{"id":4049,"date":"2023-08-15T19:51:02","date_gmt":"2023-08-15T17:51:02","guid":{"rendered":"https:\/\/oast.fr\/?page_id=4049"},"modified":"2025-10-23T15:17:30","modified_gmt":"2025-10-23T13:17:30","slug":"incription_club__en_ligne","status":"publish","type":"page","link":"https:\/\/cluboast.fr\/?page_id=4049","title":{"rendered":"Inscription Club en ligne"},"content":{"rendered":"<style id=\"wpforms-css-vars-4199\">\n\t\t\t\t#wpforms-4199 {\n\t\t\t\t--wpforms-container-padding: 0px;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-radius: 3px;\n--wpforms-background-color: rgba(0, 0, 0, 0);\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-4199\"><form id=\"wpforms-form-4199\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"4199\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F4049\" data-token=\"443b4ee274ac5efaa06abe9a56fe7d5d\" data-token-time=\"1780702639\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-4199-field_54-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_54\">Nom \/ Pr\u00e9nom <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4199-field_54\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][54]\" aria-errormessage=\"wpforms-4199-field_54-error\" aria-describedby=\"wpforms-4199-field_54-description\" required><div id=\"wpforms-4199-field_54-description\" class=\"wpforms-field-description\">Nom et pr\u00e9nom du patineur<\/div><\/div><div id=\"wpforms-4199-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_23\">Date de naissance <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4199-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" placeholder=\"MM\/DD\/YYYY\" aria-errormessage=\"wpforms-4199-field_23-error\" aria-describedby=\"wpforms-4199-field_23-description\" required><div id=\"wpforms-4199-field_23-description\" class=\"wpforms-field-description\">MM\/DD\/YYYY<\/div><\/div><div id=\"wpforms-4199-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_4\">Adresse complete <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4199-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-4199-field_4-error\" aria-describedby=\"wpforms-4199-field_4-description\" required><div id=\"wpforms-4199-field_4-description\" class=\"wpforms-field-description\">Rue, Code Postal et Ville<\/div><\/div><div id=\"wpforms-4199-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_17\">Lieu et d\u00e9partement de naissance <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4199-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-4199-field_17-error\" required><\/div><div id=\"wpforms-4199-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_37\">T\u00e9l\u00e9phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4199-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" aria-errormessage=\"wpforms-4199-field_37-error\" aria-describedby=\"wpforms-4199-field_37-description\" required><div id=\"wpforms-4199-field_37-description\" class=\"wpforms-field-description\">Fixe ou mobile<\/div><\/div><div id=\"wpforms-4199-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_38\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4199-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-4199-field_38-error\" required><\/div><div id=\"wpforms-4199-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_39\">Votre date entr\u00e9e club<\/label><input type=\"text\" id=\"wpforms-4199-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" placeholder=\"MM\/DD\/YYYY\" aria-errormessage=\"wpforms-4199-field_39-error\" aria-describedby=\"wpforms-4199-field_39-description\" ><div id=\"wpforms-4199-field_39-description\" class=\"wpforms-field-description\">MM\/DD\/YYYY<\/div><\/div><div id=\"wpforms-4199-field_40-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_40\">Votre numero de licence<\/label><input type=\"text\" id=\"wpforms-4199-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" aria-errormessage=\"wpforms-4199-field_40-error\" aria-describedby=\"wpforms-4199-field_40-description\" ><div id=\"wpforms-4199-field_40-description\" class=\"wpforms-field-description\">Si deja licencier<\/div><\/div><div id=\"wpforms-4199-field_41-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_41\">Poids <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4199-field_41\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][41]\" aria-errormessage=\"wpforms-4199-field_41-error\" required><\/div><div id=\"wpforms-4199-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_42\">Taille <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4199-field_42\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][42]\" aria-errormessage=\"wpforms-4199-field_42-error\" required><\/div><div id=\"wpforms-4199-field_43-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_43\">Pointure ( patins ) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4199-field_43\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][43]\" aria-errormessage=\"wpforms-4199-field_43-error\" required><\/div><div id=\"wpforms-4199-field_45-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_45\">Numero s\u00e9curit\u00e9 sociale parents<\/label><input type=\"text\" id=\"wpforms-4199-field_45\" class=\"wpforms-field-medium\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-4199-field_45-error\" aria-describedby=\"wpforms-4199-field_45-description\" ><div id=\"wpforms-4199-field_45-description\" class=\"wpforms-field-description\">Pour les parents d'enfants <\/div><\/div><div id=\"wpforms-4199-field_52-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_52\">Personne \u00e0 contacter en cas d&#039;urgence <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4199-field_52\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][52]\" aria-errormessage=\"wpforms-4199-field_52-error\" aria-describedby=\"wpforms-4199-field_52-description\" required><div id=\"wpforms-4199-field_52-description\" class=\"wpforms-field-description\">Nom, pr\u00e9nom et num\u00e9ro de t\u00e9l\u00e9phone<\/div><\/div><div