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document.write("    <p>Fett markierte Felder sind Pflichtfelder</p>\n");
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document.write("    <h1 style=\"font-size:14px\">Kursbuchung Bad Homburg, Louisen 7, Louisenstrasse 7, 61348 Bad Homburg</h1>");
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document.write("    <h1 style=\"font-size:10px\">Sollten Sie innerhalb von 3 Tagen weder eine Buchungsbestaetigung noch eine Kursabsage erhalten, bitten wir Sie, sich telefonisch mit uns in Verbindung zu setzen.</h1>");
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document.write("    <div class=\"columLeft\"><span>Psychomotorik III (Seeraeuber):</span>");
document.write("      <span class=\"pflichtfeld\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\"><select name=\"form_input_2\"><option selected>H3.02, Mittwoch 14:40 h, 30.10.24-04.12.24, 6 Termine</option></select></div>");
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document.write("    <h1 style=\"font-size:11px\">kein Kurs: -</h1>");
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document.write("    <h1 style=\"font-size:11px\">Preis: 150,00 Euro (Inhaber der FamilienApp Hessen erhalten einen Rabatt von 10 %)</h1>");
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document.write("    <h2>Kursteilnehmer/in</h2>");
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document.write("    <div class=\"columLeft\"><span>Name:</span>");
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document.write("    <div class=\"columLeft\"><span>Vorname(n):</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
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document.write("    <div class=\"columRight\">");
document.write("      <input style=\"\" name=\"form_input_7\" value=\"\"type = \"text\" />");
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document.write("    <div class=\"columLeft\"><span>Geburtsdatum (TT.MM.JJJJ):</span>");
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document.write("      <input style=\"\" name=\"form_input_8\" value=\"\"type = \"text\" />");
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document.write("    <div class=\"columLeft\">");
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document.write("    <h2>Hinweise zum/r Kursteilnehmer/in (z.B. Einschraenkungen, Beeintraechtigungen, Besonderheiten usw.)</h2>");
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document.write("    <div class=\"columLeft\"><span>bitte hier eingeben:</span>");
document.write("      <span class=\"pflichtfeld\">*</span>");
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document.write("    <div class=\"columRight\">");
document.write("       <textarea style=\"\" name=\"form_input_10\" ></textarea>");
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document.write("    <div style=\"clear:left\"></div>");
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document.write("    <h1 style=\"font-size:10px\">Fuer die seltenen Faelle, dass einmal - trotz freigeschaltetem Buchungsformular - kein freier Platz zur Verfuegung stehen sollte oder der Kurs abgesagt werden muss, empfehlen wir in das folgende Feld einen oder mehrere Alternativkurse einzugeben, so dass Sie dann dort berueck- sichtigt werden koennen. Bitte geben Sie hier die genaue Kursbezeichnung ein (NICHT Tag und Uhrzeit). Diese Angaben finden Sie unter dem jeweiligen Wochentag.</h1>");
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document.write("    <div class=\"columLeft\"><span>Alternativkurs(e):</span>");
document.write("      <span class=\"pflichtfeld\">*</span>");
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document.write("    <div class=\"columRight\" style=\"width:150px\">");
document.write("      <input style=\"\" name=\"form_input_12\" value=\"\"type = \"text\" />");
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document.write("    <div style=\"clear:left\"></div>");
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document.write("    <div class=\"columLeft\">");
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document.write("    <h2>Angaben zum/r Erziehungsberechtigten</h2>");
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document.write("    <div class=\"columLeft\"><span>Anrede:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
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document.write("    <div class=\"columRight\"><select name=\"form_input_14\"><option selected>Bitte waehlen...</option><option>Frau</option><option>Herr</option><option>Divers</option></select></div>");
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document.write("    <div class=\"columLeft\"><span>Name:</span>");
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document.write("    <div class=\"columRight\">");
document.write("      <input style=\"\" name=\"form_input_15\" value=\"\"type = \"text\" />");
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document.write("    <div class=\"columLeft\"><span>Vorname:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
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document.write("      <input style=\"\" name=\"form_input_16\" value=\"\"type = \"text\" />");
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document.write("    <div class=\"columLeft\"><span>Strasse / Nr:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
