/option><option value='51110' >TV de Lobbelaer (Postbus 192, Zevenbergen)<\/option><option value='70894' >TYR Boxing (Vlambloem 117, Rotterdam)<\/option><option value='58014' >Taekwon-Do Tiger Academy Geldrop (Matthijs de Layenslaan 41, Eindhoven)<\/option><option value='55584' >Taekwondo Breda (Archimedesstraat 4, Breda)<\/option><option value='91872' >Taekwondo Eindhoven (Cor Mellemalaan 5, Eindhoven)<\/option><option value='59877' >Taekwondo Oosterhout (Lodewijk Napoleonlaan 111, Oosterhout NB)<\/option><option value='67910' >Taekwondo vereniging Garuda Waalwijk (Jan Willemenstraat 9, Dongen)<\/option><option value='91871' >Taekwondo vereniging KAWARMALA (Kometenlaan 95, Eindhoven)<\/option><option value='54131' >Tafeltennisvereniging Breda (Viandenlaan 3, Breda)<\/option><option value='62693' >Tafeltennisvereniging D.I.O.R (De Vucht 25, Rijen)<\/option><option value='71357' >Tang Soo Do 010 (Adenstraat 25, Rotterdam)<\/option><option value='66083' >Taus Gym (Professor Romeinstraat 11, Tilburg)<\/option><option value='56957' >Team 69 (Goeseelsstraat 8, Breda)<\/option><option value='59445' >Team Agua (Josephstraat 10, Rotterdam)<\/option><option value='55058' >Team Coolen (Burgemeester van Beckhovenstraat 33, Oisterwijk)<\/option><option value='64657' >Team Elite (Ericssonstraat 2F, Rijen)<\/option><option value='68421' >Team Iron (Ernst Casimirstraat 26, Breda)<\/option><option value='66276' >Team Smits (Dijksterhuisstraat 80A, Tilburg)<\/option><option value='55857' >Team Soares Brazao (Ackersdijkstraat 67D, Rotterdam)<\/option><option value='65965' >Team Solo \/ Muay Thai Ichiban (Enk 134, Rotterdam)<\/option><option value='72960' >Team el Jackson (Carr\u00e9 103, Tilburg)<\/option><option value='61272' >Teamharagei (Machtstraat 6, Terheijden)<\/option><option value='70266' >Tennis Academy (&#039;t Hofflandt 17, Ulvenhout)<\/option><option value='65650' >Tennis Every Day (Waterloostraat 137a, Rotterdam)<\/option><option value='62695' >Tennisclub Cash (Postbus 56, Rijen)<\/option><option value='63466' >Tennispark OverdeSchie (Torenlaan 100, Rotterdam)<\/option><option value='58529' >Tennispark Princenhage (Rithsestraat 62, Breda)<\/option><option value='55261' >Tennisschool Alexander Hellinga (Boezemlaan 49b, Rotterdam)<\/option><option value='57543' >Tennisschool Matchpoint (ook voor TV Heksenwiel) (Duivenhof 15, Made)<\/option><option value='59377' >Tennisschool Selma Andrade (Leningradweg 50, Rotterdam)<\/option><option value='73440' >Tennisschool Tweener (in combinatie met TPV Heksenwiel) (Cannaertserf 5, Breda)<\/option><option value='68636' >Tennisvereniging &#039;t Ei (Pieter-Christiaanstraat 6, Breda)<\/option><option value='54169' >Tennisvereniging BLTV (Ruitersboslaan 44, Breda)<\/option><option value='55492' >Tennisvereniging Bavel (Bavelsehei 5, Bavel)<\/option><option value='56737' >Tennisvereniging Bokt (de koppele 32, Eindhoven)<\/option><option value='60956' >Tennisvereniging Breda Noord (optioneel met Racket Academy) (Ma Ueberfeldstraat 1, Breda)<\/option><option value='65476' >Tennisvereniging Chaam (Gilzeweg 43b, Chaam)<\/option><option value='91874' >Tennisvereniging DE DOORNAKKERS (Fernhoutstraat 1, Eindhoven)<\/option><option value='54138' >Tennisvereniging De IJpelaar (Trompenburgstraat 4, Breda)<\/option><option value='54061' >Tennisvereniging Haagse Beemden (Kantenbeemd 1, Breda)<\/option><option value='52133' >Tennisvereniging Intra 2000 (Dorpslaan 428, Rotterdam)<\/option><option value='54140' >Tennisvereniging Markant (Postbus 1166, Breda)<\/option><option value='58631' >Tennisvereniging Meerhoven (Grasmus 32, Eindhoven)<\/option><option value='62710' >Tennisvereniging Molenschot (Veenstraat 65 65, Molenschot)<\/option><option value='91873' >Tennisvereniging PRINSEJAGT (Postbus 1504, Eindhoven)<\/option><option value='70970' >Tennisvereniging Prinsenbeek (Heikantsestraat 37, Prinsenbeek)<\/option><option value='55804' >Tennisvereniging Tegenbosch (Postbus 1855, Eindhoven)<\/option><option value='54142' >Teteringse Tennisvereniging (Donkerstraat 44, Teteringen)<\/option><option value='93003' >The Fitnessclub (Abraham van Stolkweg 50, Rotterdam)<\/option><option value='73450' >The Get Fit Project \/ Lekker Fit met Sander (Kangoeroestraat 5, Breda)<\/option><option value='59341' >The Kickboxing Society (Philitelaan 57, Eindhoven)<\/option><option value='71661' >The Kickboxing Society Rotterdam (Vroesenpad 1, Rotterdam)<\/option><option value='55977' >The Old School Rotterdam (Zomerhofstraat 76, Rotterdam)<\/option><option value='70552' >The Punch Boxing Tilburg (Ringbaan-Noord 105C, Tilburg)<\/option><option value='59368' >The Talent Academy (Rotterdam) (Prinsenlaan 991, Rotterdam)<\/option><option value='62711' >The Twilights (Riekevoort 24, Rijen)<\/option><option value='72638' >Tilburge kunstrijvereniging (Stappegoorweg 3, Tilburg)<\/option><option value='72931' >To The Max Gym (Mr. Aalbersestraat 13A, Terheijden)<\/option><option value='58043' >Tom Dewit Karate Kickboxing Breda (Postbus 6833, Breda)<\/option><option value='57452' >Top Basketball Brabant (Transformatorstraat 42, Eindhoven)<\/option><option value='59669' >Topsport Talentschool (LOOT) (Postbus 4083, Eindhoven)<\/option><option value='62642' >Total Body Worx (Antwerpseweg 8, Rijsbergen)<\/option><option value='58781' >Totally Fit (Rosseelstraat 2, Eindhoven)<\/option><option value='92899' >Trackstars Nesselande (Palestinastraat 61, Rotterdam)<\/option><option value='52177' >Train more Eindhoven (Lichttoren 14, Eindhoven)<\/option><option value='68199' >TrainMore Rotterdam Blaak BV (Botersloot 549, Rotterdam)<\/option><option value='68198' >TrainMore Rotterdam Coolsingel B.V. (Coolsingel 51, Rotterdam)<\/option><option value='72681' >Training By Tim (Zwaanshals 272A, Rotterdam)<\/option><option value='73293' >Trainmore Rotterdam Delftse Poort (Weena 505, Rotterdam)<\/option><option value='51818' >Triathlon Vereniging &quot;de Langstraat&quot; (Dillehof 41, Oosterhout NB)<\/option><option value='53422' >Trinitas (Sportlaan 20, Oisterwijk)<\/option><option value='72746' >Turbine Sports (Korvelseweg 111, Tilburg)<\/option><option value='64385' >Turn- en gymnastiekvereniging FLOS (Jeroen Boschstraat 6, Rijen)<\/option><option value='56810' >Twenty One Up (Kortebrantstraat 13, Rotterdam)<\/option><option value='54227' >Twice! Dansstudio (Bergdreef 36, Breda)<\/option><option value='63287' >Twin Sporting Club Oosterhout (Kasteeldreef 30, Oosterhout NB)<\/option><option value='57556' >Twirl en Majorette Vereniging Expression (Sterrenkroos 178, Breda)<\/option><option value='67640' >U-Boxr (Aalsdijk 16, Rotterdam)<\/option><option value='73400' >Underground Movement \/ Empowermoves (Talingstraat 8, Rotterdam)<\/option><option value='54160' >Unitas&#039;30 (Muldersweg 104, Etten Leur)<\/option><option value='72389' >United Cricket Club of Eindhoven UC (Atletieklaan 1Atletieklaan, Eindhoven)<\/option><option value='63801' >Unity&#039;99 Rotterdam (Swalm 4, Rotterdam)<\/option><option value='55296' >Urban 010 baseball en softball (hilledijk 189f, Rotterdam)<\/option><option value='71053' >Urban Sports NV80 (Stichting Pendrecht Vooruit) (Nieuw-Vossemeerweg 80, Rotterdam)<\/option><option value='71337' >V.V Brabantia (Rijstenweg 1, Eindhoven)<\/option><option value='69153' >V.V. DSE (Olympiade 25, Etten Leur)<\/option><option value='71497' >V.V. Internos (Olympiade 7, Etten Leur)<\/option><option value='55735' >V.V. Oosterhout (Weststadweg 1, Oosterhout NB)<\/option><option value='91155' >V.V. Seolto Zevenbergen (Sportpark &quot;De Meeren&quot;, Westrand 9, Zevenbergen)<\/option><option value='66718' >V.V. Zigo (Jac. van Vollenhovenstraat 304, Tilburg)<\/option><option value='92920' >V.V.O.R. (Prinsenlaan 991, Rotterdam)<\/option><option value='59212' >VC &#039;t Aogje (Jacob Edelstraat 24A, Breda)<\/option><option value='91885' >VCE \/ PSV (Opwettensemolen 284, Eindhoven)<\/option><option value='58061' >VLC Breda (Weversdries 12, Ulvenhout)<\/option><option value='92692' >VOETBALvereniging Alexandria &#039;66 (Postbus 8069, Rotterdam)<\/option><option value='93683' >VV Acht (Swalmstraat 2, Eindhoven)<\/option><option value='59771' >VV Chaam (Gilzeweg 45A, Chaam)<\/option><option value='91182' >VV DBS (Sportpark Meerhoven, Het Schaapsdijk 109, Eindhoven)<\/option><option value='66109' >VV DIOZ (Bosschenhoofdseweg 4, Zegge)<\/option><option value='91875' >VV GESTEL (Postbus 7927, Eindhoven)<\/option><option value='91876' >VV NIEUW WOENSEL (Atletieklaan 1, Eindhoven)<\/option><option value='91877' >VV RPC (Cliviastraat 5a, Acht)<\/option><option value='91878' >VV WODAN (Postbus 1254, Eindhoven)<\/option><option value='71929' >VV hoeven (&#039;t Groot Stuk 1, Hoeven)<\/option><option value='56763' >Van der Valk Hotel eindhoven (Aalsterweg 322, Eindhoven)<\/option><option value='70236' >Vechtsport-Centrum.nl BV (Oostervantstraat 25, Rotterdam)<\/option><option value='65853' >Verhoeven Training (Ruwenberg 15, Eindhoven)<\/option><option value='92923' >Victoria Squash (Kralingseweg 226, Rotterdam)<\/option><option value='67827' >Vitasports (Burgemeester Passtoorsstraat 30, Breda)<\/option><option value='65755' >Voetbalacademie Balvast (Zevenkampse Ring 330, Rotterdam)<\/option><option value='57102' >Voetbalschool Joga Bonito (Jonathanstraat 49, Eindhoven)<\/option><option value='64263' >Voetbalschool Progressie (InFootball Agency) (Nystadstraat 66, Rotterdam)<\/option><option value='52652' >Voetbalvereniging BSC (Nispenseweg 1, Roosendaal)<\/option><option value='54147' >Voetbalvereniging Baronie (Postbus 4731, Breda)<\/option><option value='54148' >Voetbalvereniging Bavel (Bavelsehei 7, Bavel)<\/option><option value='53125' >Voetbalvereniging Berkdijk (Baan 17, Kaatsheuvel)<\/option><option value='51196' >Voetbalvereniging Desk (Van Heeswijkstraat 41, Kaatsheuvel)<\/option><option value='67632' >Voetbalvereniging Dongen (Sint Josephstraat 171, Dongen)<\/option><option value='62713' >Voetbalvereniging Molenschot (ST.Annastraat 17, Molenschot)<\/option><option value='54150' >Voetbalvereniging PCP (Hooghout 58, Breda)<\/option><option value='62714' >Voetbalvereniging Rijen (Postbus 20, Rijen)<\/option><option value='70842' >Voetbalvereniging Rijsbergen (Laguitensebaan 56, Rijsbergen)<\/option><option value='54158' >Voetbalvereniging UVV &#039;40 (Jeugdland 1, Ulvenhout)<\/option><option value='91171' >Voetbalvereniging Virtus (Sportpark De Meeren, Westrand 3, Zevenbergen)<\/option><option value='54060' >Voetbalvereniging WDS 19 (Ganzerik 80, Breda)<\/option><option value='61292' >Voetbalvereniging Zundert (Wildertsedijk 22, Zundert)<\/option><option value='71962' >Voetjebal West-NB (de Heiberg 5, Schijf)<\/option><option value='73601' >Volley Tilburg (Pascalerf 8, Tilburg)<\/option><option value='62716' >Volleybalvereniging CSS (Teteringsedijk 250c, Breda)<\/option><option value='54161' >Volleybalvereniging De Burgst (Waterweegbree 191 191, Breda)<\/option><option value='52845' >Volleybalvereniging De Groene Ster (De Borgh, Ijshof 1, Zevenbergen)<\/option><option value='51336' >Volleybalvereniging Groene Ster (Eikenlaan 9, Oud Gastel)<\/option><option value='92932' >Volleybalvereniging Hou Stand (Spaanseweg 2, Rotterdam)<\/option><option value='66193' >Volleybalvereniging Nuvo&#039;68 (Brabis 57, Eindhoven)<\/option><option value='55868' >Volleybalvereniging Peelpush (Hagelkruisweg 71, Meijel)<\/option><option value='54163' >Volleybalvereniging Set-Up Prinsenbeek (Merlingsakker 5 5, Prinsenbeek)<\/option><option value='65303' >Vpt Lifestyle (Goudse Rijweg 292, Rotterdam)<\/option><option value='92926' >Vriendschap Zij Ons Doel (Langepad 31, Rotterdam)<\/option><option value='57383' >WIA Wakker In Alles (Zernikeplaats 514, Rotterdam)<\/option><option value='51822' >WIJEindhoven (Winston Churchilllaan 79, Eindhoven)<\/option><option value='63361' >WLC schaakvereniging (Gerretsonlaan 1A, Eindhoven)<\/option><option value='91127' >WMO Radar (Wilgenlei 790, Rotterdam)<\/option><option value='53298' >WOENSEL-WEST wijksportclub (Wenckenbachstraat 52, Eindhoven)<\/option><option value='92938' >Wago No Michi Oud-Ijsselmonde (Bovenstraat 132, Rotterdam)<\/option><option value='67275' >Waterscouting Matthijs Heldt Groep (Postbus 268, Zevenbergen)<\/option><option value='56178' >Waterscouting het Zuiderkruis Oosterhout (Wilhelminalaan 1, Oosterhout NB)<\/option><option value='92940' >Watersportvereniging &#039;t Oosten (Langepad 35, Rotterdam)<\/option><option value='92939' >Watersportvereniging Rotterdam (Langepad 27, Rotterdam)<\/option><option value='65832' >Watervrienden Rotterdam Overschie (Burgemeester Koningssingel 45, Rotterdam)<\/option><option value='67304' >Watson Sports (Jacques Dutilhweg 203, Rotterdam)<\/option><option value='70909' >Welkom Integratie \/ Panda Hockey Tilburg (Weteringlaan 203, Tilburg)<\/option><option value='92941' >Wen-Ti (Oude Binnenweg c 50, Rotterdam)<\/option><option value='71685' >Werkgroep Arm in Arm (Hoge Ham 84, Dongen)<\/option><option value='71186' >West Base Gym (voorheen Juist Juul) (Spinveld 22, Breda)<\/option><option value='54165' >Wielervereniging Breda (Postbus 2008, Breda)<\/option><option value='50920' >Willem II (amateurvereniging) (Goirleseweg 34, Tilburg)<\/option><option value='52969' >Willem II Voetbal Academie (BVO en Jeugd) (Goirleseweg 34, Tilburg)<\/option><option value='68143' >Willemsen Sport (Van Duivenvoordestraat 1A, Oosterhout NB)<\/option><option