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www.bkids-vormerken.de Open in urlscan Pro
34.117.168.233  Public Scan

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Submitted URL: http://bkids-vormerken.de/
Effective URL: https://www.bkids-vormerken.de/
Submission: On March 05 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form id="comp-ju2d5gb5" class="JVi7i2 comp-ju2d5gb5 wixui-form">
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      <div id="comp-ju2d5ghr" class="BaOVQ8 tz5f0K comp-ju2d5ghr wixui-text" data-testid="richTextElement">
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                Kind</span></span></span></h5>
      </div>
      <div id="comp-ju2dqap1" class="MpKiNN comp-ju2dqap1 wixui-text-input qzvPmW lPl_oN"><label for="input_comp-ju2dqap1" class="wPeA6j wixui-text-input__label">Vorname des Kindes</label>
        <div class="pUnTVX"><input type="text" name="vorname-des kindes" id="input_comp-ju2dqap1" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" required="" aria-required="true"></div>
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        <div class="pUnTVX"><input type="text" name="nachname-des kindes" id="input_comp-ju2drf2q" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" required="" aria-required="true"></div>
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      <div id="comp-jv7w8d4d" class="WtkATY dDYNVm comp-jv7w8d4d wixui-dropdown Pv1V2r vUaXaX"><label class="ZgP_V9 wixui-dropdown__label" for="collection_comp-jv7w8d4d">Geschlecht</label>
        <div class="PfBR86"><select class="KeFFnk has-custom-focus LI4jvP wixui-dropdown__input" id="collection_comp-jv7w8d4d" required="" aria-required="true">
            <option selected="" value="" disabled="" class="F8vzy2 HDqSrI">Geschlecht</option>
            <option value="männlich" class="F8vzy2" aria-selected="false">männlich</option>
            <option value="weiblich" class="F8vzy2" aria-selected="false">weiblich</option>
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            <div class="JECsBO"><svg class="zO2nYq wixui-dropdown__icon" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 9.2828 4.89817">
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          <div class="EYZRr3"><input type="text" id="input_comp-kf3sgx3e" class="rWPAPu has-custom-focus" value="" placeholder="Geburtsdatum" required=""><svg viewBox="0 0 16 15">
              <path d="M16 0H0v15h16zm-1 14H1V4h14zM1 3V1h14v2z"></path>
              <path d="M3 6h2v2H3zm4 0h2v2H7zm4 0h2v2h-2zm0 4h2v2h-2zm-4 0h2v2H7zm-4 0h2v2H3z"></path>
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      <div id="comp-ju2f7z2r" class="BaOVQ8 tz5f0K comp-ju2f7z2r wixui-text" data-testid="richTextElement">
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                Mutter</span></span></span></h2>
      </div>
      <div id="comp-ju2dtks6" class="MpKiNN comp-ju2dtks6 wixui-text-input qzvPmW lPl_oN"><label for="input_comp-ju2dtks6" class="wPeA6j wixui-text-input__label">Vorname</label>
        <div class="pUnTVX"><input type="text" name="vorname" id="input_comp-ju2dtks6" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" required="" aria-required="true" maxlength="100"></div>
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      <div id="comp-ju2dtpsx" class="MpKiNN comp-ju2dtpsx wixui-text-input qzvPmW lPl_oN"><label for="input_comp-ju2dtpsx" class="wPeA6j wixui-text-input__label">Nachname</label>
        <div class="pUnTVX"><input type="text" name="nachname" id="input_comp-ju2dtpsx" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" required="" aria-required="true" maxlength="100"></div>
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      <div id="comp-ju2du3gg" class="MpKiNN comp-ju2du3gg wixui-text-input qzvPmW"><label for="input_comp-ju2du3gg" class="wPeA6j wixui-text-input__label">Adresse</label>
        <div class="pUnTVX"><input type="text" name="adresse" id="input_comp-ju2du3gg" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" aria-required="false" maxlength="250"></div>
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        <div class="pUnTVX"><input type="tel" name="phone" id="input_comp-ju2dv7db" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" aria-required="false" maxlength="50"></div>
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      <div id="comp-ju2dv02d" class="MpKiNN comp-ju2dv02d wixui-text-input qzvPmW lPl_oN"><label for="input_comp-ju2dv02d" class="wPeA6j wixui-text-input__label">E-Mail-Adresse</label>
        <div class="pUnTVX"><input type="email" name="email" id="input_comp-ju2dv02d" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" required="" aria-required="true" pattern="^.+@.+\.[a-zA-Z]{2,63}$" maxlength="250">
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      <div id="comp-ju2facu0" class="BaOVQ8 tz5f0K comp-ju2facu0 wixui-text" data-testid="richTextElement">
        <h2 class="font_2" style="font-size:23px;"><span style="font-size:23px;"><span style="color:#98D1E8;"><span style="font-family:wfont_1c49fb_ab5a81af37c540268d2f026d1558269b,wf_ab5a81af37c540268d2f026d1,orig_signika_light;">Informationen zum
                Vater</span></span></span></h2>
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      <div id="comp-ju2e1zkd" class="MpKiNN comp-ju2e1zkd wixui-text-input qzvPmW lPl_oN"><label for="input_comp-ju2e1zkd" class="wPeA6j wixui-text-input__label">Vorname</label>
        <div class="pUnTVX"><input type="text" name="vorname" id="input_comp-ju2e1zkd" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" required="" aria-required="true"></div>
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      <div id="comp-ju2e2pag" class="MpKiNN comp-ju2e2pag wixui-text-input qzvPmW lPl_oN"><label for="input_comp-ju2e2pag" class="wPeA6j wixui-text-input__label">Nachname hinzufügen</label>
        <div class="pUnTVX"><input type="text" name="nachname-hinzufügen" id="input_comp-ju2e2pag" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" required="" aria-required="true"></div>
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      <div id="comp-ju2e3asd" class="MpKiNN comp-ju2e3asd wixui-text-input qzvPmW"><label for="input_comp-ju2e3asd" class="wPeA6j wixui-text-input__label">Adresse</label>
        <div class="pUnTVX"><input type="text" name="adresse" id="input_comp-ju2e3asd" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" aria-required="false" maxlength="250"></div>