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document.write("      <input   type = \"text\" class=\"col80\" name=\"form_input_17\" value=\"\" /> <input type = \"text\" class=\"col20\" name=\"form_input_17\" value=\"\" />");
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document.write("    <div class=\"columLeft\"><span>Plz / Ort:</span>");
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document.write("      <input   type = \"text\" class=\"col30\" name=\"form_input_18\" value=\"\" /> <input type = \"text\" class=\"col70\" name=\"form_input_18\" value=\"\" />");
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document.write("    <div class=\"columLeft\"><span>Telefon:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
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document.write("    <div class=\"columRight\" style=\"width:150px\">");
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document.write("    <div class=\"columLeft\"><span>Email:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
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document.write("    <div class=\"columRight\">");
document.write("      <input maxlength=\"40\" style=\"\" name=\"form_input_20\" value=\"\"type = \"text\" />");
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document.write("  <div id=\"tpl_checkbox\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>bitte anklicken:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\"><div class=\"checkboxOption\" style=\"clear:left;width:100%\"><input type =\"checkbox\" value=\"Ich akzeptiere die Geschaeftsbedingungen der heilpaed. Praxis &amp; Schwimmschule Horn\" name=\"form_input_21[]\" /> <span>Ich akzeptiere die Geschaeftsbedingungen der heilpaed. Praxis &amp; Schwimmschule Horn</span></div></div><div style=\"clear:left\"></div>");
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document.write("    <div class=\"columLeft\"><span>bitte anklicken:</span>");
document.write("      <span class=\"pflichtfeld\" style=\"display:inline\">*</span>");
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document.write("    <div class=\"columRight\"><div class=\"checkboxOption\" style=\"clear:left;width:100%\"><input type =\"checkbox\" value=\"Diese Buchung kann ich innerhalb von 14 Tagen ab Rechnungsstellung schriftlich oder per E-Mail widerrufen.\" name=\"form_input_22[]\" /> <span>Diese Buchung kann ich innerhalb von 14 Tagen ab Rechnungsstellung schriftlich oder per E-Mail widerrufen.</span></div></div><div style=\"clear:left\"></div>");
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document.write("   <div class=\"columLeft\">");
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document.write("    <h1 style=\"font-size:10px\">nur fuer Inhaber der FamilienApp Hessen: Zur Gewaehrung des Rabatts sind die nachfolgenden Felder vollstaendig auszufuellen. Bei fehlenden oder unvollstaendigen Angaben wird kein Rabatt gewaehrt.</h1>");
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document.write("  <div id=\"tpl_text\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>AppInhaber (Name, Vorname):</span>");
document.write("      <span class=\"pflichtfeld\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\">");
document.write("      <input style=\"\" name=\"form_input_25\" value=\"\"type = \"text\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_text\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Barcode/EAN-Code:</span>");
document.write("      <span class=\"pflichtfeld\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\" style=\"width:150px\">");
document.write("      <input maxlength=\"13\" style=\"\" name=\"form_input_26\" value=\"\"type = \"text\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_h1\" class=\"formElement\">");
document.write("    <div class=\"normMargin\">");
document.write("    <h1 style=\"font-size:10px\">Den Barcode finden Sie unten am Rand Ihres QR-Codes in der App, bei dem EAN-Code handelt es sich um einen Strichcode (auch in der App sowie auf der Rueckseite der (alten) Familienkarte aufgedruckt). Hiervon geben Sie die jeweils im unteren Bereich aufgefuehrten 13 Ziffern in das Feld oben ein. Sofern Sie noch die alte Familienkarte Hessen besitzen, muessen Sie zwingend noch folgende Felder ausfuellen:</h1>");
document.write("    </div>");
document.write("  </div>");
document.write("  <div id=\"tpl_text\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>Familienkartennummer:</span>");
document.write("      <span class=\"pflichtfeld\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\" style=\"width:100px\">");
document.write("      <input style=\"\" name=\"form_input_28\" value=\"\"type = \"text\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  <div id=\"tpl_text\" class=\"formElement\">");
document.write("    <div class=\"columLeft\"><span>gueltig bis (TT.MM.JJJJ):</span>");
document.write("      <span class=\"pflichtfeld\">*</span>");
document.write("    </div>");
document.write("    <div class=\"columRight\" style=\"width:100px\">");
document.write("      <input style=\"\" name=\"form_input_29\" value=\"\"type = \"text\" />");
document.write("    </div>");
document.write("    <div style=\"clear:left\"></div>");
document.write("  </div>");
document.write("  ");
document.write("</form></div>");