value='92942' >Willen is Kunnen (W.I.K.) (Victorieuxstraat 3, Rotterdam)<\/option><option value='70759' >Woman&#039;s World Fitness 2.0 (Tandwielstraat 16A, Rotterdam)<\/option><option value='65944' >Wushu &amp; Tai Chi Vlijt (Simon van der Stelstraat 4, Eindhoven)<\/option><option value='92948' >XerxesDZB (Postbus 8689, Rotterdam)<\/option><option value='66978' >YETI&#039;S BREDA (Terheijdenseweg 506, Breda)<\/option><option value='68810' >Yoga Ginneken \/ Studio Pippi (Viandenlaan 3, Breda)<\/option><option value='56527' >ZVV Eindhoven (Grassijsje 9, Eindhoven)<\/option><option value='63881' >Zen Kung Fu (Apeldoornstraat 1, Eindhoven)<\/option><option value='50318' >Zwem en Polo Club Rotterdam ( Z&amp;PC Rotterdam ) (Stadhoudersweg 31a, Rotterdam)<\/option><option value='91324' >Zwem en Polovereniging AEGIR (Kruburg 56, Eindhoven)<\/option><option value='63611' >Zwem- en Sportcentrum Eikenburg B.V. (Optisport) (Aalsterweg 283, Eindhoven)<\/option><option value='52497' >Zwem- en Waterpolovereniging NieMo Barracuda Nieuwerkerk a\/d IJssel (Zuidplas) (Jan Sluijtersstraat 7, Rotterdam)<\/option><option value='67189' >Zwembad Afrikaanderplein (Jacominastraat 41, Rotterdam)<\/option><option value='55222' >Zwembad Aquamarant (Laguitensebaan 62, Rijsbergen)<\/option><option value='62478' >Zwembad De Stok (De Stok 1, Roosendaal)<\/option><option value='55479' >Zwembad IJsselmonde (Dwarsdijk 80, Rotterdam)<\/option><option value='67186' >Zwembad Overschie (Koningssingel 43, Rotterdam)<\/option><option value='53986' >Zwembad Zevenkampse Ring (Sportfondsen Rotterdam) (Zevenkampse Ring 301, Rotterdam)<\/option><option value='71498' >Zwembad de Banakker Etten Leur (Parklaan 12, Etten Leur)<\/option><option value='66267' >Zwemcentrum Rotterdam (Sportbedrijf Rotterdam) (Annie M.G. Schmidtplein 8, Rotterdam)<\/option><option value='62717' >Zwemclub De Flippers (Beelstraat 12, Rijen)<\/option><option value='67500' >Zweminstituut locatie Breda (Hambroeklaan 1, Breda)<\/option><option value='71636' >Zweminstituut locatie Rotterdam (Benthemplein 10, Rotterdam)<\/option><option value='92812' >Zwemmen Rotterdam-Zuid (Korperweg 18, Rotterdam)<\/option><option value='60869' >Zwemschool Breda (Brabantlaan 1, Breda)<\/option><option value='60140' >Zwemschool De 3 Berken (Annevillelaan 42, Ulvenhout)<\/option><option value='61157' >Zwemschool Kikkersprong (locatie Rotterdam Charlois) (Gooilandsingel 7, Rotterdam)<\/option><option value='72702' >Zwemschool Kikkersprong (locatie Rotterdam Zuid, IJsselmonde) (Dwarsdijk 80, Rotterdam)<\/option><option value='67760' >Zwemschool Maaszwemmertjes (Sint-Jobskade 142, Rotterdam)<\/option><option value='67501' >Zwemschool Nextline (Emmasingel 20, Eindhoven)<\/option><option value='51862' >Zwemschool Van Geloof (Wilhelminastraat 35a, Made)<\/option><option value='71835' >Zwemschool het Zwemmertje (Toledolaan 4, Eindhoven)<\/option><option value='93195' >Zwemvereniging Animo (Wesselgansfortweg 139, Rotterdam)<\/option><option value='59581' >Zwemvereniging De Eindhovense Watervrienden (Postbus 1434, Eindhoven)<\/option><option value='54166' >Zwemvereniging SBC 2000 (Postbus 6912, Breda)<\/option><option value='54649' >Zwemvereniging WZ010 (Van Maanenstraat 8, Rotterdam)<\/option><option value='92701' >arsr Skadi (Noorderkanaalweg &#8211; 20, Rotterdam)<\/option><option value='92702' >asv Advendo (Leni Sarishof 23, Rotterdam)<\/option><option value='90684' >bavo europoort (Prins Constantijnweg  \u2013 99, Rotterdam)<\/option><option value='92706' >bc Asterix (Weigelialaan 33, Rotterdam)<\/option><option value='92708' >bc Doublet (Pergolesilaan 16, Rotterdam)<\/option><option value='92709' >bc Hillegersberg (Dirk Swarteveldplein 22, Rotterdam)<\/option><option value='92707' >bc de Lombard (Kobelaan 412, Rotterdam)<\/option><option value='64514' >biljartvereniging De Flotsers (Valkenakker 12, Chaam)<\/option><option value='64515' >biljartvereniging De Struivenbakkers (Wagenaarstraat 35, Tilburg)<\/option><option value='64513' >biljartvereniging De kromme Keu (Gilzeweg 26, Chaam)<\/option><option value='92717' >bv Ijsselzicht (Santandererf 19, Rotterdam)<\/option><option value='92718' >bv Kralingen (Adamshofstraat a 29, Rotterdam)<\/option><option value='92719' >bv Ommoord (Soderblomplaats 2, Rotterdam)<\/option><option value='92721' >bv Zuidwijk (Adr. Dortsmanstraat 1, Rotterdam)<\/option><option value='92715' >bv de Pijp (Hillelaan c 41, Rotterdam)<\/option><option value='92725' >ckc T.H.O.R. (Bredevoorde 36, Rotterdam)<\/option><option value='92726' >ckv N.I.O. (meidoornsingel 171, Rotterdam)<\/option><option value='92729' >cvv CVV-Mercurius (Postbus 54135, Rotterdam)<\/option><option value='92731' >de Egelantier Boys (Scherpenhoek 16, Rotterdam)<\/option><option value='92732' >de Rotterdamsche Manege Jockey Club (Kralingseweg 120, Rotterdam)<\/option><option value='92733' >duikvereniging Fire Divers (smetanalaan 23, Rotterdam)<\/option><option value='92735' >dv Rotterdam (Insulindestraat 36, Rotterdam)<\/option><option value='72173' >gewest Noord Brabant-Limburg-Zeeland van de KNSB (Bijsterveldenlaan 248, Tilburg)<\/option><option value='92744' >gv Kralingen (Charlotte de Bourbonlaan 21b, Rotterdam)<\/option><option value='92745' >gv Lombardijen (G.V.L.) (Homerusstraat 831, Rotterdam)<\/option><option value='92746' >gv Ommoord (Hanespoordoorn 24, Rotterdam)<\/option><option value='70852' >gymvereniging Samen Voor Terheijden (SVT) (Vlierlaan 27, Terheijden)<\/option><option value='92749' >hbsv R.I.S. &#039;98 (Ratelaarweg 4, Rotterdam)<\/option><option value='59173' >hc Oranje-Rood (Charles Roelslaan 7, Eindhoven)<\/option><option value='92751' >hcr Hockey Club Rotterdam (Hazelaarweg 2, Rotterdam)<\/option><option value='92752' >hsv Saints (Dr. J.J.P. Oudsingel 60, Rotterdam)<\/option><option value='92754' >hv Roda &#039;71 (Postbus 8317, Rotterdam)<\/option><option value='92755' >hv Victoria (Kralingseweg 226, Rotterdam)<\/option><option value='92756' >ihr Snails (Aalborgpad 9, Rotterdam)<\/option><option value='92761' >jv Hashi (Keverborgstraat 11, Rotterdam)<\/option><option value='92763' >koninklijke scherpschuttersvereniging Rotterdam (Postbus 44039, Rotterdam)<\/option><option value='92765' >krzv de Maas (Veerdam 1, Rotterdam)<\/option><option value='64519' >landelijke rijvereniging Juliana (Wildertstraat 17, Chaam)<\/option><option value='92767' >les Francophiles (Debijeweg 38, Rotterdam)<\/option><option value='92768' >lr Zuiderpark (Postbus 54059, Rotterdam)<\/option><option value='92769' >ltc Aeolus Oledo (Opzoomerstraat  b 26, Rotterdam)<\/option><option value='92771' >ltc Kralingen (IJsclubdwarsstraat 1, Rotterdam)<\/option><option value='92772' >ltc Plaswijck &#039;62 (Elisabethlaan 12, Rotterdam)<\/option><option value='92773' >ltv D.O.S.H. (Postbus 25163, Rotterdam)<\/option><option value='92780' >nvvo Aqua Viva (Spitsenhagen 7, Rotterdam)<\/option><option value='92783' >owsv de Grot (Statenweg -D 4, Rotterdam)<\/option><option value='92790' >psv Hermandad (Gerdesiaweg 80, Rotterdam)<\/option><option value='93191' >rbv Boxing &#039;82 (Spoorweghaven 307, Rotterdam)<\/option><option value='92598' >rc &amp; vv V.O.C. (Hazelaarweg 7, Rotterdam)<\/option><option value='92799' >rcsv Zestienhoven (Paltroklaan 35, Rotterdam)<\/option><option value='92800' >rcvv T.O.G.R. (Postbus 59133, Rotterdam)<\/option><option value='92801' >rghc Tempo 34 (Postbus 53088, Rotterdam)<\/option><option value='92803' >rhv Leonidas (Toepad 95, Rotterdam)<\/option><option value='92802' >rhv de Meeuwen (Wessel Gansfortweg 141, Rotterdam)<\/option><option value='92808' >rkc W.I.O.N. (Postbus 81169, Rotterdam)<\/option><option value='92809' >rksv Aeolus (Zomerdoorn 10, Rotterdam)<\/option><option value='53868' >rksv Groen-Wit (Postillonstraat 1, Breda)<\/option><option value='92810' >rksv Leonidas (Erasmuspad 9, Rotterdam)<\/option><option value='66595' >rksv Sarto (Gilzerbaan 251A, Tilburg)<\/option><option value='53777' >rkvv JEKA (Willem Alexanderstraat 19, Breda)<\/option><option value='92813' >rltc Lommerrijk (Postbus 34024, Rotterdam)<\/option><option value='92815' >rltv Deuce Again (Enk 140, Rotterdam)<\/option><option value='64687' >rmaas paardensport (Rijsbergsebaan 9, Breda)<\/option><option value='92828' >rov Triton (Postbus 2067, Rotterdam)<\/option><option value='92830' >rsbv Baros (Sonmansstraat b 72, Rotterdam)<\/option><option value='92831' >rskv Erasmus (Prinsenlaan c 621, Rotterdam)<\/option><option value='92832' >rsr Ivoren Toren (Violenstraat -A 16, Rotterdam)<\/option><option value='50067' >rss kv Kiryoku (Heer Dasnielstraat 23, Rotterdam)<\/option><option value='92833' >rstv Passing Shot (Struisenburgdwarsstraat c 12, Rotterdam)<\/option><option value='92836' >rsv Trekvogels (Den Uylsingel 175, Rotterdam)<\/option><option value='92841' >rv Nautilus (postbus 2535, Rotterdam)<\/option><option value='92842' >rv Rijnmond (Crooswijksebocht 100, Rotterdam)<\/option><option value='92839' >rv av Sparta (ROTTERDAM) (Postbus 8088, Rotterdam)<\/option><option value='92840' >rv de Hazelaar (Postbus 33001, Rotterdam)<\/option><option value='92843' >rv&amp;av Overmaas (Stadionlaan 15, Rotterdam)<\/option><option value='92844' >rvc Libanon &#039;50 (Postbus 2978, Rotterdam)<\/option><option value='92845' >rvv Blijdorp (Lisbloemstraat   B 76, Rotterdam)<\/option><option value='92846' >rvv Coal (Seringenstraat 22AB, Rotterdam)<\/option><option value='92848' >rvv GLZ Delfshaven (Spaanseweg 3, Rotterdam)<\/option><option value='92849' >rvv Hillesluis (Postbus 9473, Rotterdam)<\/option><option value='92850' >rvv L.M.O. (Postbus 91060, Rotterdam)<\/option><option value='92851' >rvv Neptunus-Schiebroek (Postbus 33124, Rotterdam)<\/option><option value='92698' >rvv Overschie (voorheen AGE-GGK) (Postbus 10101, Rotterdam)<\/option><option value='92852' >rvv Swift-Boys (Alberta Wellingpad 25, Rotterdam)<\/option><option value='92853' >rvv Transvalia ZW (Postbus 54125, Rotterdam)<\/option><option value='92854' >rvv V.O.B. (Verlaatstraat 38, Rotterdam)<\/option><option value='92857' >rwv Aeolus (Langepad 41, Rotterdam)<\/option><option value='54155' >s.v. SAB Breda (Vincent van Goghstraat 34, Breda)<\/option><option value='92862' >sc Excelsior (Postbus 4369, Rotterdam)<\/option><option value='92863' >sc Feyenoord (Olypiaweg &#8211; 74, Rotterdam)<\/option><option value='65325' >sc HOV \/ DJSCR (Prinses Beatrixlaan 499, Rotterdam)<\/option><option value='92864' >sc Neptunus (afd. honk-\/softbal) (Abraham van Stolkweg 31, Rotterdam)<\/option><option value='92868' >sg Overschie (Abtsweg 2, Rotterdam)<\/option><option value='92869' >sociaal culturele sportvereniging P.K.C. &#039;85 (Prinsenlaan 900, Rotterdam)<\/option><option value='70202' >stichting taekwondo pal-jang \/ vereniging lions gym (Achtmaalseweg 98B, Zundert)<\/option><option value='92872' >sv Atomium &#039;61 (Albert Giacomettipad 8, Rotterdam)<\/option><option value='92704' >sv BZC Zuiderpark (Postbus 91184, Rotterdam)<\/option><option value='92873' >sv D.R.L. (Postbus 91107, Rotterdam)<\/option><option value='92874' >sv DEHMusschen (Burgemeester Speelmanhof 19, Rotterdam)<\/option><option value='54045' >sv Fier (Azijnmakerstraat 40, Breda)<\/option><option value='92883' >sv Onesimus (Dopheide 32, Rotterdam)<\/option><option value='92884' >sv R.D.M. (Arie den Toomweg 40, Rotterdam)<\/option><option value='92885' >sv S.O. Rotterdam schaak (Top Naeffstraat 9, Rotterdam)<\/option><option value='92886' >sv Shah Mata (Brede Hilledijk 3, Rotterdam)<\/option><option value='92887' >sv Spartaan Turnen (ROTTERDAM) (Eben Haezerstraat 74, Rotterdam)<\/option><option value='64517' >tafeltennisvereniging Trefzeker (Willem Dreessingel 22, Etten-Leur NB)<\/option><option value='92892' >tc Schiebroek (Van Enckevoirtlaan 133, Rotterdam)<\/option><option value='92893' >tc T.O.E.G. (weegbreestraat 14, Rotterdam)<\/option><option value='92894' >tc Unilever Tennisclub (Daltonlaan 35, Rotterdam)<\/option><option value='92895' >tcr Oaze (Einsteinplaats 961, Rotterdam)<\/option><option value='92896' >the Flying Dutchmen Skydive Rotterdam (Zaventembaan 5, Rotterdam)<\/option><option value='92902' >tt Xerxes (Japarastraat 2, Rotterdam)<\/option><option value='92903' >ttc F.V.T. (Gerststraat 8, Rotterdam)<\/option><option value='92904' >ttv  het Centrum (Zevengetijdeklaver 38, Rotterdam)<\/option><option value='92909' >ttv Overschie (Zestienhovensekade  A 103, Rotterdam)<\/option><option value='92912' >tv Gymnastiek en Turnvereniging TENACO (Kroonstaddreef 27, Rotterdam)<\/option><option value='92915' >tv Ommoord (Ommoordsehof 4, Rotterdam)<\/option><option value='92916' >tv PhARO (Postbus 8005, Rotterdam)<\/option><option value='92917' >tv Victoria (Kralingseweg 226, Rotterdam)<\/option><option value='60882' >v.v. Beek Vooruit (Heikantsestraat 37B, Prinsenbeek)<\/option><option value='68149' >v.v. Madese Boys (Schietberglaan 10, Made)<\/option><option value='64959' >v.v. S.C.O (Elskensweg 9, Oosterhout NB)<\/option><option value='54005' >v.v. The Gunners (p\/a Lange Weide 187 187, Breda)<\/option><option value='92924' >voetbalvereniging H.W.D. (Helpen Winnen Durven) (Mathenesserweg  b 169, Rotterdam)<\/option><option value='92928' >vv CKC (Giraffestraat 71, Rotterdam)<\/option><option value='92929' >vv Fusion (Cornelis Outshoornstraat 25, Rotterdam)<\/option><option value='92931' >vv Hillegersberg (Postbus 34175, Rotterdam)<\/option><option