{"id":1290,"date":"2023-09-08T17:03:54","date_gmt":"2023-09-08T15:03:54","guid":{"rendered":"https:\/\/adfoc40.fr\/?page_id=1290"},"modified":"2023-10-31T11:21:04","modified_gmt":"2023-10-31T10:21:04","slug":"inscrpition-rp","status":"publish","type":"page","link":"https:\/\/adfoc40.fr\/?page_id=1290","title":{"rendered":"Inscripition en ligne"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1290\" class=\"elementor elementor-1290\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9407c59 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9407c59\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-33 elementor-top-column elementor-element elementor-element-99d16b9\" data-id=\"99d16b9\" 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<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-2d727dc\" data-id=\"2d727dc\" 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-b7817e1 elementor-widget__width-inherit elementor-widget elementor-widget-shortcode\" data-id=\"b7817e1\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1285-o1\" lang=\"fr-FR\" 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%2F1290#wpcf7-f1285-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1285\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.8.7\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1285-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><label class=\"form3\"> INSCRIPTION DIRECTE EN FORMATION<\/label><br \/>\n<label class=\"form3\"> Maison dentaire St Paul l\u00e8s Dax <\/label>\n<\/p>\n<p><label class=\"form1\"> Formation choisie :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-211\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-211\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"Plus de place disponible en 2025\">Plus de place disponible en 2025<\/option><\/select><\/span><br \/>\n<\/label>\n<\/p>\n<p><label class=\"form1\"> Votre nom :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label><br \/>\n<label class=\"form1\"> Votre adresse :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-188\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-188\" \/><\/span> <\/label><br \/>\n<label class=\"form1\"> Votre t\u00e9l\u00e9phone :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-396\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tel-396\" \/><\/span> <\/label><br \/>\n<label class=\"form1\"> Votre e-mail :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-816\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-816\" \/><\/span> <\/label>\n<\/p>\n<p><label class=\"form1\"> Date de la derni\u00e8re validation de formation radioprotection\/AFGSU :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-782\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-782\" \/><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-179\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-179[]\" value=\"J\u2019ai pris connaissance des pr\u00e9requis \u00e0 la formation (voir programme)\" \/><span class=\"wpcf7-list-item-label\">J\u2019ai pris connaissance des pr\u00e9requis \u00e0 la formation (voir programme)<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-181\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-181[]\" value=\"Je souhaite \u00eatre recontact\u00e9 pour des besoins d\u2019am\u00e9nagement particulier\" \/><span class=\"wpcf7-list-item-label\">Je souhaite \u00eatre recontact\u00e9 pour des besoins d\u2019am\u00e9nagement particulier<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label class=\"form1\"> Autre message (facultatif)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\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<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-2e2d415\" data-id=\"2e2d415\" 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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1290","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/adfoc40.fr\/index.php?rest_route=\/wp\/v2\/pages\/1290","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/adfoc40.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/adfoc40.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/adfoc40.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/adfoc40.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1290"}],"version-history":[{"count":9,"href":"https:\/\/adfoc40.fr\/index.php?rest_route=\/wp\/v2\/pages\/1290\/revisions"}],"predecessor-version":[{"id":1558,"href":"https:\/\/adfoc40.fr\/index.php?rest_route=\/wp\/v2\/pages\/1290\/revisions\/1558"}],"wp:attachment":[{"href":"https:\/\/adfoc40.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}