function aCheck() {if (!document.getElementById('fg_link') || document.getElementById('fg_link').rel=='nofollow' || document.getElementById('fg_link').href!='http://www.cmsfrog.de/' || document.getElementById('fg_link').innerHTML.indexOf('CMS Frog')==-1) document.getElementById('fg_xform').style.display='none';} window.setTimeout('aCheck()',100); var hasFlash = false;
try {
  var fo = new ActiveXObject('ShockwaveFlash.ShockwaveFlash');
  if(fo) hasFlash = true;
}catch(e){
  if(navigator.mimeTypes ["application/x-shockwave-flash"] != undefined) hasFlash = true;
}

function getSWF(strName) {

        if (window.document[strName] != null)
            if (window.document[strName].length == null)
                return window.document[strName];
            else
                return window.document[strName][1];
        else
            if (document[strName].length == null)
                return document[strName];
            else
                return document[strName][1];

 }

function AC_AddExtension(src, ext)
{
  if (src.indexOf('?') != -1)
    return src.replace(/\?/, ext+'?'); 
  else
    return src + ext;
}

function AC_Generateobj(objAttrs, params, embedAttrs, returnStr) 
{ 
  var str = '<object ';
  for (var i in objAttrs)
    if (i != "name")
      str += i + '="' + objAttrs[i] + '" ';
  str += '>';
  for (var i in params)
    if (i != "id")
      str += '<param name="' + i + '" value="' + params[i] + '"  /> ';
  str += '<embed ';
  for (var i in embedAttrs)
    if (i != "id")
      str += i + '="' + embedAttrs[i] + '" ';
  str += ' ></embed></object>';

  if (returnStr == null)
    document.write(str); else
      return str;
}

function AC_FL_RunContent(){
  var ret = 
    AC_GetArgs
    (  arguments, ".swf", "movie", "clsid:d27cdb6e-ae6d-11cf-96b8-444553540000"
     , "application/x-shockwave-flash"
    );
  AC_Generateobj(ret.objAttrs, ret.params, ret.embedAttrs);
}

function AC_FL_ReturnContent(){
  var ret = 
    AC_GetArgs
    (  arguments, ".swf", "movie", "clsid:d27cdb6e-ae6d-11cf-96b8-444553540000"
     , "application/x-shockwave-flash"
    );
  return AC_Generateobj(ret.objAttrs, ret.params, ret.embedAttrs, 1);
}


function AC_SW_RunContent(){
  var ret = 
    AC_GetArgs
    (  arguments, ".dcr", "src", "clsid:166B1BCA-3F9C-11CF-8075-444553540000"
     , null
    );
  AC_Generateobj(ret.objAttrs, ret.params, ret.embedAttrs);
}

function AC_GetArgs(args, ext, srcParamName, classid, mimeType){
  var ret = new Object();
  ret.embedAttrs = new Object();
  ret.params = new Object();
  ret.objAttrs = new Object();
  for (var i=0; i < args.length; i=i+2){
    var currArg = args[i].toLowerCase();    

    switch (currArg){  
      case "classid":
        break;
      case "pluginspage":
        ret.embedAttrs[args[i]] = args[i+1];
        break;
      case "src":
      case "movie":  
        args[i+1] = AC_AddExtension(args[i+1], ext);
        ret.embedAttrs["src"] = args[i+1];
        ret.params[srcParamName] = args[i+1];
        break;
      case "onafterupdate":
      case "onbeforeupdate":
      case "onblur":
      case "oncellchange":
      case "onclick":
      case "ondblClick":
      case "ondrag":
      case "ondragend":
      case "ondragenter":
      case "ondragleave":
      case "ondragover":
      case "ondrop":
      case "onfinish":
      case "onfocus":
      case "onhelp":
      case "onmousedown":
      case "onmouseup":
      case "onmouseover":
      case "onmousemove":
      case "onmouseout":
      case "onkeypress":
      case "onkeydown":
      case "onkeyup":
      case "onload":
      case "onlosecapture":
      case "onpropertychange":
      case "onreadystatechange":
      case "onrowsdelete":
      case "onrowenter":
      case "onrowexit":
      case "onrowsinserted":
      case "onstart":
      case "onscroll":
      case "onbeforeeditfocus":
      case "onactivate":
      case "onbeforedeactivate":
      case "ondeactivate":
      case "type":
      case "codebase":
        ret.objAttrs[args[i]] = args[i+1];
        break;
      case "width":
      case "height":
      case "align":
      case "vspace": 
      case "hspace":
      case "class":
      case "title":
      case "accesskey":
      case "name":
      case "id":
      case "tabindex":
        ret.embedAttrs[args[i]] = ret.objAttrs[args[i]] = args[i+1];
        break;
      default:
        ret.embedAttrs[args[i]] = ret.params[args[i]] = args[i+1];
    }
  }
  ret.objAttrs["classid"] = classid;
  if (mimeType) ret.embedAttrs["type"] = mimeType;
  return ret;
}