value='53867' >vv TVC (Kwakkelhutstraat 102, Breda)<\/option><option value='92936' >vv Volley Zuid (Spinozaweg 398, Rotterdam)<\/option><option value='64522' >wielervereniging Smeekens-Chaam (Valkenakker 39, Chaam)<\/option><option value='92943' >wsv Blijdorp (Juliana van Stolberglaan 82, Rotterdam)<\/option><option value='92944' >wsv Crooswijk (Spangesekade d 111, Rotterdam)<\/option><option value='92945' >wsv Overschie (Groeninxstraat -c 9, Rotterdam)<\/option><option value='92946' >wsv Verenigde Liggers Delfshaven (Postbus 63193, Rotterdam)<\/option><option value='92947' >wv Aegir (Postbus 35032, Rotterdam)<\/option><option value='66561' >zwemschool juf angela (Van Duivenvoordestraat 1a, Oosterhout NB)<\/option><\/select><\/div><\/div><div id=\"field_2_98\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half filter_zwemmen_aanbieder field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_98'>Zoek een club<\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_2_98' type='text' value='' class='large'    placeholder='Vul de naam van de aanbieder in'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_97\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half populate-zwemmen-aanbieders gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_97'>Kies een club<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_97' id='input_2_97' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer een aanbieder<\/option><option value='52646' >Arendse Health Club (Terheijdenseweg 504, Breda)<\/option><option value='53833' >Optisport Sonsbeeck B.V. (Pieter Christiaanstraat 2, Breda)<\/option><option value='53902' >Optisport Wisselaar B.V. (Terheijdenseweg 494, Breda)<\/option><option value='50951' >SGZ sport &amp; wellness (Galgenweg 62, Zevenbergen)<\/option><option value='64980' >Sportbedrijf Oosterhout,  Recreatieoord de Warande (Wilhelminakanaal Zuid 66, Oosterhout NB)<\/option><option value='55222' >Zwembad Aquamarant (Laguitensebaan 62, Rijsbergen)<\/option><option value='67500' >Zweminstituut locatie Breda (Hambroeklaan 1, Breda)<\/option><option value='60140' >Zwemschool De 3 Berken (Annevillelaan 42, Ulvenhout)<\/option><\/select><\/div><\/div><div id=\"field_2_91\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half filter_cultuur_aanbieder field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_91'>Zoek een club<\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_2_91' type='text' value='' class='large'    placeholder='Vul de naam van de aanbieder in'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_87\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half populate-cultuur-aanbieders gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_87'>Kies een club<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_87' id='input_2_87' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer een aanbieder<\/option><option value='overig' >Overig<\/option><option value='72743' > Irene Bossier Violiste (Clarissenhof 473, Tilburg)<\/option><option value='63103' >010hiphop (Persoonsdam 142, Rotterdam)<\/option><option value='60145' >0161 Events (Pastoor Gillisstraat 101, Rijen)<\/option><option value='57985' >6stringmusic (Lohengrinlaan 15, Eindhoven)<\/option><option value='59565' >A different Tune \/ Sebas Honing (Lavadijk 152, Roosendaal)<\/option><option value='69697' >Abad\u00e1 Capoeira Rotterdam (Coloniastraat SSV Schiemond) 5, Rotterdam)<\/option><option value='60478' >AcroFitt Jazz Dance (Texelsestraat 18, Rotterdam)<\/option><option value='52359' >Aerobic Eindhoven (Frankendaal 20, Eindhoven)<\/option><option value='56531' >Afrika percussie \/ Hans de Vries (Ruivenstraat 81, Rotterdam)<\/option><option value='62439' >Agnes Oriental Dance (Susannadijk 153, Rotterdam)<\/option><option value='65039' >Aida \/ Rebelbass DJ School (Offenbachlaan 150, Eindhoven)<\/option><option value='56945' >Al Wahda, muziek en zang (Schietbaanlaan 100, Rotterdam)<\/option><option value='66515' >Ana Danst (Tarwelaan 56A, Acht)<\/option><option value='57317' >Ania Katynska, musicus (Mathenesserdijk 272B, Rotterdam)<\/option><option value='65451' >Anjoy Lokatie Eindhoven (Broekakkerseweg 1, Eindhoven)<\/option><option value='60838' >Anna Sasiadek (Lisdodde 63, Breda)<\/option><option value='63015' >Annam\u00e1ria Paizs (Aardrijk 3, Breda)<\/option><option value='57133' >Anne-Marie Mierlo (Staringstraat 20, Eindhoven)<\/option><option value='56584' >Annelieke Marselje \/ Vioolles (Weteringstraat 275, Rotterdam)<\/option><option value='57127' >Anneloes van Hout (Karel de Grotelaan 201, Eindhoven)<\/option><option value='65757' >Art Academy Rotterdam \/ Gamers of the West (Mathenesserdijk 16, Rotterdam)<\/option><option value='54180' >Art Zegelaar School voor Piano (De Muziek Experience) (Bloemfonteinstraat 39, Rotterdam)<\/option><option value='68094' >ArtHocKids (DJOJ Antony Duyklaan 7, Rotterdam)<\/option><option value='60142' >Arti-tof (Oude Bredaseweg 118, Etten Leur)<\/option><option value='57834' >Artimix (Haagweg 21, Breda)<\/option><option value='91268' >Ashakiran (Kurt Callostraat 11, Rotterdam)<\/option><option value='93738' >Atelier Cindy (Elandsgang 7, Eindhoven)<\/option><option value='69063' >Atelier De Kleine Vis (St. Zona Franca) (Bruijnstraat 1A, Rotterdam)<\/option><option value='73170' >Atelierbreda (Schapendreef 60, Breda)<\/option><option value='73638' >BOSS VISION Music School (Schoorveken 10, Rijen)<\/option><option value='91879' >BRUCE DANCE FACTORY EINDHOVEN (Postbus 2016, Eindhoven)<\/option><option value='68640' >Babette Labeij Music Academy \/ Rotterdam (Piekstraat 21A, Rotterdam)<\/option><option value='72191' >Balanszeta (locatie Kade040) (Henri Eversstraat 222, Rotterdam)<\/option><option value='58784' >Balletschool Liesbeth Hagenaar (Aldendriel 77, Eindhoven)<\/option><option value='90672' >Balletstudio Valentijn (Rechtestraat \u00a0 99, Eindhoven)<\/option><option value='57188' >Balletstudio Violetta (Grote Hagen 92, Rotterdam)<\/option><option value='51958' >Barbara Kurmann vioollessen (Grindweg 8, Rotterdam)<\/option><option value='69594' >Bart J. Schotman (Gitaarschool Den Haag) (Pieter de Hoochweg 1c, Rotterdam)<\/option><option value='68210' >Bas van Holt (Locatie Brielle) (Aelbrechtskade 12A2, Rotterdam)<\/option><option value='58282' >Batuque Capoeira Holland (Hoefplein 6, Terheijden)<\/option><option value='67346' >Bellita Carol Music &amp; Coaching (zangles) (Claes de Vrieselaan 72, Rotterdam)<\/option><option value='64756' >Bikmusic (Krabbendijkestraat 255, Rotterdam)<\/option><option value='52923' >Blokfluitles F. Schellart (C.P. Tielestraat 7b, Rotterdam)<\/option><option value='93730' >Blue Motion (Urkhovenseweg 490, Eindhoven)<\/option><option value='93603' >BodyBoost Dance (Mierberg 4, Roosendaal)<\/option><option value='53869' >Bowi Music \/ Mijn muziekles (Heezerweg 87, Eindhoven)<\/option><option value='71642' >Brassband Harp en Luit Vure (Postbus 30, Oosterhout NB)<\/option><option value='51416' >Breakdown, dansschool (Reamurstraat 23, Eindhoven)<\/option><option value='56378' >Bredase Muziekschool (Speelhuislaan 173, Breda)<\/option><option value='73620' >Brennan Music (Bredaseweg 195, Tilburg)<\/option><option value='73060' >Britt Lise Artwork (Prunuslaan 19, Roosendaal)<\/option><option value='63167' >BubblingTV (Texelsestraat 18, Rotterdam)<\/option><option value='51491' >Buikdansvereniging Soraya Sultan (Ploegstraat 21a, Rotterdam)<\/option><option value='68802' >Burdju Music \/ Muziekonderwijs (Schiehaven 15B, Rotterdam)<\/option><option value='56698' >B\u00e2d-i Sab\u00e2 Training &amp; Therapie (Zomereik 38, Eindhoven)<\/option><option value='73718' >CB Muziekschool   Cees Boeren (Zundertseweg 92, Schijf)<\/option><option value='91880' >CENTRUM VOOR DE KUNSTEN EINDHOVEN (Pastoor Petersstraat 180, Eindhoven)<\/option><option value='92166' >CJP &#8211; Centrum voor Pop en Jazz (Bredalaan 66, Eindhoven)<\/option><option value='63418' >Capoeira Do Futuro (Hoogstraat 208A, Eindhoven)<\/option><option value='57852' >Carlos Gutierrez \/ piano (Beukelsdijk 996, Rotterdam)<\/option><option value='61953' >Carlton Marks Walden Dance Studio (Hurksestraat 19, Eindhoven)<\/option><option value='64318' >Cecile Creusen Zangpedagoge (Schimmelpennincklaan 64, Etten-Leur NB)<\/option><option value='65781' >Centrum voor Pop en Jazz van Heijnsbergen (Europalaan 61, Eindhoven)<\/option><option value='66319' >Charlotte&#039;s dansstudio (Ambachtenlaan 97, Breda)<\/option><option value='57568' >Chi-Han Chai, pianoleraar (Burg. Meineszlaan 55a, Rotterdam)<\/option><option value='57284' >Chiel\u00b4s Productions (Donizettilaan 21, Eindhoven)<\/option><option value='52346' >Circus Rotjeknor (Veerlaan (Fenixloods) 19E, Rotterdam)<\/option><option value='68470' >Clay Lab (Claes de Vrieselaan 72, Rotterdam)<\/option><option value='70232' >Collab Studio&#039;s, Jairsingho Cicilia (Bijster 1, Breda)<\/option><option value='56555' >Coolibri Dance (Zestienhovensekade 176a, Rotterdam)<\/option><option value='65591' >Cor Links (Capucijnenstraat 43, Tilburg)<\/option><option value='55501' >Creative Promise (dans) (Stichtsteplein 3, Rotterdam)<\/option><option value='60903' >Culturele Educatie Charlois (Grondherendijk 54, Rotterdam)<\/option><option value='51018' >Cultuur is voor iedereen! (Mathenessedijk 293, Rotterdam)<\/option><option value='69506' >Cultuurhuis de Suite (Burgerhoutsestraat 23, Roosendaal)<\/option><option value='73153' >Cyourvoice  juf Charissa Spijkers (Spoorstraat 7, Roosendaal)<\/option><option value='91881' >DANCEMASTERS VERSPAANDONK (Kloosterdreef 84, Eindhoven)<\/option><option value='58284' >DJ school Breda (Grenssteen 27, Breda)<\/option><option value='51448' >DPFC Health Fit &amp; Dance (Hoofdvestiging, Alexanderpolder) (kromhoutstraat 13, Rotterdam)<\/option><option value='69504' >Da Moes (Bavelselaan 194, Breda)<\/option><option value='56264' >Damen drumservice (Hoolstraat 54, Teteringen)<\/option><option value='66375' >Damiano Fineschi Gitarist (Gildelaan 39A, Eindhoven)<\/option><option value='64623' >Dance 2 Beats \/ Rotterdam (Wolphaertsbocht 63B, Rotterdam)<\/option><option value='64160' >Dance 4 You (Fluwijnberg 12, Roosendaal)<\/option><option value='69137' >Dans Fit Fun (Jacob Marisstraat 23, Roosendaal)<\/option><option value='56287' >Danscentrum Eindhoven (Kruberg 15, Eindhoven)<\/option><option value='73085' >Danserwijk (Almystraat 14, Oisterwijk)<\/option><option value='59249' >Dansgarde C.S. De Geinrapers (p.a. Gerneraal Pattenlaan 124, Eindhoven)<\/option><option value='60143' >Danspas (Laurierhof 8, Etten Leur)<\/option><option value='56073' >Dansplein Roosendaal (Oliemolen 124, Roosendaal)<\/option><option value='69595' >Dansschool Bellyssima (Boomgaardsstraat 189, Rotterdam)<\/option><option value='56095' >Dansschool De Klerk (Oostervantstraat 25, Rotterdam)<\/option><option value='66381' >Dansschool Footstepz (Karimunstraat 50, Rotterdam)<\/option><option value='60327' >Dansschool Forza Danza (Wagnerplein 1, Tilburg)<\/option><option value='90753' >Dansschool Friends (Postbus 4084, Eindhoven)<\/option><option value='90754' >Dansschool Glam-R (Raedeckerstraat  B 15, Eindhoven)<\/option><option value='93009' >Dansschool IJsselmonde (Akkeroord 10, Rotterdam)<\/option><option value='53761' >Dansschool Indian Passion (Spartastraat (leslocatie) 1, Rotterdam)<\/option><option value='56349' >Dansschool Kralingen (Weteringstraat 275, Rotterdam)<\/option><option value='51990' >Dansschool Let&#039;s Dance (Laan van Magisch Realisme 49, Rotterdam)<\/option><option value='56149' >Dansschool Meyer et Fils (Henegouwerlaan 53B, Rotterdam)<\/option><option value='62819' >Dansschool No Difference (Sean redamplein 34a, Rotterdam)<\/option><option value='72426' >Dansschool Shakti (Hillevliet (leslocatie) 90, Rotterdam)<\/option><option value='90756' >Dansschool Step by Step (Vijfkamplaan B 16, Eindhoven)<\/option><option value='61579' >Dansstudio Bruya (Sabastraat 151, Breda)<\/option><option value='58707' >Dansstudio Djazzle (Gaffelstraat 65, Breda)<\/option><option value='59566' >Dansstudio Felice (Kastanjesingel 173c, Rotterdam)<\/option><option value='54046' >Dansstudio Nicole van Twist (Emerweg 29, Breda)<\/option><option value='58719' >Daphne Scherbeijn \/ zang (Nootdorpstraat 7 7, Rotterdam)<\/option><option value='56307' >De Bra Dance Masters (Stationsstraat 20, Roosendaal)<\/option><option value='57939' >De Dansfabriek (Esdoornlaan 32, Oosterhout NB)<\/option><option value='72974' >De Danshaven (Romeo Studios) (Slingerweg 93, Breda)<\/option><option value='50084' >De Maasstedelijke Koren (Berlagestraat 96, Rotterdam)<\/option><option value='69514' >De Nieuwkomers &#8211; Bente de Bruin (Kunstkameraden) (Baarleseweg 52A, Chaam)<\/option><option value='69469' >De Nieuwkomers &#8211; Joy Heijnen (kunstkameraden) (Baarleseweg 52A, Chaam)<\/option><option value='59469' >De Stemsleutel (Charlevillehof 31, Eindhoven)<\/option><option value='55491' >De Stilte (Markendaalseweg 75a, Breda)<\/option><option value='63658' >De Talentenfabriek (Sportlaan 77, Rotterdam)<\/option><option value='61183' >De Tekenacademie Rotterdam (Aleidisstraat 3, Rotterdam)<\/option><option value='71718' >De yoga zolder Roosendaal (Keijenburg 70, Roosendaal)<\/option><option value='66988' >Divergent Movements (Vlambloem 104, Rotterdam)<\/option><option value='54371' >Divine Music (Hogebanweg 111, Rotterdam)<\/option><option value='72636' >DoReMi