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        <div class="pUnTVX"><input type="tel" name="phone" id="input_comp-ju2e3g2y" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" aria-required="false" maxlength="50"></div>
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      <div id="comp-ju2e3quq" class="MpKiNN comp-ju2e3quq wixui-text-input qzvPmW lPl_oN"><label for="input_comp-ju2e3quq" class="wPeA6j wixui-text-input__label">E-Mail-Adresse</label>
        <div class="pUnTVX"><input type="email" name="email" id="input_comp-ju2e3quq" class="KvoMHf has-custom-focus wixui-text-input__input" value="" placeholder="" required="" aria-required="true" pattern="^.+@.+\.[a-zA-Z]{2,63}$" maxlength="250">
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      <div id="comp-jui8d4dd" class="BaOVQ8 tz5f0K comp-jui8d4dd wixui-text" data-testid="richTextElement">
        <h1 class="font_0" style="font-size:40px;"><span style="font-style:normal;"><span style="font-weight:400;"><span style="font-size:23px;"><span style="color:#98D1E8;"><span
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      <div id="comp-ju2e8o2g" class="WtkATY dDYNVm comp-ju2e8o2g wixui-dropdown Pv1V2r vUaXaX"><label class="ZgP_V9 wixui-dropdown__label" for="collection_comp-ju2e8o2g">Krippe oder Elementar</label>
        <div class="PfBR86"><select class="KeFFnk has-custom-focus LI4jvP wixui-dropdown__input" id="collection_comp-ju2e8o2g" required="" aria-required="true">
            <option selected="" value="" disabled="" class="F8vzy2 HDqSrI">Krippe oder Elementar?</option>
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          <div class="hpu7Iz">
            <div class="JECsBO"><svg class="zO2nYq wixui-dropdown__icon" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 9.2828 4.89817">
                <title>arrow&amp;amp;v</title>
                <path d="M4.64116,4.89817a.5001.5001,0,0,1-.34277-.13574L.15727.86448A.50018.50018,0,0,1,.84282.136L4.64116,3.71165,8.44.136a.50018.50018,0,0,1,.68555.72852L4.98393,4.76243A.5001.5001,0,0,1,4.64116,4.89817Z"></path>
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      <div id="comp-ju2e9oqe" class="comp-ju2e9oqe iEQ0uT kRB5A8">
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              <div class="GfSSwF">
                <div class="MnMHAd"></div>
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              <div class="rH4zdN" data-testid="label">Krippe Bumblebees</div>
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              <div class="GfSSwF">
                <div class="MnMHAd"></div>
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              <div class="rH4zdN" data-testid="label">Krippe Baboonies</div>
            </label><label class="W30iAf"><input type="radio" class="T277if" value="Elementar Baboonies" required="" name="comp-ju2e9oqe">
              <div class="GfSSwF">
                <div class="MnMHAd"></div>
              </div>
              <div class="rH4zdN" data-testid="label">Elementar Baboonies</div>
            </label><label class="W30iAf"><input type="radio" class="T277if" value="Elementar Bullerbü" required="" name="comp-ju2e9oqe">
              <div class="GfSSwF">
                <div class="MnMHAd"></div>
              </div>
              <div class="rH4zdN" data-testid="label">Elementar Bullerbü</div>
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      <div id="comp-ju2eaewq" class="comp-ju2eaewq iEQ0uT kRB5A8">
        <fieldset>
          <legend class="KxA7Xb">
            <div data-testid="groupLabel" class="kuumTh">Betreuungsstunden pro Tag</div>
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          <div class="b33LKJ"><label class="W30iAf"><input type="radio" class="T277if" value="6" required="" name="comp-ju2eaewq">
              <div class="GfSSwF">
                <div class="MnMHAd"></div>
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              <div class="rH4zdN" data-testid="label">6</div>
            </label><label class="W30iAf"><input type="radio" class="T277if" value="8" required="" name="comp-ju2eaewq">
              <div class="GfSSwF">
                <div class="MnMHAd"></div>
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              <div class="rH4zdN" data-testid="label">8</div>
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              <div class="GfSSwF">
                <div class="MnMHAd"></div>
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              <div class="rH4zdN" data-testid="label">10</div>
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              <div class="GfSSwF">
                <div class="MnMHAd"></div>
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              <div class="rH4zdN" data-testid="label">12</div>
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        <div data-testid="wrapper" class="IR7ArC"><label style="--labelDisplay:inline-block" for="input_comp-ju2ecten" class="bTM8j0">Gewünschter Betreuungsbeginn</label>
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      <div id="comp-ju2edhp2" class="comp-ju2edhp2 snt4Te oKe0Po"><label for="textarea_comp-ju2edhp2" class="PSkPrR">Meine Nachricht</label><textarea id="textarea_comp-ju2edhp2" class="rEindN has-custom-focus" placeholder=""
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          </svg></div>
        <div class="EBYClk"><span data-testid="text" class="eW1tpy">Wir werden die Informationen, die Sie in diesem Formular angeben, dazu verwenden, Ihnen eine Rückmeldung zu Ihrer Anmeldung zu geben. Sie können Ihr Einverständnis jederzeit
            widerrufen, indem Sie uns eine Nachricht an die E-Mail-Adresse in unserem Impressum schicken. Weitere Informationen finden Sie in unserer
          </span><a data-testid="linkElement" href="https://b-kidskindergarten.de/datenschutz/" target="_blank" class="H38Q8v"><span data-testid="linkLabel" class="aoYkzT">Datenschutzerklärung</span></a></div>
      </label>
      <div class="comp-ju2d5gpv R6ex7N" id="comp-ju2d5gpv" aria-disabled="false"><button aria-disabled="false" data-testid="buttonElement" class="kuTaGy zKbzSQ"><span class="M3I7Z2">Einreichen</span></button></div>
      <div id="comp-jui5zphs" class="BaOVQ8 tz5f0K comp-jui5zphs wixui-text" data-testid="richTextElement">
        <p class="font_8" style="font-size:15px;"><span style="color:#000000;">Ihre Anfrage wurde erfolgreich versand!</span></p>
      </div>
      <div data-mesh-id="comp-ju2d5gb5inlineContent-wedge-5"></div>
    </div>
  </div>
</form>