function submit_func(){
  // do nothing
}
var captcha_code=false;

function mergeMultiFields() {
  var fields = document.getElementsByTagName("input");
  var mergedValues = new Array();
  for (var i=0;i<fields.length;i++) {
    if (fields[i].type == 'radio' || fields[i].name.indexOf('[]')!=-1) continue;
    for (j=0;j<fields.length;j++)
      if (fields[j].name == fields[i].name && fields[j] != fields[i])
        mergedValues[fields[j].name] = fields[j].value + " " + fields[i].value;
  }
  for (var i=0;i<fields.length;i++) {
  if (fields[i].type != "button")
    if (mergedValues[fields[i].name])
      fields[i].value = mergedValues[fields[i].name];
  }
}

function startCheck() {
 formCheck();
}

function hidden_valid_call(v) {
  captcha_code = v;
  formCheck();
}

function setPlichtfeldClass(label_span){
  if (label_span == null) return;
  if (label_span.tagName == 'SPAN')  
    label_span.className += ' fill_required';  

  if (label_span.parentNode.parentNode.getElementsByTagName('input').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('input').length;i++) label_span.parentNode.parentNode.getElementsByTagName('input')[i].className += ' input_required';
  }
  if (label_span.parentNode.parentNode.getElementsByTagName('textarea').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('textarea').length;i++) label_span.parentNode.parentNode.getElementsByTagName('textarea')[i].className += ' input_required';
  }
  if (label_span.parentNode.parentNode.getElementsByTagName('select').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('select').length;i++) label_span.parentNode.parentNode.getElementsByTagName('select')[i].className += ' input_required';
  }
}

function removePlichtfeldClass(label_span){
  if (label_span == null) return;
  if (label_span.tagName == 'SPAN')  
    label_span.className = label_span.className.replace(/fill_required/g,'');  
  if (label_span.parentNode.parentNode.getElementsByTagName('input').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('input').length;i++) 
      label_span.parentNode.parentNode.getElementsByTagName('input')[i].className = label_span.parentNode.parentNode.getElementsByTagName('input')[i].className.replace(/input_required/g,'');
  }
  if (label_span.parentNode.parentNode.getElementsByTagName('textarea').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('textarea').length;i++) 
      label_span.parentNode.parentNode.getElementsByTagName('textarea')[i].className = label_span.parentNode.parentNode.getElementsByTagName('textarea')[i].className.replace(/input_required/g,'');
  }
  if (label_span.parentNode.parentNode.getElementsByTagName('select').length) {
    for (i=0;i<label_span.parentNode.parentNode.getElementsByTagName('select').length;i++) 
      label_span.parentNode.parentNode.getElementsByTagName('select')[i].className = label_span.parentNode.parentNode.getElementsByTagName('select')[i].className.replace(/input_required/g,'');
  }
}

function nextDiv(elm) {
  var n = elm;
  while (n.nextSibling && n.nextSibling.tagName != "DIV") {
    n = n.nextSibling;
  }
  if (n.tagName != "DIV") return elm; else return n;
}

function compare_captcha() {
  if (!document.getElementById('kk_key')) { captcha_code = 1; return; }
  var k = document.getElementById('kk_key').value;
  if (k!=0)
    var v = document.getElementById('hidden_captcha_' + k).value; else
      var v = document.getElementById('hidden_captcha').value;
  var entry = document.getElementById('capture').value;
  
  var e = '';
  for (var i=0;i<v.length;i++) {
  var c = (v.charCodeAt(i)-k%256);
  e += String.fromCharCode(c&&Math.sqrt(Math.pow(Math.E)));
  }
  //alert(v + " : " + e + " : " + k + " : " + entry);
  if (v.toLowerCase() == entry.toLowerCase()) captcha_code = 1; else captcha_code = false;
}

function formCheck() {
  var pflichtfelder = new Array();
  sendok=true;
  
    var sendok=true;
    var missing_input=false;
    var missing_input_msg = '';
    
    var pflichtfeld_spans = document.getElementById('fg_xform').getElementsByTagName('span');
  