Muziek &amp; Entertainment (Sassenheimstraat 17, Tilburg)<\/option><option value='53573' >Donovans Performing Arts (Gouvernestraat 56, Rotterdam)<\/option><option value='73278' >DreamChaserSquad (Persoonshaven 133, Rotterdam)<\/option><option value='59232' >Dress and Dance (Boomgaardsstraat 189, Rotterdam)<\/option><option value='72699' >Dromen in Kleur (Poundcake Studio\u2019s Westzeedijk (leslocatie) 475, Rotterdam)<\/option><option value='71874' >Drumles 013 (Van Alphenstraat 7, Tilburg)<\/option><option value='62965' >Drumles Rotterdam (Schelmeroord 13, Rotterdam)<\/option><option value='52476' >Drumschool Julius \/ Muziekcentrum Rotterdam (Ruivenstraat 81, Rotterdam)<\/option><option value='66896' >Drumstation (Jericholaan 20, Eindhoven)<\/option><option value='57088' >Drumstudio 101 (Spoorstraat 7, Roosendaal)<\/option><option value='67029' >Dutch Masters Entertainment \/ Break Dance Pier 80 (R\u00f6sener Manzstraat 80, Rotterdam)<\/option><option value='53845' >Dwarsfluit Famke van Daalen (Louwerslootstraat 164, Rotterdam)<\/option><option value='58758' >Eazy Duz It \/ dans (Ochterveldstraat 48, Rotterdam)<\/option><option value='60150' >Eigenwijzer Dans Akademie (Mathildastraat 21B, Oosterhout NB)<\/option><option value='57185' >Eindhovens Jeugdkoor (Lisven 15, Eindhoven)<\/option><option value='59910' >Eindhovens Muziek Collectief (Bergen op Zoomstraat 52, Eindhoven)<\/option><option value='69724' >Elena Balletschool | Rotterdam (Melanchtonweg (Sportcentrum Wilgenring) 70, Rotterdam)<\/option><option value='51950' >Ellen Rijk (Berdijksestraat 60a, Tilburg)<\/option><option value='68232' >Emma Huyghe Piano (Borchwerf 74, Roosendaal)<\/option><option value='70815' >Ensaid Modevakschool (Laagjes 36, Rotterdam)<\/option><option value='58658' >Eren Aksahin (Joubertstraat 74, Rotterdam)<\/option><option value='53623' >Escola Portatil de Musica Holanda (Kapelstraat 24, Rotterdam)<\/option><option value='64101' >Evenietsanderz (Kluizenaarstraat 12, Eindhoven)<\/option><option value='66914' >Eventiz, Dennis van Velthoven (Molenstraat 21, Roosendaal)<\/option><option value='51134' >Evites Dansschool (Baan (les) 74, Rotterdam)<\/option><option value='56361' >Expression Dance Praise (Menanderstraat (Wijkgebouw Lombardijen) 89, Rotterdam)<\/option><option value='69274' >FLXN Dansschool (Ketelhuisplein 18, Eindhoven)<\/option><option value='58875' >FUSE dance en events (Bredaseweg 47, Terheijden)<\/option><option value='53678' >Factorium Podiumkunsten (Koningsplein 11a, Tilburg)<\/option><option value='71570' >Fit by Nickyy (Zenostraat 105, Rotterdam)<\/option><option value='90823' >Flexx_n Dance Academy (Klokgebouw 212, Eindhoven)<\/option><option value='66907' >Flexx_n Dance Academy (Zuid-Holland) (Klokgebouw 212, Eindhoven)<\/option><option value='63716' >Fontys Hogeschool voor de Kunsten (Zwijsenplein 1gebouw ZP, Tilburg)<\/option><option value='71540' >Francien van lang illustrator (Heistraat 12, Rijen)<\/option><option value='57125' >Frank Grieten (Kreeftstraat 39, Eindhoven)<\/option><option value='53209' >Frederike Schonis (Lijsterbeslaan 71, Rotterdam)<\/option><option value='55841' >Free to Move!! (Herkingestraat 84, Rotterdam)<\/option><option value='50354' >Funk-R Entertainment (Dransebaan 36, Eindhoven)<\/option><option value='52981' >GOORBERGH, Lian van den (Eratolaan 23, Eindhoven)<\/option><option value='66945' >GeeGee gaming (Willem Buytewechstraat 147, Rotterdam)<\/option><option value='53978' >Gehannes Bandcoaching (Mauritsstraat 15, Eindhoven)<\/option><option value='63265' >Gerrit Jan Smit \/ (Melcherstraat 6, Rotterdam)<\/option><option value='59189' >Gitaar Factory (1e Middellandstraat 111, Rotterdam)<\/option><option value='92248' >Gitaar Podium (Talmastraat 90b, Rotterdam)<\/option><option value='70462' >GitaarPowerStudio (Van der Helmstraat 352, Rotterdam)<\/option><option value='55322' >Gitaarles Nesselande (Salvador Dalistraat 21, Rotterdam)<\/option><option value='61262' >Gitaarschool Carel Janssen (Poeijersstraat 63, Acht)<\/option><option value='61191' >Gitaarschool Gubbels (Bernhardlaan 5, Etten Leur)<\/option><option value='58336' >Gitaarschool Rotterdam (Proveniersplein 5, Rotterdam)<\/option><option value='66989' >Gitaarschool Schiebroek (Naberstraat 3, Rotterdam)<\/option><option value='64916' >Global Dance Productions b.v. ( Centre Locatie Rotterdam ) (Conradstraat 20, Rotterdam)<\/option><option value='67748' >Got 2 Groove (West) (Mathenesserdijk 247, Rotterdam)<\/option><option value='53753' >Got 2 Groove (in Crooswijk) (Goudseweg 15, Rotterdam)<\/option><option value='53759' >Got 2 Groove (in Delfshaven) (De Jagerstraat 53, Rotterdam)<\/option><option value='53758' >Got 2 Groove (in Oude Noorden) (Benthuizerstraat 101, Rotterdam)<\/option><option value='53215' >Got 2 Groove Dancecentre (De Jagerstraat 53, Rotterdam)<\/option><option value='67835' >Goya Dansstudio (Banierstraat 1, Rotterdam)<\/option><option value='66954' >H19 Centrum voor de Kunsten (Heuvel 19, Oosterhout NB)<\/option><option value='53269' >HANS SAIVE (Peellandlaan 48, Eindhoven)<\/option><option value='51555' >HAZAN, Turkse volksdansgroep (Poelaertstraat 16, Eindhoven)<\/option><option value='66686' >Hans Schot Muziek (Anne Frankplein 12, Rijen)<\/option><option value='72936' >Harmonie Vlijt en Eendracht (Gagelrijs 21, Rijen)<\/option><option value='57087' >Het Dansatelier (Dullaertlaan 8, Roosendaal)<\/option><option value='68434' >Het Kinderatelier (Zwaerdecroonstraat 62A, Rotterdam)<\/option><option value='51949' >Het KunstPodium (Hoge Ham 126, Dongen)<\/option><option value='68887' >Het Lab Rotterdam (Schiemond 20, Rotterdam)<\/option><option value='67765' >Het Muziekhuis van Rijckevorsel (Weerdstraat 35, Breda)<\/option><option value='68449' >Hikari Cheerleading (Koperslagerstraat 8, Rotterdam)<\/option><option value='56074' >HipHop Factory (Odiliapeelstraat 7, Tilburg)<\/option><option value='91251' >HipHopHuis (Delftsestraat 19a, Rotterdam)<\/option><option value='69317' >Hobbyclub Princenhage (Doelen 36, Breda)<\/option><option value='90615' >Hofplein Jeugdtheater Rotterdam (pieter de hoochweg 222, Rotterdam)<\/option><option value='53932' >Interact Dans Theater (Loostraat 8b, Eindhoven)<\/option><option value='70331' >IssyProductions \/ (Markt 79-81, Roosendaal)<\/option><option value='70330' >IssyProductions \/ De KunstCultuurCoach (Markt 79, Roosendaal)<\/option><option value='66689' >IvanCello \/ Muziekcentrum Rotterdam (Ruivenstraat &#039;t Kooster 81, Rotterdam)<\/option><option value='69480' >JA!Academy (Rosmolenplein 50, Tilburg)<\/option><option value='53803' >JLee dance (Schubertlaan 99, Rotterdam)<\/option><option value='57140' >Jaap van Wershoven (Ingenhouszlaan 11, Eindhoven)<\/option><option value='56454' >Jacqueline Bongers balletlessen (&#039;s Gravendijkwal 58a, Rotterdam)<\/option><option value='59633' >Jacqueline Janssen Zangcoach (Ceintuurbaan 19, Rotterdam)<\/option><option value='53767' >Jan Barten &#8211; Gitaarles Breda (Pottenbakkerstraat 14, Breda)<\/option><option value='69774' >Jan Terpstra (Pastoor Gillisstraat 114, Rijen)<\/option><option value='60040' >Jeroen Torrente (Priemkruid 90, Breda)<\/option><option value='59197' >Jeromusic prod (Kade 87, Roosendaal)<\/option><option value='68384' >Jeronimusgitaar (Burgerhoutsestraat 23, Roosendaal)<\/option><option value='70286' >Jeugdactiviteiten Oud-Mathenesse (Pinasplein 7A, Rotterdam)<\/option><option value='56486' >Jeugdcircus Woenzini (Teteringsedijk 87, Breda)<\/option><option value='56091' >Jeugdtheater Stapel (Van Bassenschoolstraat (basisschool De Kleine Prins) 19, Rotterdam)<\/option><option value='56680' >Jeugdtoneelschool Theater 4 ALL (Annecyhof 17, Eindhoven)<\/option><option value='53889' >Jong Euroband Rotterdam (Krabbendijksestraat 520, Rotterdam)<\/option><option value='64892' >Joost van Poppel Gitaar (Zonstraat 41, Breda)<\/option><option value='65399' >Jorge Nieuwenhuis Muziek Produkties (Azurietdijk 37, Roosendaal)<\/option><option value='64481' >Jos Theeuwes (Postbus 42, Breda)<\/option><option value='60928' >Judith van Boven (Baroniestraat 8, Prinsenbeek)<\/option><option value='70271' >Juna Guitar Class (Watertorenweg 160, Rotterdam)<\/option><option value='72909' >K-Motion (Bomanshof 217T, Eindhoven)<\/option><option value='73659' >K-Motion (Arnhem) (Ploegstraat 10, Oosterhout NB)<\/option><option value='59246' >KBS De Horizon (Kapelstraat 44, Prinsenbeek)<\/option><option value='68346' >KPO Joseph school (Meidoornlaan 1, Roosendaal)<\/option><option value='61848' >KPO de Appel (Van Goghlaan 9a, Roosendaal)<\/option><option value='70744' >Kaapse Kunst (Tolhuislaan 111, Rotterdam)<\/option><option value='55339' >Kalinka, Russisch Oekra\u00efns Zang- en Dansensemble (Burg. Meineszlaan 115b, Rotterdam)<\/option><option value='62867' >Kathelijnmuziek Pianoles MDTcollectiefHilvarenbeek (Plataanstraat 1, Tilburg)<\/option><option value='71428' >Kids Flow Yoga (Landmanstraat 2, Rotterdam)<\/option><option value='91833' >Kids on Ice (Armagnaclaan 34, Eindhoven)<\/option><option value='70237' >Kidsclub Pupillenbuurt \/ Vogelnest Altair (Pupillenstraat 60, Rotterdam)<\/option><option value='68059' >Kinderatelier Kleinkunst (St. Maartenstraat 24, Breda)<\/option><option value='57744' >Kindercircus Simsalabim (Postbus 1704, Eindhoven)<\/option><option value='73151' >Kinderkoor Puur, Aerts Muziek (Bisschop Zwijsenstraat 112, Tilburg)<\/option><option value='63783' >Klankfort (Ruysdaelbaan 106, Eindhoven)<\/option><option value='51931' >Klein Circus Hoeps (Langestraat 34, Tilburg)<\/option><option value='71526' >Koevoet dance department (Hazeldonkse Zandweg 19, Zevenbergen)<\/option><option value='72108' >Kooracademie Breda (Zandberglaan 58, Breda)<\/option><option value='72928' >Kunstatelier Kralingen (Vredehofstraat 78, Rotterdam)<\/option><option value='56041' >Kunstbalie (Postbus 605, Tilburg)<\/option><option value='60730' >Kunstlokaal Breda (Groot Ypelaardreef 16, Breda)<\/option><option value='63854' >Kwidam Womans Health Club (Cornelis de Vriendtstraat 39, Tilburg)<\/option><option value='65391' >L-Joy dancefactory (Lage Ham 184, Dongen)<\/option><option value='52900' >LATINIZE dans- en entertainment (de Sitterstraat 24, Eindhoven)<\/option><option value='53360' >LET&#039;S PLAY GUITAR CENTER (Tongelresestraat 445A, Eindhoven)<\/option><option value='59188' >LT Dans, dans op Katendrecht (Veerlaan (Fenixloods) 21, Rotterdam)<\/option><option value='59619' >LUXOR Musical Topklas (Posthumalaan 1, Rotterdam)<\/option><option value='50088' >La Barre (Bergse Linker Rottekade 319, Rotterdam)<\/option><option value='66506' >La MOVista Sport &amp; Dans (Van Alkemadehof 56, Rotterdam)<\/option><option value='70150' >Lian Waas via De Cultuurkantine (Proostenweg 15, Oosterhout NB)<\/option><option value='63261' >Lieke Daniels (Nazarethstraat 62, Tilburg)<\/option><option value='59190' >Life Time Wellness, dansles (Herenoord 8, Rotterdam)<\/option><option value='57631' >Lucia Marthas \/ Rotterdam (Prinsenlaan 82, Rotterdam)<\/option><option value='61374' >Lucie Hillen (weerschijnvlinder 9, Breda)<\/option><option value='58783' >Lucifers Slagwerk (Spinveld 66a hal 10, Breda)<\/option><option value='60113' >Lumens &#039;t Akkertje (Postbus 2077, Eindhoven)<\/option><option value='57507' >Lumens JSF Urban Sports (Postbus 2077, Eindhoven)<\/option><option value='68863' >Lux kinderyoga (Jacob van Campenplein 98, Rotterdam)<\/option><option value='57123' >Lydwien Donkers-Ravesloot (Charlevillehof 31, Eindhoven)<\/option><option value='53033' >M&amp;M Aerobicstudio (Torenlaan 19, Rotterdam)<\/option><option value='57803' >M.J. de Vries (Burgerhoutsestraat 23, Roosendaal)<\/option><option value='72437' >MD Mathijs Drums (Tolhuislaan 111, Rotterdam)<\/option><option value='68581' >MD Meijel Majorette en Dans (Molenstraat 64, Meijel)<\/option><option value='65595' >MInd Connected Dance Centre (Mathenesserdijk 247, Rotterdam)<\/option><option value='58969' >MKA Music (Beatrijsstraat 8b02, Rotterdam)<\/option><option value='66747' >Maarten Augustijn (Bouwensland 24, Zevenbergen)<\/option><option value='68347' >Maartje Dekker Muziek &amp; Kunst (Hagedoornstraat 18, Rotterdam)<\/option><option value='73304' >Maartje van Bijnen Vocal Center Oosterhout (Middachten 5, Oosterhout NB)<\/option><option value='62770' >Mad Science Zuid-Nederland (Vossenberg 10b, Breda)<\/option><option value='62758' >Made by Guuz (van Schootenstraat 23a, Breda)<\/option><option value='71032' >Marco Hoogerheide (Muziek collectiefhilvarenbeek Margret Engel) (Ringbaan-Noord 15608, Tilburg)<\/option><option value='68041' >Margo Groeneveld (Hordijk 127, Rotterdam)<\/option><option value='64726' >Margot Muziekschool (Zundertseweg 92, Schijf)<\/option><option value='66121' >Margreet Lugt (Viooldocent Muziekschool Hoeksche Waard) (Waterwerk 30, Rotterdam)<\/option><option value='57290' >Maria Le (Tivolilaan 39, Eindhoven)<\/option><option value='72748' >Marite Sainz (Cleveringahof 3, Rotterdam)<\/option><option value='63675' >Marjan Hoogeslag Muzikale Vorming (Marmuvo) (Doenradestraat 141, Breda)<\/option><option value='57112' >Mark Boonstra (De Vriesstraat 14, Eindhoven)<\/option><option value='66890' >Maroula Iliopoulou \/ danslessen (Heemraadssingel (leslocatie) 235, Rotterdam)<\/option><option value='63486' >Martine Sikkenk Muziekcentrum Rotterdam (Ruivenstraat 81, Rotterdam)<\/option><option value='61650' >Martine