Text Content

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ANMELDEFORMULAR

NEHMEN SIE KONTAKT MIT UNS AUF!



Sie möchten Ihr Kind unverbindlich bei uns vormerken lassen?
Dann haben Sie hier die Möglichkeit Ihre Voranmeldung abzugeben.
Bitte beachten Sie, dass Sie Ihr Kind erst nach der Geburt bei uns anmelden
können!

INFORMATIONEN ZUM KIND

Vorname des Kindes

Nachname des Kindes

Geschlecht
Geschlechtmännlichweiblich
arrow&amp;v
Geburtsdatum



INFORMATIONEN ZUR MUTTER

Vorname

Nachname

Adresse

Telefon

E-Mail-Adresse



INFORMATIONEN ZUM VATER

Vorname

Nachname hinzufügen

Adresse

Telefon

E-Mail-Adresse



INFORMATIONEN ZUR BETREUUNG

Krippe oder Elementar
Krippe oder Elementar?KrippeElementar
arrow&amp;v
Wunschstandort
Krippe Bumblebees

Krippe Baboonies

Elementar Baboonies

Elementar Bullerbü
Betreuungsstunden pro Tag
6

8

10

12
Gewünschter Betreuungsbeginn

Meine Nachricht

Wir werden die Informationen, die Sie in diesem Formular angeben, dazu
verwenden, Ihnen eine Rückmeldung zu Ihrer Anmeldung zu geben. Sie können Ihr
Einverständnis jederzeit widerrufen, indem Sie uns eine Nachricht an die
E-Mail-Adresse in unserem Impressum schicken. Weitere Informationen finden Sie
in unserer Datenschutzerklärung
Einreichen

Ihre Anfrage wurde erfolgreich versand!



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