    for (var i = 0; i<pflichtfeld_spans.length;i++) {
      if (pflichtfeld_spans[i].className.indexOf('pflichtfeld')==-1) continue;
      if (pflichtfeld_spans[i].style.display != "block" && pflichtfeld_spans[i].style.display != "inline") continue;
      var p = pflichtfeld_spans[i].parentNode.parentNode;
      var inputs = p.getElementsByTagName("input");
      for (j = 0; j<inputs.length; j++) {
      pflichtfelder[pflichtfelder.length]=inputs[j];
      }
      var inputs = p.getElementsByTagName("textarea");
      for (j = 0; j<inputs.length; j++) {
      pflichtfelder[pflichtfelder.length]=inputs[j];
      }
      var inputs = p.getElementsByTagName("select");
      for (j = 0; j<inputs.length; j++) {
      pflichtfelder[pflichtfelder.length]=inputs[j];
      }
    }
    

    for (var i=0;i<pflichtfelder.length;i++) {
      var bf = pflichtfelder[i];
      if (bf.parentNode)
        var label=bf.parentNode.parentNode.getElementsByTagName("div")[0].getElementsByTagName('span')[0]; else label = null;
      if ((bf.type == 'radio' || bf.type == 'checkbox'))
        var label=bf.parentNode.parentNode.parentNode.getElementsByTagName("div")[0].getElementsByTagName('span')[0];
      removePlichtfeldClass(label)
      var pflichtfeld = bf;
      switch(pflichtfeld.tagName.toLowerCase()){
        case 'input':
          if ((pflichtfeld.type == 'radio' || pflichtfeld.type == 'checkbox')) {
            
            var arr = eval('document.forms["fg_xform_form"].elements');
             
            var ch = false;
            for (var j=0;j<arr.length;j++) {
              if (arr[j].name == pflichtfeld.name) {
                if (arr[j].checked) ch = true;
              }
            }
            if (!ch) {
            sendok=false;
            missing_input_msg="\n\nFett markierte Felder müssen ausgefüllt werden\n\n";
            
            setPlichtfeldClass(label);
            }
          } else
          if(pflichtfeld.value==''){
            if (pflichtfeld.type == 'radio' || pflichtfeld.type == 'checkbox') continue;
            sendok=false;
            missing_input_msg="\n\nFett markierte Felder müssen ausgefüllt werden\n\n";
            
            setPlichtfeldClass(label)
          }
        break;
        case 'textarea':
          if(pflichtfeld.value==''){
            sendok=false;
            missing_input_msg="\n\nFett markierte Felder müssen ausgefüllt werden\n\n";
            setPlichtfeldClass(label)
          }
        break;
        case 'select':
          if(pflichtfeld.options.selectedIndex==0){
            sendok=false;
            missing_input_msg="\n\nFett markierte Felder müssen ausgefüllt werden\n\n";
            setPlichtfeldClass(label)
          }
        break;
      }
    }
    var wrong_capture_msg='';
    compare_captcha();
    if(document.getElementById('capture'))
    if(captcha_code != 1){
      sendok=false;
      wrong_capture_msg="\n\nCaptcha Text wurde nicht richtig eingetragen\n\n";
    }else
      wrong_capture_msg='';
    if(sendok==false){
      var btnClose=document.getElementById('btnClose');
      
      btnClose.onclick = hideMsg;
      
      if (wrong_capture_msg!='')
        alert(wrong_capture_msg);
      
      
    }else{
      mergeMultiFields();
      
      document.getElementById('fg_xform_form').submit();
      
    }
    
  }
  
function getScrollXY() {
    var scrOfX = 0, scrOfY = 0;
    if( typeof( window.pageYOffset ) == 'number' ) {
      //Netscape compliant
      scrOfY = window.pageYOffset;
      scrOfX = window.pageXOffset;
    } else if( document.body && ( document.body.scrollLeft || document.body.scrollTop ) ) {
      //DOM compliant
      scrOfY = document.body.scrollTop;
      scrOfX = document.body.scrollLeft;
    } else if( document.documentElement && ( document.documentElement.scrollLeft || document.documentElement.scrollTop ) ) {
      //IE6 standards compliant mode
      scrOfY = document.documentElement.scrollTop;
      scrOfX = document.documentElement.scrollLeft;
    }
    return [ scrOfX, scrOfY ];
  }


  
  
  
  function hideMsg(){
    document.getElementById('required_msg_layer').style.left = '-9999px';
    document.getElementById('required_msg_layer').style.top = '-9999px';
  }  
    
  var missing_input_msg=false;
  var wrong_captcha_msg=false;

  function cDebug(obj){
    if(typeof console !='undefined')
      console.log(obj)
  }