van de Kar (Hulsdonksestraat 120, Roosendaal)<\/option><option value='60100' >Maurice Spapens (Wilderen 281, Breda)<\/option><option value='71225' >Mesh Print Club (Zomerhofstraat 70, Rotterdam)<\/option><option value='69551' >Mijn Muziekles (Heezerweg 87, Eindhoven)<\/option><option value='68791' >MijnMuziekles BV (1e Wilakkersstraat 39, Eindhoven)<\/option><option value='90618' >Miranda Rademaker (Bongert 15, Rotterdam)<\/option><option value='63029' >Misiconi Dance Company (Van Langendonckstraat 15A, Rotterdam)<\/option><option value='56069' >Mixin&#039;Music (Weteringstraat 275, Rotterdam)<\/option><option value='59406' >Mixin&#039;Music John Visser Pianist (Weteringstraat 275, Rotterdam)<\/option><option value='56088' >Modelessen (Rotterdam) (Coolhaven 558, Rotterdam)<\/option><option value='72540' >Mok&#039;s Lions Rotterdam (Palmentuin 6, Rotterdam)<\/option><option value='58034' >Monique Oosterbos School voor de Kunsten Roosendaal Jeugdatelier ruimtelijk (Mathenesserstraat 49, Breda)<\/option><option value='59366' >Montauban muziekschool (Nautilusstraat 130, Tilburg)<\/option><option value='69347' >Move Along Studio \/ dans en yoga (Beijingstraat 7, Rotterdam)<\/option><option value='50310' >Moves Rotterdam\/Capelle (Gaffelstraat 59B, Rotterdam)<\/option><option value='56477' >Multimoves (Wilhelminastraat 20, Oud Gastel)<\/option><option value='68171' >Music Jungle Breda (Keislagen 17, Breda)<\/option><option value='61728' >Musicaja Zangschool (Bastionstraat 13, Breda)<\/option><option value='73617' >Muziek &amp; Ko (Hallenweg 7, Eindhoven)<\/option><option value='64411' >Muziek Academy (locatie Schiedam) (Groepstraat 37B, Rotterdam)<\/option><option value='73224' >Muziek Centrum Rotterdam \/ zangles van Emma Beukelman (Ruivenstraat 81, Rotterdam)<\/option><option value='65206' >Muziek van Jong tot Oud (Galmeidijk 53, Roosendaal)<\/option><option value='51751' >Muziekatelier ORKUN AGIR (1e Wilakkerstraat 33, Eindhoven)<\/option><option value='69468' >Muziekcentrum Rotterdam | Piano (Ruivenstraat 81, Rotterdam)<\/option><option value='54184' >Muziekeducatie John Swaab (Kraaijvangerstraat 27, Rotterdam)<\/option><option value='64565' >Muziekfabriek Eindhoven (Torenallee 345, Eindhoven)<\/option><option value='61273' >Muziekpraktijk Hilda Veen (Nieuwland 10, Bavel)<\/option><option value='67424' >Muziekschool Haagse Beemden &#8211; Wout Kwakernaat (Hoog Zand 9, Breda)<\/option><option value='67122' >Muziekschool Lokaal 15 (Boomgaardstraat 3B, Roosendaal)<\/option><option value='63696' >Muziekschool Plus (Hoofdstraat 146, Rijen)<\/option><option value='56907' >Muziekschool Theo Visser (Gildelaan 41, Eindhoven)<\/option><option value='60309' >Muziekschool Toon van den Maagdenberg (Vincent van Goghplein 16, Etten Leur)<\/option><option value='57086' >Muziekschool Vioolsolo (Frans Lisztstraat 308, Tilburg)<\/option><option value='66955' >Muziekstudio Princenhage &#8211; Bea Hakkens (Zuilenstraat 16, Breda)<\/option><option value='61608' >Muziekvereniging Constantia (Korhoen 11, Etten Leur)<\/option><option value='68167' >Muziekvereniging Vondel (Plantsoen 148, Prinsenbeek)<\/option><option value='63477' >NIek Hilkmann (Mathenesserweg 65b, Rotterdam)<\/option><option value='66716' >Nadia Rutkovska (Hoofdstraat 101, Terheijden)<\/option><option value='61346' >Napz Dance Studio (NDS) (Generaal Pattonlaan 124, Eindhoven)<\/option><option value='67712' >Natuurspeeltuin de Speeldernis (Roel Langerakweg 25b, Rotterdam)<\/option><option value='60144' >Nieuwe Nobelaer (Anna v Berchemlaan 2, Etten Leur)<\/option><option value='53802' >Nieuwe Veste (Postbus 1951, Breda)<\/option><option value='73037' >NioRhythm (Paradijsplein 16, Rotterdam)<\/option><option value='73373' >Noor Graat Kunstkwartier (St Servaasweg 2, Eindhoven)<\/option><option value='68847' >OTB Movement (Groene Hilledijk 237A, Rotterdam)<\/option><option value='61824' >Olga Mertsalova Forte-Piano (Stationsstraat 21K, Rijen)<\/option><option value='59179' >On the One (Klokgebouw 52, Eindhoven)<\/option><option value='50142' >Opus 51 (Van Blommesteynweg 51, Rotterdam)<\/option><option value='50347' >PULSE dansschool (Boerhaavelaan 35, Eindhoven)<\/option><option value='64249' >Parktheater Eindhoven (Theaterpad 1, Eindhoven)<\/option><option value='56340' >Patricia Kusuma (pianolessen) (Turfweg 47, Rotterdam)<\/option><option value='60041' >Paul van Osch (Kangoeroestraat 26, Breda)<\/option><option value='72430' >Pete Galea Musician (drumlessen) (Mijnsherenlaan 68C, Rotterdam)<\/option><option value='69807' >Petje af Hart van Brabant (Almystraat 14, Oisterwijk)<\/option><option value='67463' >Piano per tutti (Lange Weide 185, Breda)<\/option><option value='67206' >Pianoles Rotterdam (Burgemeester Meineszlaan 24D, Rotterdam)<\/option><option value='51268' >Pianolespraktijk Lether &amp; Van der Stelt (Hoofdlaan 16, Rotterdam)<\/option><option value='62299' >Pianopraktijk Tanya (Moleneind 14, Prinsenbeek)<\/option><option value='63668' >Pianoschool Ivo, Ivo Stuivenberg (Rubroekstraat 144d, Rotterdam)<\/option><option value='71938' >Pianostudio Roosendaal (Koraaldijk 35, Roosendaal)<\/option><option value='59058' >Piet Sap (muziek, drumles) (Burgerhoutsestraat 23, Roosendaal)<\/option><option value='55182' >Pieter Thijssen Gitaar Docent (Ennemaborg 9, Eindhoven)<\/option><option value='61256' >Pieter van Oosterhout (keyboarddocent) (Burgerhoutsestraat 23, Roosendaal)<\/option><option value='56874' >Podium Bloos (Speelhuislaan 151, Breda)<\/option><option value='66596' >Pole Inspiration Dance Studio (Admiraal de Ruyterweg 26a, Rotterdam)<\/option><option value='56099' >Popcorner Breda (Stadionstraat 9a, Breda)<\/option><option value='57835' >Popschool Jam-it! (Hondiusstraat 99, Rotterdam)<\/option><option value='51269' >Popschool Ommoord (Hesseplaats 100, Rotterdam)<\/option><option value='63440' >Praktijk YogiHeart (Hoveniersberg 112, Roosendaal)<\/option><option value='70746' >Raad &amp; Draad (Tolhuislaan 111, Rotterdam)<\/option><option value='61755' >Rian van de Bemd (Klein Brabant 120, Roosendaal)<\/option><option value='68204' >Roosendaal Music Academy (Borchwerf 4, Roosendaal)<\/option><option value='66820' >Roosendaals Toneel, afd. Jeugd (Stephanusdonk 11, Roosendaal)<\/option><option value='58804' >Rotterdam International Music School (Bentincklaan 294, Rotterdam)<\/option><option value='51331' >Rotterdams Centrum voor Theater (Mathenessedijk 293, Rotterdam)<\/option><option value='57426' >Rotterdams Jeugd Symfonie Orkest (Burgemeester Meineszlaan 119, Rotterdam)<\/option><option value='90329' >Rottier Dancemasters (Vijfhuizenberg 52, Roosendaal)<\/option><option value='69659' >Rowan Boele Performer &amp; Vocal Coach (Takkebijsters 7, Breda)<\/option><option value='59489' >Rufus Maas (Hoogstraat 300, Eindhoven)<\/option><option value='53781' >Rugged Studio (Klokgebouw 52, Eindhoven)<\/option><option value='67336' >Rumon Hagenaars Music (Beukenlaan 45, Oud Gastel)<\/option><option value='57132' >Ruud van der Meulen (Resumaborg 99999, Eindhoven)<\/option><option value='65949' >RvMovada Dance Studio (Ganzerik 3, Breda)<\/option><option value='58463' >S!NC, Lynsey Carli (Binnenweg 24, Breda)<\/option><option value='52415' >SHD school voor hedendaagse dans (Genneperweg 9, Eindhoven)<\/option><option value='90620' >SKVR (Hillevliet 90, Rotterdam)<\/option><option value='64325' >SKVR \/ Wijkcultuurschool (Hillevliet 90, Rotterdam)<\/option><option value='50637' >SKVR Brassbandschool Rotterdam (Hillevliet 90, Rotterdam)<\/option><option value='71271' >Sacha Baars (Schiedamseweg 39a, Rotterdam)<\/option><option value='56418' >Sadie Jayne Music (zangles) (Flakkeestraat 87c, Rotterdam)<\/option><option value='66069' >Sanne Verbogt (Nieuwstraat 35, Roosendaal)<\/option><option value='91882' >Sanshja Dance (Generaal Pattonlaan 124, Eindhoven)<\/option><option value='57876' >Saskia Boon pianopraktijk (Schieveenstraat 46, Rotterdam)<\/option><option value='57135' >Saskia Onstwedder-List (Maansteen 8, Eindhoven)<\/option><option value='73103' >Sazkursu (St. Amor) (Cillershoekstraat 1, Rotterdam)<\/option><option value='64051' >ScariDance (Coolhavenstaat 67, Rotterdam)<\/option><option value='69615' >Schaakvereniging D.S.C. (Rembrandtstraat 28, Dongen)<\/option><option value='68270' >Schaakvereniging De Pion (Burgerhoutsestraat 140, Roosendaal)<\/option><option value='54297' >School of Music (574 locaties in NL) (Willem Buytewechstraat 45, Rotterdam)<\/option><option value='56579' >School voor de Kunsten Roosendaal (Nieuwstraat 37, Roosendaal)<\/option><option value='53034' >School4Stars (Borchsatelaan 138, Rotterdam)<\/option><option value='55017' >Scouting  de Murk Jansengroep (Tilburgseweg 241, Breda)<\/option><option value='54963' >Scouting Albert Schweitzer Groep Breda (Frankenthalerstraat 6, Breda)<\/option><option value='62986' >Scouting Albert Schweitzer Groep Rotterdam (Prinsemolenpad 56, Rotterdam)<\/option><option value='72248' >Scouting Baden- Powell Roosendaal (Kalverstraat 1, Roosendaal)<\/option><option value='55018' >Scouting Blauwe Kei (postbus 4865, Breda)<\/option><option value='67675' >Scouting Brownseagroep &#039;66 (Kanaalweg 90, Rotterdam)<\/option><option value='69257' >Scouting Calandtroep (Overschiese Dorpsstraat 78, Rotterdam)<\/option><option value='73189' >Scouting Celtica (Kronenbergstraat 2, Tilburg)<\/option><option value='67641' >Scouting Charlois Rotterdam (Korperweg 6, Rotterdam)<\/option><option value='68350' >Scouting Cornelis Tromp (Prinsmolenpad 58, Rotterdam)<\/option><option value='69335' >Scouting De Ruyter (Ivoordistel 38, Rotterdam)<\/option><option value='68215' >Scouting Die Katinka&#039;s (stichting de Ketting) (Ommoordseweg 87, Rotterdam)<\/option><option value='69327' >Scouting Dorus Rijkers Nesselande (Cypruslaan 108, Rotterdam)<\/option><option value='54743' >Scouting Driesprong (Posthoorn 8, Teteringen)<\/option><option value='58789' >Scouting Erasmus Oosterhout (Beneluxweg 69, Oosterhout NB)<\/option><option value='55019' >Scouting Frederik Hendrik (Bavelse Hei 15, Bavel)<\/option><option value='70812' >Scouting Fridtjof Nansen (Boulevard Antverpia 9B, Roosendaal)<\/option><option value='55020' >Scouting Ginneken (Duivelsbruglaan 15-17-19, Breda)<\/option><option value='69337' >Scouting Hillegersberg (Schiebroeksesingel 8, Rotterdam)<\/option><option value='69329' >Scouting Impeesa (Lagelandsepad 47, Rotterdam)<\/option><option value='63797' >Scouting J.C.J. van Speijk (Taludweg 2, Rotterdam)<\/option><option value='63921' >Scouting JFC (Hazelaarweg 48, Rotterdam)<\/option><option value='69330' >Scouting John F. Coltheartgroep (Hazelaarweg 38, Rotterdam)<\/option><option value='67093' >Scouting Klaas Kittengroep (Hoge Limiet 186, Rotterdam)<\/option><option value='73706' >Scouting Martin Luther King (Burgemeester van Besouwlaan 2, Kaatsheuvel)<\/option><option value='67755' >Scouting Olivier van Noort (Honingerdijk 100, Rotterdam)<\/option><option value='69333' >Scouting Oranje Blauw groep 17 (Gordelweg 204B, Rotterdam)<\/option><option value='58381' >Scouting Prinses Irene Groep 45 (Lagelandsepad 8, Rotterdam)<\/option><option value='59642' >Scouting Prinses Irene Roosendaal (Lavadijk 185, Roosendaal)<\/option><option value='67437' >Scouting Sint Patrick (Wendeldijk 21, Rotterdam)<\/option><option value='58553' >Scouting St Jozef groep (Pastoor Dirvenstraat 11, Dongen)<\/option><option value='69336' >Scouting Starrenburg Groep 38 (Krommelaan 2, Rotterdam)<\/option><option value='67460' >Scouting Stella Maris Rotterdam (Langepad 47, Rotterdam)<\/option><option value='73117' >Scouting The Challenge (Kasteel Doorwerthstraat 80, Tilburg)<\/option><option value='67643' >Scouting The Rangers (Rotterdam) (Voorde 171, Rotterdam)<\/option><option value='54742' >Scouting Thomas more (Prinsenbeek) (Moleneind 1, Prinsenbeek)<\/option><option value='61551' >Scouting Vereniging IBN Batuta (Olympiaweg 361, Rotterdam)<\/option><option value='58743' >Scouting d&#039;n Hartel (Bergen 47, Terheijden)<\/option><option value='67694' >Scouting de Spoorzoekers (Slinge 8, Rotterdam)<\/option><option value='57739' >Scoutinggroep De Kralingsche Troep (Jacques Dutilhweg 841, Rotterdam)<\/option><option value='59302' >Semih Arikan Muziekhuis (Frits Ruysstraat 38D, Rotterdam)<\/option><option value='91018' >Sep dance (Thorvaldsenlaan 4, Eindhoven)<\/option><option value='72209' >Shamrock Dance (Melanchtonweg 70, Rotterdam)<\/option><option value='52445' >Shekinah Dance and Dramatic Art Academy (Van Malsenstraat 7B, Rotterdam)<\/option><option value='58467' >Shirley Spoor, Zang (Beijerlandselaan 146B2, Rotterdam)<\/option><option value='57162' >Showband Oud Mathenesse (Pinkstraat (wijkcentrum De Put) 10, Rotterdam)<\/option><option value='62141' >Showcorps Concento (Markendaalseweg 75, Breda)<\/option><option value='50091' >Shringara Indian Dance School (Fuikstraat 59, Rotterdam)<\/option><option value='69492' >Singing Birds Voice Studio (Marinus van der Stoepstraat 24, Rotterdam)<\/option><option value='91834' >Singshop (Hastelweg 52, Eindhoven)<\/option><option value='56471' >Sjaak Douma , pianoles Rotterdam (Kogelvangerstraat 114, Rotterdam)<\/option><option value='53850' >Sonondo Muziekschool (Aagje Dekenstraat 39b, Rotterdam)<\/option><option value='72758' >Sophie Verweij &#8211; Amsterdam Ravers Academy, locatie Breda (Jorisstraat 22a, Breda)<\/option><option value='67799' >Sound Bulletz (Burgemeester