id=\"wpforms-4199-field_47-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"47\"><fieldset><legend class=\"wpforms-field-label\">Droit \u00e0 l&#039;Image <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4199-field_47\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4199-field_47_1\" name=\"wpforms[fields][47][]\" value=\"Oui\" aria-errormessage=\"wpforms-4199-field_47_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4199-field_47_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4199-field_47_2\" name=\"wpforms[fields][47][]\" value=\"Non\" aria-errormessage=\"wpforms-4199-field_47_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4199-field_47_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4199-field_48-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"48\"><fieldset><legend class=\"wpforms-field-label\"> Autorisation hospitalisation en cas de n\u00e9cessit\u00e9 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4199-field_48\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4199-field_48_1\" name=\"wpforms[fields][48][]\" value=\"Oui\" aria-errormessage=\"wpforms-4199-field_48_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4199-field_48_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4199-field_48_2\" name=\"wpforms[fields][48][]\" value=\"Non\" aria-errormessage=\"wpforms-4199-field_48_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4199-field_48_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4199-field_49-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"49\"><fieldset><legend class=\"wpforms-field-label\">Assurance compl\u00e9mentaire <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4199-field_49\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4199-field_49_1\" name=\"wpforms[fields][49][]\" value=\"Oui\" aria-errormessage=\"wpforms-4199-field_49_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4199-field_49_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4199-field_49_2\" name=\"wpforms[fields][49][]\" value=\"Non\" aria-errormessage=\"wpforms-4199-field_49_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4199-field_49_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4199-field_50-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"50\"><fieldset><legend class=\"wpforms-field-label\">Attestation de sortie du territoire pour les mineurs <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4199-field_50\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4199-field_50_1\" name=\"wpforms[fields][50][]\" value=\"Oui\" aria-errormessage=\"wpforms-4199-field_50_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4199-field_50_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-4199-field_50_2\" name=\"wpforms[fields][50][]\" value=\"Non\" aria-errormessage=\"wpforms-4199-field_50_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4199-field_50_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4199-field_44-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_44\">Signaler une ou les allergies<\/label><input type=\"text\" id=\"wpforms-4199-field_44\" class=\"wpforms-field-medium\" name=\"wpforms[fields][44]\" aria-errormessage=\"wpforms-4199-field_44-error\" ><\/div><div id=\"wpforms-4199-field_53-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-4199-field_53\">Votre message<\/label><textarea id=\"wpforms-4199-field_53\" class=\"wpforms-field-medium\" name=\"wpforms[fields][53]\" aria-errormessage=\"wpforms-4199-field_53-error\" aria-describedby=\"wpforms-4199-field_53-description\" ><\/textarea><div id=\"wpforms-4199-field_53-description\" class=\"wpforms-field-description\">Demande ou message \u00e0 nous transmettre<\/div><\/div><div id=\"wpforms-4199-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Autorisation et accord <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4199-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4199-field_15_1\" name=\"wpforms[fields][15][]\" value=\"J&#039;accepte et je donne mon accord\" aria-errormessage=\"wpforms-4199-field_15_1-error\" aria-describedby=\"wpforms-4199-field_15-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4199-field_15_1\">J'accepte et je donne mon accord<\/label><\/li><\/ul><div id=\"wpforms-4199-field_15-description\" class=\"wpforms-field-description wpforms-disclaimer-description\">Je donne au patineur mentionn\u00e9 ici l'autorisation de pratiquer dans ce club conform\u00e9ment \u00e0 toutes les conditions et \u00e0 tous les r\u00e8glements qui s'appliquent.<\/div><\/fieldset><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4199\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/cluboast.fr\/index.php?rest_route=\/wp\/v2\/pages\/4049\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4199\" class=\"wpforms-submit\" data-alt-text=\"En cours d&#039;envoi...\" data-submit-text=\"Envoyer\" aria-live=\"assertive\" value=\"wpforms-submit\">Envoyer<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cluboast.fr\/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 -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":6844,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-4049","page","type-page","status-publish","hentry"],"aioseo_notices":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/cluboast.fr\/index.php?rest_route=\/wp\/v2\/pages\/4049","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cluboast.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cluboast.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cluboast.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cluboast.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4049"}],"version-history":[{"count":0,"href":"https:\/\/cluboast.fr\/index.php?rest_route=\/wp\/v2\/pages\/4049\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cluboast.fr\/index.php?rest_route=\/wp\/v2\/media\/6844"}],"wp:attachment":[{"href":"https:\/\/cluboast.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4049"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}