{"id":5081,"date":"2021-06-01T20:11:16","date_gmt":"2021-06-02T00:11:16","guid":{"rendered":"https:\/\/www.egliseberee.com\/?page_id=5081"},"modified":"2021-06-01T22:36:08","modified_gmt":"2021-06-02T02:36:08","slug":"fiche-inscription","status":"publish","type":"page","link":"https:\/\/www.egliseberee.com\/?page_id=5081","title":{"rendered":"Fiche inscription"},"content":{"rendered":"<h3>Requis \u00e0 l\u2019inscription :<\/h3>\n<p>Compl\u00e9ter le Formulaire inscription saison \u00e9t\u00e9 2021<br \/>\nFournir une copie d\u2019une preuve de r\u00e9sidence.<br \/>\nFournir une photocopie\/copie de la carte assurance maladie ;<br \/>\nFournir une photo de l\u2019enfant<br \/>\nPrendre connaissance des proc\u00e9dures<br \/>\nLe bureau \u00e9tant ferm\u00e9 dans la semaine (Covid-19), utiliser le mode de paiement par Interac : envoyer le<br \/>\npaiement a<span style=\"color: #0000ff;\"> bereenaction@gmail.com avec le mot de passe : camp<\/span><\/p>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f5053-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5081#wpcf7-f5053-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5053\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.4.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5053-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p><label> Nom (required)<span class=\"wpcf7-form-control-wrap Nom\"><input type=\"text\" name=\"Nom\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label> Pr\u00e9nom (required) <span class=\"wpcf7-form-control-wrap Prenom\"><input type=\"text\" name=\"Prenom\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\nSexe <span class=\"wpcf7-form-control-wrap Sexe\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Sexe\" value=\"Masculin\" \/><span class=\"wpcf7-list-item-label\">Masculin<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Sexe\" value=\"F\u00e9minin\" \/><span class=\"wpcf7-list-item-label\">F\u00e9minin<\/span><\/label><\/span><\/span><\/span><br \/>\n<label> Date de naissance:<\/label> ]<span class=\"wpcf7-form-control-wrap Date\"><input type=\"date\" name=\"Date\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" id=\"1\" aria-invalid=\"false\" \/><\/span><br \/>\n<label> Adresse (required)  <span class=\"wpcf7-form-control-wrap Adresse\"><input type=\"text\" name=\"Adresse\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label> Courriel (required) <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label> T\u00e9l\u00e9phone:<\/label><span class=\"wpcf7-form-control-wrap Telephone\"><input type=\"tel\" name=\"Telephone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><br \/>\n<label> Langue parl\u00e9e:<\/label> <span class=\"wpcf7-form-control-wrap Langue\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Langue[]\" value=\"Anglais\" \/><span class=\"wpcf7-list-item-label\">Anglais<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Langue[]\" value=\"Fran\u00e7ais\" \/><span class=\"wpcf7-list-item-label\">Fran\u00e7ais<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Langue[]\" value=\"Autres\" \/><span class=\"wpcf7-list-item-label\">Autres<\/span><\/label><\/span><\/span><\/span><br \/>\n<label> No assurance-maladie:<\/label><span class=\"wpcf7-form-control-wrap No\"><input type=\"text\" name=\"No\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><br \/>\n<label> Date d'Expiration:<\/label> <span class=\"wpcf7-form-control-wrap Exp\"><input type=\"date\" name=\"Exp\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" id=\"2\" aria-invalid=\"false\" \/><\/span><\/p>\n<p><label><b>Probl\u00e8mes de sant\u00e9, allergies:<\/b><\/label><br \/>\n<label><b>Note : Si votre enfant prend des m\u00e9dicaments, veuillez en aviser \u00e0 notre administration<br \/>\nresponsable du camp et remplir la fiche m\u00e9dicale.<\/b><\/label><br \/>\n<label> si oui, sp\u00e9cifiez  <span class=\"wpcf7-form-control-wrap your-message\"><textarea name=\"your-message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p><input type=\"submit\" value=\"Soumettre\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n    <!-- sktbuilder starter --><script type=\"text\/javascript\" src=\"https:\/\/www.egliseberee.com\/wp-content\/plugins\/skt-builder\/sktbuilder\/sktbuilder-frontend-starter.js\"><\/script><script type=\"text\/javascript\" src=\"https:\/\/www.egliseberee.com\/wp-content\/plugins\/skt-builder\/sktbuilder-wordpress-driver.js\"><\/script><script type=\"text\/javascript\"> var starter = new SktbuilderStarter({\"mode\": \"prod\", \"skip\":[\"jquery\",\"underscore\",\"backbone\"],\"sktbuilderUrl\": \"https:\/\/www.egliseberee.com\/wp-content\/plugins\/skt-builder\/sktbuilder\/\", \"driver\": new SktbuilderWordpressDriver({\"ajaxUrl\": \"https:\/\/www.egliseberee.com\/wp-admin\/admin-ajax.php\", \"iframeUrl\": \"https:\/\/www.egliseberee.com\/?page_id=5081&sktbuilder=true\", \"pageId\": 5081, \"pages\": [{\"title\":\"Qui sommes-nous?\",\"url\":\"https:\\\/\\\/www.egliseberee.com\\\/wp-admin\\\/post.php?post=4772&action=sktbuilder\"},{\"title\":\"Nous croyons\",\"url\":\"https:\\\/\\\/www.egliseberee.com\\\/wp-admin\\\/post.php?post=1749&action=sktbuilder\"},{\"title\":\"Accueil\",\"url\":\"https:\\\/\\\/www.egliseberee.com\\\/wp-admin\\\/post.php?post=4476&action=sktbuilder\"},{\"title\":\"Faire un don\",\"url\":\"https:\\\/\\\/www.egliseberee.com\\\/wp-admin\\\/post.php?post=4830&action=sktbuilder\"},{\"title\":\"Nos r\\u00e9unions\",\"url\":\"https:\\\/\\\/www.egliseberee.com\\\/wp-admin\\\/post.php?post=5019&action=sktbuilder\"}], \"page\": \"Fiche inscription\" }) });<\/script><!-- end sktbuilder starter -->","protected":false},"excerpt":{"rendered":"<p>Requis \u00e0 l\u2019inscription : Compl\u00e9ter le Formulaire inscription saison \u00e9t\u00e9 2021 Fournir une copie d\u2019une preuve de r\u00e9sidence. Fournir une photocopie\/copie de la carte assurance maladie ; Fournir une photo<br \/><a class=\"moretag\" href=\"https:\/\/www.egliseberee.com\/?page_id=5081\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":303,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.egliseberee.com\/index.php?rest_route=\/wp\/v2\/pages\/5081"}],"collection":[{"href":"https:\/\/www.egliseberee.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.egliseberee.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.egliseberee.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egliseberee.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5081"}],"version-history":[{"count":4,"href":"https:\/\/www.egliseberee.com\/index.php?rest_route=\/wp\/v2\/pages\/5081\/revisions"}],"predecessor-version":[{"id":5100,"href":"https:\/\/www.egliseberee.com\/index.php?rest_route=\/wp\/v2\/pages\/5081\/revisions\/5100"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egliseberee.com\/index.php?rest_route=\/wp\/v2\/media\/303"}],"wp:attachment":[{"href":"https:\/\/www.egliseberee.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}