Noletlaan 43, Rotterdam)<\/option><option value='65589' >Sound Community (Oostzeedijk 2401hoog, Rotterdam)<\/option><option value='91028' >Splendid (Tongelresestraat 275, Eindhoven)<\/option><option value='57666' >Sportservice Noord-Brabant (West) (Vijfhuizenberg 181, Roosendaal)<\/option><option value='51737' >St. JORIS Pleincollege (Postbus 4083, Eindhoven)<\/option><option value='59482' >St. Joris College Scholengroep Het Plein (Postbus 4083, Eindhoven)<\/option><option value='61136' >St. Singphony (Gaffelstraat 1, Rotterdam)<\/option><option value='66430' >Stef den Ridder (Illustrator) (Achterdijk 6, Zevenbergen)<\/option><option value='90632' >Step bij Step (Vijfkamplaan 16b, Eindhoven)<\/option><option value='51736' >Stg. HENGEL (Musschenbroekstraat 6, Eindhoven)<\/option><option value='58933' >Stg. Openluchttheater Vrouwenhof (Scholtensboslaan 1, Roosendaal)<\/option><option value='59545' >Stg. Schouwburg De Kring (Kerkstraat 1, Roosendaal)<\/option><option value='58724' >Stg. Scouting St. Jan (Visdonkseweg 1A, Roosendaal)<\/option><option value='61146' >Stg. Stoffer &amp; Blik (Burgemeester van Akenstraat 4, Zevenbergen)<\/option><option value='72539' >Stichting Art is Home (Schiekade 189Unit 3.01, Rotterdam)<\/option><option value='73177' >Stichting Carmelcollege, Augustinianum (Dirk Boutslaan 25, Eindhoven)<\/option><option value='53593' >Stichting De Cultuurkantine (Prins Alexanderlaan 11, Breda)<\/option><option value='71948' >Stichting Hengel (Smalle Haven 87, Eindhoven)<\/option><option value='59208' >Stichting House of Urban Arts (Zwartewaalstraat 28, Rotterdam)<\/option><option value='60440' >Stichting JONG! Theater (Memlincstraat 3, Roosendaal)<\/option><option value='69196' >Stichting Jeugdwerk Rijen (de Wittstraat 14, Rijen)<\/option><option value='57031' >Stichting Kulturele Activiteiten Chaam (SKAC) (Gilzeweg 12, Chaam)<\/option><option value='66554' >Stichting Leergeld Noord-West (Schoonhout 215, Etten Leur)<\/option><option value='59915' >Stichting Leergeld WBO (Slotjesveld 2, Oosterhout NB)<\/option><option value='63747' >Stichting MAEH ( Studio ) (Van Speykstraat 33, Rotterdam)<\/option><option value='63405' >Stichting Mix (circus) (Stichtseplein 16, Rotterdam)<\/option><option value='68787' >Stichting Next (Industrieweg 161, Rotterdam)<\/option><option value='53957' >Stichting Nononsense (Oosterhoutseweg 7, Rijen)<\/option><option value='72698' >Stichting Samen Bij \u00c9\u00e9n (Pupillenstraat 107, Rotterdam)<\/option><option value='63550' >Stichting Silver Line (Pleinweg 131A, Rotterdam)<\/option><option value='58992' >Stichting Sociaal Cultureel Centrum \u2018t Kraaienest (Tweeschaar 12, Breda)<\/option><option value='65013' >Stichting Symfonische Amateurklanken West-Brabant (Koperslagerij 9, Zevenbergen)<\/option><option value='67480' >Stichting Theater Rotterdam (Schouwburgplein 25, Rotterdam)<\/option><option value='60933' >Stichting Theaterschool Babzz (Schoorveken 10, Rijen)<\/option><option value='56685' >Stichting Trishul (Berkelstraat 22, Rotterdam)<\/option><option value='65637' >Stichting centrum voor  Musical Muziekschool (Jan van Eyckgracht 155, Eindhoven)<\/option><option value='69607' >Stralen Doen We Samen (Antoon Coolenstraat 2, Etten Leur)<\/option><option value='91075' >Streetstars Entertainment (Sportlaan 39, Eindhoven)<\/option><option value='57754' >Strijkersacademie Rotterdam, Vioolschool Rotterdam (Ruivenstraat (leslocatie) 81, Rotterdam)<\/option><option value='56173' >Studio 181 (dans) (lambertusstraat 181, Rotterdam)<\/option><option value='72697' >Studio Blue Breaks (Hillevliet \/ ruimte 007 90, Rotterdam)<\/option><option value='53510' >Studio Hillegersberg (dans) (Minstreelstraat 40, Rotterdam)<\/option><option value='56080' >Studio Sisa (Willemstraat 59, Roosendaal)<\/option><option value='67952' >Su Musica (Coolhaven 212d, Rotterdam)<\/option><option value='72696' >Sue-Music-Education (Gaffelstraat 59B, Rotterdam)<\/option><option value='67324' >Superskillz (Viveslaan 59, Breda)<\/option><option value='59751' >Suzanne van Dijk, pianolessen (Clara Wichmanstraat 110, Eindhoven)<\/option><option value='59309' >Suzique &#8211; Zangles en Muziekworkshops (Burgerhoutsestraat 23, Roosendaal)<\/option><option value='70283' >SylCdance Studio (Cornelis de Vriendtstraat 39, Tilburg)<\/option><option value='50935' >Sylvia Thijssen beeldend kunstenaar (Laan van Liedekerk 25, Breda)<\/option><option value='70659' >TONE Muziekles Meijel (van der Steenstraat 5, Meijel)<\/option><option value='72674' >TOON, Muziekco\u00f6peratie (Hillevliet 90, Rotterdam)<\/option><option value='54189' >TalentzSkool (Laagjes 36, Rotterdam)<\/option><option value='52591' >Tamara Dans en Theater (Willem Buytewechstraat 203a, Rotterdam)<\/option><option value='63660' >Tekenen met Stella (Bentincklaan 67b, Rotterdam)<\/option><option value='53477' >Telekids Musicalschool Rotterdam (Larikslaan 200, Rotterdam)<\/option><option value='64159' >Telekids Musicalschool\/RTL Talent Academy Eindhoven (Vijfkamplaan 16b, Eindhoven)<\/option><option value='67997' >Terpstra Didjeridu&#039;s (Pastoor Gillisstraat 114, Rijen)<\/option><option value='66516' >Textielkeuken (Tarwelaan 56A, Eindhoven)<\/option><option value='62891' >The Floor is Yours &#8211; Eindhoven (Klokgebouw 52 52, Eindhoven)<\/option><option value='51139' >The Jim Fitness (Oldegaarde 251B, Rotterdam)<\/option><option value='63683' >The Molehouse V.O.F (Insulindestraat 105a-1, Rotterdam)<\/option><option value='53954' >The Scene of Dance (Belcrumweg 62, Breda)<\/option><option value='64116' >The Wall of Dance (Grote Markt 8A, Breda)<\/option><option value='65935' >The Writer&#039;s Guide (Gouvernestraat 87B, Rotterdam)<\/option><option value='63765' >Theater Broccoli (Spadestraat 30, Breda)<\/option><option value='61867' >Theater4All (Annecyhof 17, Eindhoven)<\/option><option value='72101' >Theatergroep Josjes (Banakkerstraat 48, Etten Leur)<\/option><option value='57144' >Theatergroep Kinderspel (Raatven 23, Eindhoven)<\/option><option value='62593' >Theaterwerkplaats Tiuri (Speelhuislaan 151, Breda)<\/option><option value='54448' >Tiggelman Dance &amp; Events (Slingerweg 95, Breda)<\/option><option value='67161' >Timmerclub Gioia (Dovenetelstraat hoek Veldkersweg 14, Rotterdam)<\/option><option value='55377' >Toneelstichting Hamlet (Rietveen 1, Breda)<\/option><option value='68811' >Toon Oomen Slagwerk (Raakeindse Kerkweg 61, Molenschot)<\/option><option value='60259' >Total Praise \/ Chr. Muziekinstituut (Ranonkelstraat 13a, Rotterdam)<\/option><option value='63396' >Triple-S dance (Buitentuin 41, Zundert)<\/option><option value='64838' >Trivium Sport (Trivium 166, Etten Leur)<\/option><option value='65352' >Tutti Timbri (Erasmussingel 54, Rotterdam)<\/option><option value='56802' >Twirlvereniging The Rainbows (Kalsdonksestraat 188, Roosendaal)<\/option><option value='72044' >U-singRvoice (Chromietdijk 85, Roosendaal)<\/option><option value='61147' >Van Creatieve Huize (Duivensteen 17, Zevenbergen)<\/option><option value='68723' >Vereniging kindertuinen de Molenleij (Weilustlaan 137, Breda)<\/option><option value='70243' >Viooldocente Gerianne Wigboldus (Anton Wachterstraat 3, Oosterhout NB)<\/option><option value='63235' >Vioolles Bart Schiks (Wilgenbroek 163, Breda)<\/option><option value='60044' >Vioolles Eindhoven (Turfveldenstraat 41, Eindhoven)<\/option><option value='64331' >Vioolles010 (locaties Schiedam\/Vlaardingen) (Scheepmakerskade 2K, Rotterdam)<\/option><option value='62899' >Vioolschool Brabant (Vroente 7, Prinsenbeek)<\/option><option value='69688' >Viv&#039;s Muziekfabriek (Academielaan 45, Tilburg)<\/option><option value='64354' >Vivaldi Music Lessons (Oranjestraat 32B, Rotterdam)<\/option><option value='64248' >Vive la Danse (Nieuwe Markt 46a, Roosendaal)<\/option><option value='73483' >VliegopAtelier (Veldhovenring 58, Tilburg)<\/option><option value='64194' >Vocalsz \/ Vocal Coaching (Schiekade 830, Rotterdam)<\/option><option value='64971' >Vrienden van de Arentschool \/ kunstlessen (Sophiakade 55, Rotterdam)<\/option><option value='55021' >Water scouting Titus Brandsma Breda (Steenen Hoofd 69, Breda)<\/option><option value='59293' >Watzeels Kunst en Educatie (Graaf Arnoldstraat 27, Tilburg)<\/option><option value='65548' >Weet ik veel Festival De Bibliotheek Eindhoven (Postbus 488, Eindhoven)<\/option><option value='56170' >Wijksportvereniging WSV Kalsdonk (Chr. Huijgensstraat 12, Roosendaal)<\/option><option value='57439' >Wikke van Wershoven (Schubertlaan 56, Eindhoven)<\/option><option value='55753' >Willemijn van Helden (Schiedamseweg Beneden 531, Rotterdam)<\/option><option value='64337' >Wim Steenbakker muzieklessen (Sophiastraat 71, Roosendaal)<\/option><option value='51893' >Woman&#039;s World Fitness ( Zuid ) (Hilledijk 190b, Rotterdam)<\/option><option value='69404' >Wouter van Breugel (Kuma) (Lizzy van Dorpweg 3, Tilburg)<\/option><option value='71439' >Wouters Services, muziekles  accordeon, keyboard, piano en gitaar (Raamschoorseweg 28, Breda)<\/option><option value='68386' >Xzieje \/ dans (Kedoestraat Speeltuin Wiffel Waffel 90, Rotterdam)<\/option><option value='67001' >YOU Talentontwikkeling (Oranjeboomstraat 169, Rotterdam)<\/option><option value='68189' >Yoga Playground (Heemraadsplein 17A, Rotterdam)<\/option><option value='53248' >Zamar Muziekschool (Engelenburg 21, Rotterdam)<\/option><option value='65049' >ZangExpress (Zomerhofstraat 71, Rotterdam)<\/option><option value='67159' >Zangatelier JOIA (Vondelweg 87, Rotterdam)<\/option><option value='66703' >Zangles van Barbara (Schreiertorenstraat 82, Tilburg)<\/option><option value='68686' >Zangpraktijk Desiree Music (Vuurdoornlaan 13, Oosterhout NB)<\/option><option value='71827' >Zangschool 010 (Spanjaardstraat 23, Rotterdam)<\/option><option value='93061' >Zangschool Rotterdam (Mathenesserdijk 418a, Rotterdam)<\/option><option value='64338' >Zangschool Suoni (Weteringstraat 275, Rotterdam)<\/option><option value='57299' >Zangstudie Nanda Akkerman (Pretorialaan 40a, Rotterdam)<\/option><option value='60585' >Zangstudio Eigenwijs (Liniestraat 123, Breda)<\/option><option value='63089' >Zorg voor Muziek (St. Bonifatiuslaan 30, Eindhoven)<\/option><option value='58050' >aheArt &amp; Teaching (Nieuwstraat 37, Roosendaal)<\/option><option value='70548' >brazz jazz | Marijn van der Linden (Kapelstraat 24, Rotterdam)<\/option><option value='55619' >dB Muziek en meer! (Deborah Jacobs) (hofhage 2, Breda)<\/option><option value='60809' >fivequarters.studio (Ruivenstraat 71, Rotterdam)<\/option><option value='72159' >het zuid land \/ het clubhuis (Speelhuislaan 151, Breda)<\/option><option value='72441' >move2EXCEED (Krabbendijkestraat 238, Rotterdam)<\/option><option value='64054' >st. Vrienden van de Fontein (Hoyledestraat 25, Rotterdam)<\/option><option value='63144' >stichting Asporaat (De Quackstraat 65a, Rotterdam)<\/option><option value='68170' >stichting Het Gele Huis, cultuur in Princenhage (Heuvelstraat 1, Breda)<\/option><option value='92875' >sv Erasmus (Schaak Vereniging) (Apollostraat 211A, Rotterdam)<\/option><option value='71481' >the urban influenz (Arke No\u00ebstraat 80, Tilburg)<\/option><\/select><\/div><\/div><div id=\"field_2_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_38'>Naam culturele instelling (Bijv: Dansschool Dansjes)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_2_38' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_56'>Naam sportieve instelling (Bijv: Sportvereniging Sportieveling)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_2_56' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_130\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full populate-woonplaatsen-overig gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_130'>Plaats aanbieder<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_130' id='input_2_130' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer een Woonplaats<\/option><option value='142' >Bavel<\/option><option value='275' >Breda<\/option><option value='338' >Chaam<\/option><option value='421' >Den Hout<\/option><option value='460' >Dongen<\/option><option value='469' >Dorst<\/option><option value='539' >Eindhoven<\/option><option value='589' >Etten-Leur<\/option><option value='884' >Hoeven<\/option><option value='982' >Kaatsheuvel<\/option><option value='1215' >Made<\/option><option value='1254' >Meijel<\/option><option value='1298' >Molenschot<\/option><option value='1459' >Oisterwijk<\/option><option value='1496' >Oosterhout<\/option><option value='1543' >Oud Gastel<\/option><option value='1625' >Prinsenbeek<\/option><option value='1674' >Rijen<\/option><option value='1680' >Rijsbergen<\/option><option value='1700' >Roosendaal<\/option><option value='1708' >Rotterdam<\/option><option value='1717' >Rucphen<\/option><option value='1759' >Schijf<\/option><option value='1960' >Terheijden<\/option><option value='1972' >Teteringen<\/option><option value='1983' >Tilburg<\/option><option value='2032' >Ulvenhout<\/option><option value='2328' >Zegge<\/option><option value='2339' >Zevenbergen<\/option><option value='2378' >Zundert<\/option><\/select><\/div><\/div><div id=\"field_2_75\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_75'>E-mailadres aanbieder<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_75' id='input_2_75' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                        <\/div><\/div><div id=\"field_2_111\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_111'>Startdatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_111' id='input_2_111' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='dd-mm-jjjj' aria-describedby=\"input_2_111_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_111_date_format' class='screen-reader-text'>DD dash MM dash JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_111' class='gform_hidden' value='https:\/\/aanvragen.jeugdfondssportencultuur.nl\/breda\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_113\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_113'>Einddatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_2_113' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_102\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label>Aanvraagperiode<\/label>\nDe aanvraagperiode begint als je kind start met zwemles en wordt voor 1 jaar goedgekeurd. Is je kind dan nog niet klaar met zwemles, dan kan je een nieuwe aanvraag voor een vergoeding indienen. <\/div><div id=\"field_2_101\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label>Bijzonderheden zwemlessen<\/label>\nWe geven een vergoeding voor eenmaal per week reguliere zwemles.