{"id":3419,"date":"2022-04-04T14:57:25","date_gmt":"2022-04-04T12:57:25","guid":{"rendered":"https:\/\/www.ch-lannemezan.fr\/?page_id=3419"},"modified":"2022-04-04T15:00:26","modified_gmt":"2022-04-04T13:00:26","slug":"formulaire-de-pre-inscription-vae","status":"publish","type":"page","link":"https:\/\/www.ch-lannemezan.fr\/?page_id=3419","title":{"rendered":"Formulaire de pr\u00e9-inscription VAE"},"content":{"rendered":"<h4>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3437-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"3437\">\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%2F3419#wpcf7-f3437-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3437\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3437-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7dtx_version\" value=\"5.0.5\" \/>\n<\/fieldset>\n<link rel=\"stylesheet\" href=\"https:\/\/www.ch-lannemezan.fr\/wp-content\/plugins\/pdf-forms-for-contact-form-7\/css\/frontend.css\" \/><script type=\"text\/javascript\" src=\"https:\/\/www.ch-lannemezan.fr\/wp-content\/plugins\/pdf-forms-for-contact-form-7\/js\/frontend.js?ver=2.2.6\"><\/script><p>####\n<\/p>\n<h4 style=\"border-bottom: 1px solid; padding: 10px 0; display: inline-block;\">Renseignements personnels\n<\/h4>\n<p class=\"p50\"><label> Votre nom (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom\" \/><\/span> <\/label>\n<\/p>\n<p class=\"p50\"><label> Votre pr\u00e9nom (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom\" \/><\/span> <\/label>\n<\/p>\n<p class=\"p50\"><label> Date de naissance (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-naissance\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-naissance\" \/><\/span> <\/label>\n<\/p>\n<p class=\"p50\"><label> Lieu de naissance (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lieu-naissance\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lieu-naissance\" \/><\/span> <\/label>\n<\/p>\n<h4 style=\"border-bottom: 1px solid; padding: 10px 0; display: inline-block;\">Adresse postale\n<\/h4>\n<p class=\"p50\"><label> Adresse (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adresse\" \/><\/span> <\/label>\n<\/p>\n<p class=\"p50\"><label> Compl\u00e9ment d'adresse<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"complementadresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"complementadresse\" \/><\/span> <\/label>\n<\/p>\n<p class=\"p50\"><label> Code postal (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"codepostal\"><input size=\"5\" maxlength=\"5\" minlength=\"5\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"codepostal\" \/><\/span> <\/label>\n<\/p>\n<p class=\"p50\"><label> Commune (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"commune\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"commune\" \/><\/span> <\/label>\n<\/p>\n<h4 style=\"border-bottom: 1px solid; padding: 10px 0; display: inline-block;\">Coordonn\u00e9es\n<\/h4>\n<p class=\"p50\"><label> T\u00e9l\u00e9phone (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telephone\"><input size=\"10\" maxlength=\"10\" minlength=\"10\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telephone\" \/><\/span> <\/label>\n<\/p>\n<p class=\"p50\"><label> Votre adresse de messagerie (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" 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\" \/><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Suivant\" \/><br \/>\n<input type=\"hidden\" name=\"_cf7msm_multistep_tag\" class=\"wpcf7-form-control wpcf7-multistep cf7msm-multistep\" value=\"{&quot;first_step&quot;:1,&quot;next_url&quot;:&quot;https:\\\/\\\/www.ch-lannemezan.fr\\\/selection-ifas-vae\\\/&quot;}\" \/><input type=\"hidden\" name=\"cf7msm-no-ss\" value=\"\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"239\"\/><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n\/* ]]> *\/\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/h4>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":39,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3419","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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