{"id":163,"date":"2016-12-29T10:35:49","date_gmt":"2016-12-29T10:35:49","guid":{"rendered":"https:\/\/themehunk.com\/wp-themes\/oneline-lite\/?page_id=2"},"modified":"2020-02-25T14:41:35","modified_gmt":"2020-02-25T13:41:35","slug":"formulaire-inscription","status":"publish","type":"page","link":"https:\/\/academiedubienetre.fr\/index.php\/formulaire-inscription\/","title":{"rendered":"Formulaire d&#8217;inscription"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<div class=\"leadform-show-form-2 leadform-show-form  lf-form-default leadform-lite\"><div class=\"lead-head\"><\/div>\r\n               <form action=\"\" method=\"post\" class=\"lead-form-front\" id=\"form_2\" enctype=\"multipart\/form-data\">\r\n                <h2 class=\"lfb-heading\">Inscription<\/h2><div class=\"name-type lf-field\"><label>Nom<\/label>\r\n        <span><input id=\"name_1\" type=\"text\" name=\"name_1\" class=\"lf-form-name\" value=\"\" required placeholder=\"Nom\" \/>\r\n        <\/span><\/div><div class=\"name-type lf-field\"><label>Pr\u00e9nom<\/label>\r\n        <span><input id=\"name_2\" type=\"text\" name=\"name_2\" class=\"lf-form-name\" value=\"\" required placeholder=\"Pr\u00e9nom\" \/>\r\n        <\/span><\/div><div class=\"text-type lf-field\"><label>Adresse E-mail<\/label>\r\n        <span><input id=\"email_3\" type=\"email\" class=\"lf-form-text \" name=\"email_3\" required value=\"\" placeholder=\"E-mail\" \/>\r\n        <\/span><\/div><div class=\"text-type lf-field\"><label>T\u00e9l\u00e9phone<\/label>\r\n        <span><input id=\"number_4\" type=\"number\" class=\"lf-form-text \" name=\"number_4\"  value=\"\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone\" \/>\r\n        <\/span><\/div><div class=\"textarea-type lf-field\"><label>Adresse<\/label>\r\n            <span><textarea id=\"message_5\" name=\"message_5\" class=\"lf-form-textarea\" value=\"Adresse postale\" placeholder=\"Adresse postale\" required><\/textarea>\r\n            <\/span><\/div><div 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reiki<\/li><li><input class=\"checkbox_8\" type=\"checkbox\" name=\"checkbox_8[]\" value=\"Initiation \u00e0 la lithoth\u00e9rapie\"required  \/>Initiation \u00e0 la lithoth\u00e9rapie<\/li><li><input class=\"checkbox_8\" type=\"checkbox\" name=\"checkbox_8[]\" value=\"Initiation au triangle d'or d'Isis\"required  \/>Initiation au triangle d'or d'Isis<\/li><li><input class=\"checkbox_8\" type=\"checkbox\" name=\"checkbox_8[]\" value=\"Initiation gu\u00e9risseur pharaons\"required  \/>Initiation gu\u00e9risseur pharaons<\/li><\/ul><\/span><\/div><div class=\"textarea-type lf-field\"><label>Motivation<\/label>\r\n            <span><textarea id=\"message_10\" name=\"message_10\" class=\"lf-form-textarea\" value=\"Motivations\" placeholder=\"Motivations\" required><\/textarea>\r\n            <\/span><\/div><div class=\"html-fieldtype lf-field lfb-terms\">\r\n        <span><input class=\"term_accept\" id=\"terms_9\" type=\"checkbox\" name=\"terms_9\" value=\"Accepted\" \/> Conditions<\/span>\r\n            <\/div><div class=\"html-fieldtype lf-field\">\r\n                    <label>Conditions d'utilisation et politique de confidentialit\u00e9<\/label>\r\n                     J'accepte les termes et conditions d'utilisation et de confidentialit\u00e9 de academiedubienetre.fr  <\/div><div class=\"lf-form-panel\"><div class=\"submit-type lf-field\"><label><input id=\"0\" class=\"lf-form-submit\" type=\"submit\" name=\"submit\" value=\"Envoyer\"\/>\r\n                <\/label><\/div><\/div>\r\n                <div class=\"captcha-field-area\" id=\"captcha-field-area\"><\/div>\r\n                <input type=\"hidden\" class=\"hidden_field\" name=\"hidden_field\" value=\"2\"\/>\r\n                <input type=\"hidden\" class=\"this_form_captcha_status\" value=\"disable\"\/>\r\n                <div class=\"leadform-show-loading front-loading leadform-show-message-form-2\" >\r\n                <\/div>\r\n                <div class=\"lf-loading\">\r\n             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