\n<ul>\n<li>Annuleringskosten, attributen en eventuele andere kosten worden niet vergoed en moeten ouders zelf betalen. Vraag bij het zwembad na wat deze kosten zijn. <\/li>\n<li>Er wordt eenmalig een vergoeding gegeven voor de inschrijfkosten. Heeft het kind eerder al bij een ander zwembad ingeschreven gestaan ongeacht voor welk zwemdiploma en heeft het Jeugdfonds Sport &#038; Cultuur Breda deze kosten betaald, dan is het niet mogelijk nogmaals de inschrijfkosten te vergoeden.<\/li>\n<li>Er wordt eenmalig een vergoeding gegeven voor zwemles voor een diploma A, B of C. Is er eerder een vergoeding gegeven voor bijvoorbeeld zwemles voor het zwemdiploma A, dan is het niet nogmaals mogelijk om een vergoeding voor zwemles voor het zwemdiploma A aan te vragen.<\/li>\n<li>Tijdens een traject voor een diploma is wisselen van aanbieder niet mogelijk. <\/li>\n<\/ul><\/div><div id=\"field_2_84\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_84'>Totaal bedrag contributie<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_84' id='input_2_84' type='text' step='any' min='0' max='1000' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_2_88\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_88'>Totale bedrag lesgeld<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_88' id='input_2_88' type='text' step='any' min='0' max='1000' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_2_80\" class=\"gfield gfield--type-BigRadio gfield--input-type-BigRadio gfield--width-full fullwidth-true-false field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Sportspullen nodig?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_80'>\n\t\t\t<div class='gchoice gchoice_2_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='ja'  id='choice_2_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_80_0' id='label_2_80_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='nee'  id='choice_2_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_80_1' id='label_2_80_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_81\" class=\"gfield gfield--type-BigRadio gfield--input-type-BigRadio gfield--width-full fullwidth-true-false field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Kleding of materiaal nodig?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_81'>\n\t\t\t<div class='gchoice gchoice_2_81_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='ja'  id='choice_2_81_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_81_0' id='label_2_81_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_81_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='nee'  id='choice_2_81_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_81_1' id='label_2_81_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_50\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_50'>Omschrijving sportspullen<\/label><div class='gfield_description' id='gfield_description_2_50'>Welke attributen zijn er nodig voor deze sport?<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_50' id='input_2_50' class='textarea large'  aria-describedby=\"gfield_description_2_50\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_82\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_82'>Omschrijving benodigde attributen<\/label><div class='gfield_description' id='gfield_description_2_82'>Bijvoorbeeld instrument, danskleding of scoutingkleding.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_82' id='input_2_82' class='textarea large'  aria-describedby=\"gfield_description_2_82\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_85\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_85'>Bedrag sportspullen<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_85'>Let op: het totale bedrag van attributen mag maximaal \u20ac 120,- zijn.<\/div><div class='ginput_container ginput_container_number'><input name='input_85' id='input_2_85' type='text' step='any' min='0' max='120' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_2_85\" \/><\/div><\/div><div id=\"field_2_121\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_121'>Bedrag kleding \/ materiaal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_121'>Let op: het totale bedrag van het materiaal mag maximaal \u20ac 120,- zijn.<\/div><div class='ginput_container ginput_container_number'><input name='input_121' id='input_2_121' type='text' step='any' min='0' max='120' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_2_121\" \/><\/div><\/div><div id=\"field_2_51\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full populate-winkels gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_51'>Winkel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_51' id='input_2_51' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer een Winkel<\/option><option value='71877' >1 Spullen via de club (Breda) (Pastoor van Spaandonkstraat 31, Breda)<\/option><option value='69590' >100% Skateboardshop (Prins Hendrikstraat 103, Eindhoven)<\/option><option value='61159' >100% Voetbal Roosendaal B.V. (Dokter Brabersstraat 24, Roosendaal)<\/option><option value='66957' >11TEAMSPORTS Rotterdam\/ Clyver Sportswear B.V. (Vantaabaan 1, Rotterdam)<\/option><option value='73387' >123Sport locatie Rotterdam (Keizerswaard 95, Rotterdam)<\/option><option value='64102' >Acustica piano\u2019s &amp; vleugels (Korte Huifakkerstraat 2, Breda)<\/option><option value='66041' >Aquila Freerun \/ AquilaMovement (Spaubeekstraat 97, Tilburg)<\/option><option value='68047' >Atila Fight Store (Bruggelaan 4, Eindhoven)<\/option><option value='55007' >Azzuri, trefpunt voor schaatsplezier (Terheijdenseweg 506, Breda)<\/option><option value='73591' >BCP (Badmintonclub Princenhage) (Graaf Engelbertlaan 7C, Breda)<\/option><option value='59393' >BHC Best Adventure (Valkenstraat 8, Breda)<\/option><option value='66422' >Bonk (Veemarktstraat 68, Breda)<\/option><option value='60618' >Booster Fight Store Rotterdam (Zwrtjanstraat 94A, Rotterdam)<\/option><option value='54352' >Bram Eigeman Muziek (Koningin Emmalaan 1, Breda)<\/option><option value='54012' >Bruba Sport (Bisschopsmolenstraat 2, Etten Leur)<\/option><option value='50194' >Buikdansschool Kaouther (West-Sidelinge 82, Rotterdam)<\/option><option value='72110' >Club D\u00e9 Hockey en Golfspecialist BV (Ringbaan-Zuid 301, Tilburg)<\/option><option value='73530' >Danstheaterwinkel (Penningweg 33, Etten Leur)<\/option><option value='92212' >De Bowlingwinkel (Vijfkamplaan 6, Eindhoven)<\/option><option value='58531' >De Naaimachinezaak (Haagdijk 13, Breda)<\/option><option value='55101' >De Vaan teamcenter (Zuidhoek 27, Rotterdam)<\/option><option value='57908' >Decathlon Breda (Bavelseparklaan 20, Breda)<\/option><option value='57908' >Decathlon Breda (Bavelseparklaan 20, Breda)<\/option><option value='56132' >Deva Art Material (Veemarktstraat 55, Breda)<\/option><option value='54459' >Dijkmans muziek (Haagdijk 147, Breda)<\/option><option value='55931' >Drum Department (Noordschans 14B, Rotterdam)<\/option><option value='54395' >Drumstudio 106 (Boschstraat 106, Breda)<\/option><option value='54680' >EXcento (Schouwburgring 6, Tilburg)<\/option><option value='55571' >Esther Lindeboom (Piano- en Keyboarddocent) (Grote Houw 108, Breda)<\/option><option value='57656' >FreeStyle Gymnastic (alle locaties) (Dr. Brabersstraat 24, Roosendaal)<\/option><option value='55621' >GSG Benelux (Hoge Ham 75A, Dongen)<\/option><option value='58292' >Gunnemans sports (Aalsterweg 83, Eindhoven)<\/option><option value='63304' >Hendrik Zick Vioolbouwer Eindhoven (Picushof 272, Eindhoven)<\/option><option value='54715' >Hockey Experience (Anthonetta Kuijlstraat 44, Rotterdam)<\/option><option value='73725' >Intersport Biggelaar (Limburglaan 7, Eindhoven)<\/option><option value='73731' >Intersport Breda (Kerkstraat 1, Breda)<\/option><option value='58740' >Intersport Eindhoven City (Heuvelgalerie 25, Eindhoven)<\/option><option value='64827' >Intersport Oosterhout (Kerkstraat 14, Oosterhout NB)<\/option><option value='59525' >JV Kuatsu (Heisprong 15, Prinsenbeek)<\/option><option value='71840' >KR Turnen en zo (Toermalijn 4, Zevenbergen)<\/option><option value='66551' >Kamera Express Breda (Marksingel 1, Breda)<\/option><option value='67878' >KeepersTalent Winkel (Verbeetenstraat 19, Breda)<\/option><option value='72676' >Klundert Music (Bedrijfsweg 13, Oisterwijk)<\/option><option value='62427' >Klupp Sportswear (Sheffieldstraat 12, Rotterdam)<\/option><option value='62900' >LC By Berry`s (Haagdijk 251, Breda)<\/option><option value='54443' >Me-Kado Breda (Nieuwe Haagdijk 38, Breda)<\/option><option value='69141' >Meer Moerdijk (Kristallaan 25C, Zevenbergen)<\/option><option value='57176' >Meeuwis (Heldensedijk 32, Meijel)<\/option><option value='57193' >Mervo Sport Roosendaal (AdresDokter Brabersstraat 24, Roosendaal)<\/option><option value='71982' >Mount By Duijvestein (Snowworld Rucphen) (Baanvelden 13, Rucphen)<\/option><option value='55490' >Muziekcentrum van Gorp (Kade 87, Roosendaal)<\/option><option value='56729' >Nikko Sports (Geldropseweg 61, Eindhoven)<\/option><option value='53584' >PSV Fanstore (Mathildelaan 81, Eindhoven)<\/option><option value='55736' >Pipoos (Houtmarktpassage 19-21, Breda)<\/option><option value='54044' >Pot en van Dalen, vioolmakers (Terheijdenstraat 25, Breda)<\/option><option value='64659' >Praktijk De Waterlelie \/ kunstzinnige therapie (Willem Ruyslaan 17, Rotterdam)<\/option><option value='53912' >Pridesportswear \/ van Oosterhout Bikes &amp; Sports (Oosterhoutseweg 129A, Teteringen)<\/option><option value='60914' >QueenE B.V (Patoor van Arslaan 3, Eindhoven)<\/option><option value='55923' >Quiltshop &quot;Leur&quot; (Lange Brugstraat 22, Etten Leur)<\/option><option value='65006' >Raven hengelsport (Ringbaan-Oost 102, Tilburg)<\/option><option value='55524' >Rono Sport (Strijpsestraat 92, Eindhoven)<\/option><option value='56309' >Run2Day Breda (Nieuwstraat 33, Breda)<\/option><option value='54639' >Run2day Rotterdam (Meent 75, Rotterdam)<\/option><option value='52674' >Scapino Breda Moerwijk (Filiaalnr. 146) (Moerwijk 65, Breda)<\/option><option value='72262' >Scapino Breda Ratverleghstraat (Filiaalnr. 259) (Rat Verleghstraat 4, Breda)<\/option><option value='52692' >Scapino Dongen (Filiaalnr. 194) (Hoge Ham 140, Dongen)<\/option><option value='52833' >Scapino Eindhoven (Filiaalnr. 231) (Hurksestraat 44, Eindhoven)<\/option><option value='69601' >Scapino Eindhoven III (Filiaalnr. 244) (Winkelcentrum Woensel 275, Eindhoven)<\/option><option value='52710' >Scapino Etten-Leur (Filiaalnr. 135) (Winkelcentrum 20, Etten Leur)<\/option><option value='69604' >Scapino Roosendaal (Filiaalnr. 236) (Roselaar 45, Roosendaal)<\/option><option value='52786' >Scapino Rotterdam (Filiaalnr. 129) (Groeninx v. Zoelenlaan 121, Rotterdam)<\/option><option value='52788' >Scapino Rotterdam (Filiaalnr. 217) (Jan Kwakplaats 20, Rotterdam)<\/option><option value='72236' >Scapino TIlburg II Wagnerplein (Filiaalnr 261) (Wagnerplein 5, Tilburg)<\/option><option value='52803' >Scapino Tilburg  I (Filiaalnr. 94) (Broekhovenseweg 55, Tilburg)<\/option><option value='71609' >Scapino Zundert (Filiaalnr. 