{"id":3037,"date":"2026-07-31T14:54:25","date_gmt":"2026-07-31T12:54:25","guid":{"rendered":"https:\/\/www.ecuriesdesmuriers.com\/?page_id=3037"},"modified":"2026-07-31T15:13:23","modified_gmt":"2026-07-31T13:13:23","slug":"formulaire-dinscription-2027","status":"publish","type":"page","link":"https:\/\/www.ecuriesdesmuriers.com\/index.php\/formulaire-dinscription-2027\/","title":{"rendered":"Formulaire d&rsquo;inscription 2027"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3037\" class=\"elementor elementor-3037\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bf24278 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bf24278\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-933f019\" data-id=\"933f019\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c181e5c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c181e5c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-12cb136\" data-id=\"12cb136\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ad8c13 elementor-widget elementor-widget-wpforms\" data-id=\"3ad8c13\" data-element_type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-2526\"><form id=\"wpforms-form-2526\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"2526\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/3037\" data-token=\"41f8ab599a3568004f587d3fa47993bd\" data-token-time=\"1785534194\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2526-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_9\">Titre <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2526-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required=\"required\"><option value=\"Madame\"  class=\"choice-1 depth-1\"  >Madame<\/option><option value=\"Monsieur\"  class=\"choice-2 depth-1\"  >Monsieur<\/option><\/select><\/div><div id=\"wpforms-2526-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Nom et pr\u00e9nom <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2526-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-2526-field_1\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2526-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-2526-field_1-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><div class=\"wpforms-field-description\">Merci de bien indiquer ici le nom qui apparait sur votre licence f\u00e9d\u00e9rale. <\/div><\/div><div id=\"wpforms-2526-field_27-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_27\">Vous \u00eates ?<\/label><select id=\"wpforms-2526-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\"><option value=\"Une femme\"  class=\"choice-1 depth-1\"  >Une femme<\/option><option value=\"Une homme\"  class=\"choice-2 depth-1\"  >Une homme<\/option><option value=\"Je garde cette information pour moi\"  class=\"choice-3 depth-1\"  >Je garde cette information pour moi<\/option><\/select><\/div><div id=\"wpforms-2526-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_10\">Votre date de naissance <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2526-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><div class=\"wpforms-field-description\">Inscrivez votre date de naissance de la mani\u00e8re suivante : 00\/00\/0000<\/div><\/div><div id=\"wpforms-2526-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_39\">Votre adresse postale <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2526-field_39\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][39]\" required><\/div><div id=\"wpforms-2526-field_40-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_40\">Code postal <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2526-field_40\" class=\"wpforms-field-small wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"2526\" data-field-id=\"40\" data-text-limit=\"5\" name=\"wpforms[fields][40]\" maxlength=\"5\" required><\/div><div id=\"wpforms-2526-field_41-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_41\">Ville <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2526-field_41\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][41]\" required><\/div><div id=\"wpforms-2526-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_12\">Votre num\u00e9ro de t\u00e9l\u00e9phone : <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2526-field_12\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][12]\" placeholder=\"Fixe\" required><\/div><div id=\"wpforms-2526-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-2526-field_30\">Num\u00e9ro de mobile<\/label><input type=\"text\" id=\"wpforms-2526-field_30\" class=\"wpforms-field-small\" name=\"wpforms[fields][30]\" placeholder=\"Mobile\" ><\/div><div id=\"wpforms-2526-field_8-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_8\">Votre e-mail <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2526-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-2526-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Personne \u00e0 contacter en cas d&#039;accident <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2526-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" required><label for=\"wpforms-2526-field_13\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2526-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" required><label for=\"wpforms-2526-field_13-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/div>\t\t<div id=\"wpforms-2526-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-2526-field_2\" > chirurgicales code<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-2526-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-2526-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-2526-field_14\">Ligne de texte <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2526-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" value=\"Lien de parent\u00e9\" required><\/div><div id=\"wpforms-2526-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-2526-field_15\">Ligne de texte (copier)<\/label><input type=\"text\" id=\"wpforms-2526-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" value=\"M\u00e9tier (uniquement pour les mineurs)\" ><\/div><div id=\"wpforms-2526-field_32-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"32\"><label class=\"wpforms-field-label\">Avez-vous des allergies ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2526-field_32\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_32_1\" name=\"wpforms[fields][32][]\" value=\"OUI\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_32_1\">OUI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_32_2\" name=\"wpforms[fields][32][]\" value=\"NON\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_32_2\">NON<\/label><\/li><\/ul><\/div><div id=\"wpforms-2526-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-2526-field_33\">Texte sur une seule ligne<\/label><input type=\"text\" id=\"wpforms-2526-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" placeholder=\"Merci de nous donner la liste de vos allergies ici. \" ><\/div><div id=\"wpforms-2526-field_17-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"17\"><label class=\"wpforms-field-label\">Votre niveau \u00e9questre <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2526-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_17_1\" name=\"wpforms[fields][17][]\" value=\"D\u00e9butant\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_17_1\">D\u00e9butant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_17_2\" name=\"wpforms[fields][17][]\" value=\"Galop 1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_17_2\">Galop 1<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_17_3\" name=\"wpforms[fields][17][]\" value=\"Galop 2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_17_3\">Galop 2<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_17_8\" name=\"wpforms[fields][17][]\" value=\"Galop 3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_17_8\">Galop 3<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_17_7\" name=\"wpforms[fields][17][]\" value=\"Galop 4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_17_7\">Galop 4<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_17_6\" name=\"wpforms[fields][17][]\" value=\"Galop 5\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_17_6\">Galop 5<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_17_5\" name=\"wpforms[fields][17][]\" value=\"Galop 6\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_17_5\">Galop 6<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_17_4\" name=\"wpforms[fields][17][]\" value=\"Galop 7\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_17_4\">Galop 7<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-2526-field_17_9\" name=\"wpforms[fields][17][]\" value=\"Je ne suis pas s\u00fbr(e) de mon niveau\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_17_9\">Je ne suis pas s\u00fbr(e) de mon niveau<\/label><\/li><\/ul><\/div><div id=\"wpforms-2526-field_34-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_34\">CHOIX DES FORMULES<\/label><select id=\"wpforms-2526-field_34\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][34]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"Baybys 3 et 4 ans\"  class=\"choice-1 depth-1\"  >Baybys 3 et 4 ans<\/option><option value=\"Moins de 13 ans\"  class=\"choice-2 depth-1\"  >Moins de 13 ans<\/option><option value=\"Plus de 13 ans\"  class=\"choice-3 depth-1\"  >Plus de 13 ans<\/option><\/select><\/div><div id=\"wpforms-2526-field_35-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"35\"><label class=\"wpforms-field-label wpforms-label-hide\">Cartes ou forfait ?<\/label><ul id=\"wpforms-2526-field_35\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2526-field_35_1\" name=\"wpforms[fields][35]\" value=\"Cartes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_35_1\">Cartes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2526-field_35_2\" name=\"wpforms[fields][35]\" value=\"Forfaits \u00e0 l&#039;ann\u00e9e (fixe, flex, etc.)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_35_2\">Forfaits \u00e0 l'ann\u00e9e (fixe, flex, etc.)<\/label><\/li><\/ul><\/div><div id=\"wpforms-2526-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"36\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-2526-field_36\">formule choisie<\/label><input type=\"text\" id=\"wpforms-2526-field_36\" class=\"wpforms-field-medium\" name=\"wpforms[fields][36]\" placeholder=\"Merci de pr\u00e9ciser la formule choisie. N&#039;h\u00e9sitez pas \u00e0 consulter la page &quot;tarifs&quot;.\" ><\/div><div id=\"wpforms-2526-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-2526-field_38\">horaires reprises<\/label><input type=\"text\" id=\"wpforms-2526-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\" placeholder=\"Indiquez ici les horaires et dates des reprises qui vous int\u00e9ressent.\" ><div class=\"wpforms-field-description\">Pour information, nous fonctionnons sur la r\u00e8gle des premiers arriv\u00e9s, premiers servis. <\/div><\/div><div id=\"wpforms-2526-field_6-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_6\"> LICENCE F\u00c9D\u00c9RALE OBLIGATOIRE (conform\u00e9ment \u00e0 l&#039;article L.321-4 du code du sport) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2526-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required=\"required\"><option value=\"Oui, en cours de validit\u00e9 (merci de sp\u00e9cifier le num\u00e9ro ci-dessous\"  class=\"choice-4 depth-1\"  >Oui, en cours de validit\u00e9 (merci de sp\u00e9cifier le num\u00e9ro ci-dessous<\/option><option value=\"Non (joindre un ch\u00e8que de 40\u20ac (+18 ans) ou 29 \u20ac (-18 ans), \u00e0 l&#039;ordre des \u00c9curies des M\u00fbriers).\"  class=\"choice-1 depth-1\"  >Non (joindre un ch\u00e8que de 40\u20ac (+18 ans) ou 29 \u20ac (-18 ans), \u00e0 l'ordre des \u00c9curies des M\u00fbriers).