252) (Molenstraat 2, Zundert)<\/option><option value='71210' >Schoonenberg HoorSupport (Karnemelkstraat 6a1, Breda)<\/option><option value='91019' >Seven Hills (Sportpark De Meeren, Westrand 11, Zevenbergen)<\/option><option value='55575' >Soccerfanshop International B.V. (Haagdijk 35, Breda)<\/option><option value='65899' >Sparta Fanshop (Spartastraat 11, Rotterdam)<\/option><option value='54817' >Spiero Muziek (Goirkestraat 178, Tilburg)<\/option><option value='72926' >Spijkers Budo Sport Shop (Leharstraat 78, Tilburg)<\/option><option value='57441' >Sport 2000 Absolute Teamsport Rotterdam (Hoogstraat 181, Rotterdam)<\/option><option value='57200' >Sport 2000 Oosterhout (Markt 2, Oosterhout NB)<\/option><option value='68058' >SportMind (Noordhaven 80A, Zevenbergen)<\/option><option value='69657' >Sportimex Benelux BV (Standerdmolen 14, Oud Gastel)<\/option><option value='55006' >Sportrr (Groenstraat 14, Prinsenbeek)<\/option><option value='62784' >Sporttief (Nieuwstraat 18, Made)<\/option><option value='65396' >Sportvereniging Balans (Eendenjachtstraat 105, Tilburg)<\/option><option value='93714' >Sportwinkel Paraddy (Witte de Withstraat 11a, Rotterdam)<\/option><option value='64615' >Studio Solo (Liniestraat 27, Breda)<\/option><option value='91777' >Surplus Welzijn p\/a Woonzorgcentrum De zeven Schakels (Kasteelweg 1, Zevenbergen)<\/option><option value='68421' >Team Iron (Ernst Casimirstraat 26, Breda)<\/option><option value='54219' >The Empire Sports (Markt 44, Etten Leur)<\/option><option value='66184' >Topsports (De Lind 30, Oisterwijk)<\/option><option value='63717' >Touch4tennis (Ginnekenweg 254, Breda)<\/option><option value='66974' >Van Beek Art Supplies B.V. (Kruisstraat 80, Eindhoven)<\/option><option value='55803' >Van der Heijde bladmuziek (Coolsingel 119, Rotterdam)<\/option><option value='55125' >Voetbalshop (Bob vd Heijden) (Bergselaan 332C, Rotterdam)<\/option><option value='54004' >Voetbalshop.nl Breda (Lange Brugstraat 16, Breda)<\/option><option value='56140' >WSC Hengelsport (Hazeldonkse Zandweg 28a, Zevenbergen)<\/option><option value='55818' >van Beers (Engelsestraat 6, Kaatsheuvel)<\/option><option value='66423' >van Delft sport (Dongen, Noord-Brabant) (Doelstraat 11, Dongen)<\/option><\/select><\/div><\/div><div id=\"field_2_73\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_73'>Naam winkel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_2_73' type='text' value='' class='large' maxlength='100'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_93\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full populate-woonplaatsen-overig gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_93'>Plaats winkel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_93' id='input_2_93' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer een Woonplaats<\/option><option value='142' >Bavel<\/option><option value='275' >Breda<\/option><option value='338' >Chaam<\/option><option value='421' >Den Hout<\/option><option value='460' >Dongen<\/option><option value='469' >Dorst<\/option><option value='539' >Eindhoven<\/option><option value='589' >Etten-Leur<\/option><option value='884' >Hoeven<\/option><option value='982' >Kaatsheuvel<\/option><option value='1215' >Made<\/option><option value='1254' >Meijel<\/option><option value='1298' >Molenschot<\/option><option value='1459' >Oisterwijk<\/option><option value='1496' >Oosterhout<\/option><option value='1543' >Oud Gastel<\/option><option value='1625' >Prinsenbeek<\/option><option value='1674' >Rijen<\/option><option value='1680' >Rijsbergen<\/option><option value='1700' >Roosendaal<\/option><option value='1708' >Rotterdam<\/option><option value='1717' >Rucphen<\/option><option value='1759' >Schijf<\/option><option value='1960' >Terheijden<\/option><option value='1972' >Teteringen<\/option><option value='1983' >Tilburg<\/option><option value='2032' >Ulvenhout<\/option><option value='2328' >Zegge<\/option><option value='2339' >Zevenbergen<\/option><option value='2378' >Zundert<\/option><\/select><\/div><\/div><div id=\"field_2_46\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_46'>E-mailadres winkel<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_46' id='input_2_46' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_120\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_120'>Motivatie voor de aanvraag<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_120'>Leg uit waarom je deze aanvraag doet:<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_120' id='input_2_120' class='textarea large'  aria-describedby=\"gfield_description_2_120\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_57' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='button' id='gform_next_button_2_57' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> <button type='button'  id='gform_save_2_4_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Opslaan en later doorgaan<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_4' class='gform_page' data-js='page-field-id-57' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_58\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Gegevens ouder\/verzorger<\/h3><\/div><div id=\"field_2_59\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_59'>Voornaam<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_2_59' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"given-name\" \/><\/div><\/div><div id=\"field_2_60\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_60'>Tussenvoegsel<\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_2_60' type='text' value='' class='large'      aria-invalid=\"false\"  autocomplete=\"additional-name\" \/><\/div><\/div><div id=\"field_2_61\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_61'>Achternaam<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_2_61' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"family-name\" \/><\/div><\/div><div id=\"field_2_62\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third autofill-postcode-field gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_62'>Postcode<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_2_62' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"postal-code\" \/><\/div><\/div><div id=\"field_2_63\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third autofill-huisnummer-field gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_63'>Huisnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_63' id='input_2_63' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_2_64\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third autofill-toevoeging-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_64'>Toevoeging<\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_2_64' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_65\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half autofill-straat-field gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_65'>Straatnaam<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_2_65' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"address-line1\" \/><\/div><\/div><div id=\"field_2_89\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half populate-woonplaatsen autofill-woonplaats-field gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_89'>Plaats<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_89' id='input_2_89' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecteer een Woonplaats<\/option><option value='21' >Achtmaal<\/option><option value='142' >Bavel<\/option><option value='194' >Berkel-Enschot<\/option><option value='212' >Biezenmortel<\/option><option value='275' >Breda<\/option><option value='421' >Den Hout<\/option><option value='460' >Dongen<\/option><option value='469' >Dorst<\/option><option value='539' >Eindhoven<\/option><option value='589' >Etten-Leur<\/option><option value='590' >Europoort Rotterdam<\/option><option value='728' >Haaren<\/option><option value='798' >Heerle<\/option><option value='853' >Heukelom<\/option><option value='879' >Hoek van Holland<\/option><option value='918' >Hoogvliet Rotterdam<\/option><option value='1021' >Klein Zundert<\/option><option value='1213' >Maasvlakte Rotterdam<\/option><option value='1293' >Moergestel<\/option><option value='1295' >Moerstraten<\/option><option value='1408' >Nispen<\/option><option value='1459' >Oisterwijk<\/option><option value='1489' >Oosteind<\/option><option value='1496' >Oosterhout<\/option><option value='1606' >Pernis Rotterdam<\/option><option value='1625' >Prinsenbeek<\/option><option value='1680' >Rijsbergen<\/option><option value='1700' >Roosendaal<\/option><option value='1708' >Rotterdam<\/option><option value='1715' >Rozenburg<\/option><option value='1717' >Rucphen<\/option><option value='1759' >Schijf<\/option><option value='1877' >Sprundel<\/option><option value='1826' >St. Willebrord<\/option><option value='1972' >Teteringen<\/option><option value='1983' >Tilburg<\/option><option value='2018' >Udenhout<\/option><option value='2032' >Ulvenhout<\/option><option value='2114' >Vondelingenplaat Rotterdam<\/option><option value='2198' >Wernhout<\/option><option value='2306' >Wouw<\/option><option value='2307' >Wouwse Plantage<\/option><option value='2328' >Zegge<\/option><option value='2378' >Zundert<\/option><\/select><\/div><\/div><div id=\"field_2_128\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full custom-error custom-error-woonplaats gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Het ziet er uit dat je een postcode hebt ingevuld buiten Breda. Ga daarom naar: <a href=\"https:\/\/check.jeugdfondssportencultuur.nl\">https:\/\/check.jeugdfondssportencultuur.nl<\/a> voor de juiste aanvraagroute.<\/div><fieldset id=\"field_2_67\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >E-mailadres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_2_67_container'>\n                                <span id='input_2_67_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_67' id='input_2_67' value=''   placeholder='E-mailadres' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                    <label for='input_2_67' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>E-mailadres<\/label>\n                                <\/span>\n                                <span id='input_2_67_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_67_2' id='input_2_67_2' value=''   placeholder='E-mailadres bevestigen' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                    <label for='input_2_67_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>E-mailadres herhalen<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_2_76\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_76'>Telefoonnummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_2_76' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_70\" class=\"gfield gfield--type-BigRadio gfield--input-type-BigRadio fullwidth-true-false gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Soort inkomen<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_70'>\n\t\t\t<div class='gchoice gchoice_2_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='7'  id='choice_2_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_70_0' id='label_2_70_0' class='gform-field-label gform-field-label--type-inline'>Loondienst<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_70_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='8'  id='choice_2_70_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_70_1' id='label_2_70_1' class='gform-field-label gform-field-label--type-inline'>Uitkering<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_70_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='9'  id='choice_2_70_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_70_2' id='label_2_70_2' class='gform-field-label gform-field-label--type-inline'>ZZP<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_71\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Privacy verklaring<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Vereist)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_71.1' id='input_2_71_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_2_71_1' >Ik heb de <a href=\"https:\/\/jeugdfondssportencultuur.nl\/privacystatement-kinderen-ouders-verzorgers\/\" target=\"_blank\">privacyverklaring<\/a> gelezen en ga akkoord.<\/label><input type='hidden' name='input_71.2' value='Ik heb de &lt;a href=&quot;https:\/\/jeugdfondssportencultuur.nl\/privacystatement-kinderen-ouders-verzorgers\/&quot; target=&quot;_blank&quot;&gt;privacyverklaring&lt;\/a&gt; gelezen en ga akkoord.' class='gform_hidden' \/><input type='hidden' name='input_71.3' value='2' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_2_127\" class=\"gfield gfield--type-turnstile gfield--input-type-turnstile gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_turnstile'><div class=\"cf-turnstile\" id=\"cf-turnstile_2\" data-js-turnstile data-response-field-name=\"cf-turnstile-response_2\" data-theme=\"light\" data-size=\"\" data-sitekey=\"0x4AAAAAABemFyu3fiLnxql7\"><\/div><\/div><\/div><div id=\"field_2_86\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_86' id='input_2_86' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_131' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='button' id='gform_next_button_2_131' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Formulier controleren'  \/> <button type='button'  id='gform_save_2_5_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Opslaan en later doorgaan<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_5' class='gform_page gform_review_page ' data-js='page-field-id-131' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_132\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_2' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Aanvraag indienen'  \/> <button type='button'  id='gform_save_2_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Opslaan en later doorgaan<\/button>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_save' id='gform_save_2' value='' \/>\n                             <input type='hidden' class='gform_hidden' name='gform_resume_token' id='gform_resume_token_2' value='' \/>\n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='aYJrLnJMCU9AT4ARksew8KARdMUKQBtJ7ASa8zZAmhoMYhypubmKXRI0ez4wlIYwyavim7JbHzyQNIhAfpfilj0obgKfW9J83ViQLWwZjGRf7lA=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' 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