<\/option><\/select><\/div><div id=\"wpforms-2526-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_19\">Votre num\u00e9ro de licence :<\/label><input type=\"text\" id=\"wpforms-2526-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-2526-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"20\"><label class=\"wpforms-field-label\">Cases \u00e0 cocher<\/label><ul id=\"wpforms-2526-field_20\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-2526-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Je d\u00e9clare avoir pris connaissance et accepter le r\u00e8glement int\u00e9rieur applicable au sein de l&#039;\u00e9tablissement.\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_20_1\">Je d\u00e9clare avoir pris connaissance et accepter le r\u00e8glement int\u00e9rieur applicable au sein de l'\u00e9tablissement.<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-2526-field_20_2\" name=\"wpforms[fields][20][]\" value=\"J&#039;accepte d&#039;\u00eatre recens\u00e9(e) dans le fichier informatique du club et b\u00e9n\u00e9ficie directement aupr\u00e8s du club d&#039;un droit d&#039;acc\u00e8s et  de rectification conform\u00e9ment au r\u00e8glement europ\u00e9en pour le protection des donn\u00e9es.\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_20_2\">J'accepte d'\u00eatre recens\u00e9(e) dans le fichier informatique du club et b\u00e9n\u00e9ficie directement aupr\u00e8s du club d'un droit d'acc\u00e8s et  de rectification conform\u00e9ment au r\u00e8glement europ\u00e9en pour le protection des donn\u00e9es.<\/label><\/li><li class=\"choice-3 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-2526-field_20_3\" name=\"wpforms[fields][20][]\" value=\"Je con\u00e7ois \u00e0 l&#039;utilisation de mon image ou celle de mon enfant par l&#039;\u00e9tablissement dans le cadre de la pratique de ses activit\u00e9s \u00e9questres.\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_20_3\">Je con\u00e7ois \u00e0 l'utilisation de mon image ou celle de mon enfant par l'\u00e9tablissement dans le cadre de la pratique de ses activit\u00e9s \u00e9questres.<\/label><\/li><\/ul><\/div><div id=\"wpforms-2526-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_21\">Je soussign\u00e9, responsable de l&#039;enfant, l&#039;autorise \u00e0 participer \u00e0 toutes les activit\u00e9s du club, et autorise le responsable \u00e0 prendre  toutes les mesures m\u00e9dicales ou chirurgicales reconnues n\u00e9cessaires. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2526-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" placeholder=\"Fait \u00e0 ........................................................ Le ...........\/...........\/...........\" required><\/div><div id=\"wpforms-2526-field_22-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Votre mode de paiement :<\/label><ul id=\"wpforms-2526-field_22\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2526-field_22_1\" name=\"wpforms[fields][22]\" value=\"Esp\u00e8ces\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_22_1\">Esp\u00e8ces<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2526-field_22_2\" name=\"wpforms[fields][22]\" value=\"Ch\u00e8que(s)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_22_2\">Ch\u00e8que(s)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-2526-field_22_3\" name=\"wpforms[fields][22]\" value=\"Virement\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_22_3\">Virement<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-2526-field_22_4\" name=\"wpforms[fields][22]\" value=\"ANCV (ch\u00e8ques vacances)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2526-field_22_4\">ANCV (ch\u00e8ques vacances)<\/label><\/li><\/ul><div class=\"wpforms-field-description\">La paiement ainsi que la validation de l'inscription seront \u00e0 donner en personne lors des heures de permanences.<\/div><\/div><div id=\"wpforms-2526-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-2526-field_42\">Des questions ?<\/label><input type=\"text\" id=\"wpforms-2526-field_42\" class=\"wpforms-field-large\" name=\"wpforms[fields][42]\" ><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-2526-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-2526-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-2526-field_2-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2526\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.ecuriesdesmuriers.com\/index.php\/wp-json\/wp\/v2\/pages\/3037\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2526\" class=\"wpforms-submit\" data-alt-text=\"Envoi en cours\" data-submit-text=\"J&#039;envoie mon inscription\" aria-live=\"assertive\" value=\"wpforms-submit\">J&#039;envoie mon inscription<\/button><img decoding=\"async\" src=\"https:\/\/www.ecuriesdesmuriers.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.Titre *MadameMonsieurNom et pr\u00e9nom *Pr\u00e9nomNomMerci de bien indiquer ici le nom qui apparait sur votre licence f\u00e9d\u00e9rale. Vous \u00eates ?Une femmeUne hommeJe garde cette information pour moiVotre date de naissance *Inscrivez votre date de naissance de la mani\u00e8re suivante : 00\/00\/0000Votre [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/template-fullwidth.php","meta":{"footnotes":""},"class_list":["post-3037","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ecuriesdesmuriers.com\/index.php\/wp-json\/wp\/v2\/pages\/3037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ecuriesdesmuriers.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ecuriesdesmuriers.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ecuriesdesmuriers.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ecuriesdesmuriers.com\/index.php\/wp-json\/wp\/v2\/comments?post=3037"}],"version-history":[{"count":11,"href":"https:\/\/www.ecuriesdesmuriers.com\/index.php\/wp-json\/wp\/v2\/pages\/3037\/revisions"}],"predecessor-version":[{"id":3066,"href":"https:\/\/www.ecuriesdesmuriers.com\/index.php\/wp-json\/wp\/v2\/pages\/3037\/revisions\/3066"}],"wp:attachment":[{"href":"https:\/\/www.ecuriesdesmuriers.com\/index.php\/wp-json\/wp\/v2\/media?parent=3037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}