{"id":1869,"date":"2023-07-25T22:51:58","date_gmt":"2023-07-25T20:51:58","guid":{"rendered":"https:\/\/locupali.com\/WordPress\/?page_id=1869"},"modified":"2025-01-25T12:30:05","modified_gmt":"2025-01-25T11:30:05","slug":"inscriptions-aux-sorties","status":"publish","type":"page","link":"https:\/\/locupali.com\/WordPress\/index.php\/inscriptions-aux-sorties\/","title":{"rendered":"Inscriptions aux sorties"},"content":{"rendered":"<div class='fluentform ff-default fluentform_wrapper_11  ff_guten_block ff_guten_block-11 ffs_custom_wrap'><form data-form_id=\"11\" id=\"fluentform_11\" class=\"frm-fluent-form fluent_form_11 ff-el-form-top ff_form_instance_11_1 ff-form-loading ff_calc_form ffs_custom\" data-form_instance=\"ff_form_instance_11_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Inscriptions aux sorties culturelles (#11)<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"227\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_11_item_sf\" aria-label=\"Contact\">\n                    Contact                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_11__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_11_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n        <input type='hidden' name='__fluent_form_embded_post_id' value='1869' \/><input type=\"hidden\" id=\"_fluentform_11_fluentformnonce\" name=\"_fluentform_11_fluentformnonce\" value=\"4a2656ab91\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/WordPress\/index.php\/wp-json\/wp\/v2\/pages\/1869\" \/><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-11_1\" ><h2 style=\"text-align: center\"><span style=\"color: #ff0000\">INSCRIPTIONS AUX SORTIES CULTURELLES, ESCAPADES ET VOYAGES<\/span><\/h2><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-11_2\" ><h4 style=\"text-align: center\"><span style=\"color: #000000\">Ce formulaire est r\u00e9serv\u00e9 aux adh\u00e9rents de LOCUPALI.<\/span><br \/><span style=\"color: #000000\">Si vous n&#8217;\u00eates pas adh\u00e9rent, merci de bien vouloir remplir avant tout le formulaire d&#8217;adh\u00e9sion <\/span><br \/><span style=\"color: #000000\">\u00e0 partir de la page &#8220;Les nouvelles&#8221;.<\/span><\/h4><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-11_3\" ><p><strong><em>(Notez qu\u2019il faut remplir un formulaire d\u2019inscription pour chaque sortie, mais n\u00e9anmoins, ce formulaire pr\u00e9voit la possibilit\u00e9 d\u2019inscrire plusieurs participants \u00e0 la m\u00eame sortie.)<\/em><\/strong><\/p><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 81.44%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Sorties culturelles, escapades et voyage\">Sorties culturelles, escapades et voyage <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_bd1d002e4ba6340ee489573b33cd8498'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"1\" value=\" Notre-Dame-1er cr\u00e9neau\" data-calc_value=\"115\"  id='input_radio_1_bd1d002e4ba6340ee489573b33cd8498' aria-label='Visite Notre-Dame-1er cr\u00e9neau' aria-invalid='false' aria-required=true> <span>Visite Notre-Dame-1er cr\u00e9neau<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_5df14520f2f5ff46528f62ac7112bedc'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\" Notre-Dame-2\u00e8me cr\u00e9neau\" data-calc_value=\"97\"  id='input_radio_1_5df14520f2f5ff46528f62ac7112bedc' aria-label='Notre-Dame-2\u00e8me cr\u00e9neau' aria-invalid='false' aria-required=true> <span> Notre-Dame-2\u00e8me cr\u00e9neau<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_07ae4a2ce1732ea31a42ccb805617f8f'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\" Notre-Dame-3\u00e8me cr\u00e9neau\" data-calc_value=\"150\"  id='input_radio_1_07ae4a2ce1732ea31a42ccb805617f8f' aria-label='Notre-Dame-3\u00e8me cr\u00e9neau' aria-invalid='false' aria-required=true> <span> Notre-Dame-3\u00e8me cr\u00e9neau<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_b24aadfb79485b2352d024b3a225799b'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Croisi\u00e8re en Andalousie\" data-calc_value=\"1740\"  id='input_radio_1_b24aadfb79485b2352d024b3a225799b' aria-label='Croisi\u00e8re en Andalousie' aria-invalid='false' aria-required=true> <span>Croisi\u00e8re en Andalousie<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_dbb6df69605ee7fbb7d41ac132f843c3'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Escapade \u00e0 Nantes\" data-calc_value=\"410\"  id='input_radio_1_dbb6df69605ee7fbb7d41ac132f843c3' aria-label='Escapade \u00e0 Nantes' aria-invalid='false' aria-required=true> <span>Escapade \u00e0 Nantes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_d45b3867ec326a3c6736bb2786418792'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Ch\u00e2teau de Pierrefonds et Oise\" data-calc_value=\"120\"  id='input_radio_1_d45b3867ec326a3c6736bb2786418792' aria-label='Ch\u00e2teau de Pierrefonds et Oise' aria-invalid='false' aria-required=true> <span>Ch\u00e2teau de Pierrefonds et Oise<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_e86946dd64618d5dd9b44b0db8f65ece'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Chambray et Chocolatrium\" data-calc_value=\"97\"  id='input_radio_1_e86946dd64618d5dd9b44b0db8f65ece' aria-label='Chambray et Chocolatrium' aria-invalid='false' aria-required=true> <span>Chambray et Chocolatrium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_3f989293698822072cb281ec6c45e8b7'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"REPAS LOCUPALI\" data-calc_value=\"15\"  id='input_radio_1_3f989293698822072cb281ec6c45e8b7' aria-label='REPAS LOCUPALI' aria-invalid='false' aria-required=true> <span>REPAS LOCUPALI<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_2f68e3a93cdb3e017b1c47f073a29232'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Journ\u00e9e \u00e0 V\u00e9zelay\" data-calc_value=\"125\"  id='input_radio_1_2f68e3a93cdb3e017b1c47f073a29232' aria-label='Journ\u00e9e \u00e0 V\u00e9zelay' aria-invalid='false' aria-required=true> <span>Journ\u00e9e \u00e0 V\u00e9zelay<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_6ed9ec20823737b18e4fd0618c96618b'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Journ\u00e9e \u00e0 Meaux\" data-calc_value=\"115\"  id='input_radio_1_6ed9ec20823737b18e4fd0618c96618b' aria-label='Journ\u00e9e \u00e0 Meaux' aria-invalid='false' aria-required=true> <span>Journ\u00e9e \u00e0 Meaux<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_9a87eed30476fc965b41a9f82ef21b48'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Mus\u00e9e des Arts Forains\" data-calc_value=\"119\"  id='input_radio_1_9a87eed30476fc965b41a9f82ef21b48' aria-label='Mus\u00e9e des Arts Forains' aria-invalid='false' aria-required=true> <span>Mus\u00e9e des Arts Forains<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 18.56%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_11_numeric-field_7' id='label_ff_11_numeric-field_7' aria-label=\"Nombre de participant(s)\">Nombre de participant(s)<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_7\" id=\"ff_11_numeric-field_7\" class=\"ff-el-form-control\" data-name=\"numeric-field_7\" inputmode=\"numeric\" step=\"any\" min=\"1\" aria-valuemin=\"1\" max=\"4\" aria-valuemax=\"4\" tabindex=\"2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_numeric-field_8' id='label_ff_11_numeric-field_8' aria-label=\"Prix total\">Prix total<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_input-group\"><input type=\"text\" name=\"numeric-field_8\" id=\"ff_11_numeric-field_8\" class=\"ff-el-form-control  ff_has_formula ff_numeric\" data-name=\"numeric-field_8\" data-calculation_formula=\"{radio.input_radio_1}*{input.numeric-field_7}\" readonly=\"1\" data-formatter=\"{&quot;decimal&quot;:&quot;,&quot;,&quot;separator&quot;:&quot;.&quot;,&quot;precision&quot;:2,&quot;symbol&quot;:&quot;&quot;}\" tabindex=\"3\"  aria-invalid=\"false\" aria-required=false><div class=\"ff_input-group-append\"><span class=\"ff_input-group-text\">Euros<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-11_4\" ><p><strong><span style=\"color: #ff0000\">INFORMATION IMPORTANTE concernant les escapades et le voyage<\/span><\/strong>.<br \/><strong><span style=\"color: #000000\"><i>Pour le paiement, veuillez vous reporter au programme o\u00f9 vous trouverez les modalit\u00e9s sp\u00e9cifiques et notamment, le paiement par\u00a0mensualit\u00e9s.<\/i><\/span><\/strong><\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-11_5\" ><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 65.5%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_11_email_1' id='label_ff_11_email_1' aria-label=\"E-mail\">E-mail<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" id=\"ff_11_email_1\" class=\"ff-el-form-control\" data-name=\"email_1\" tabindex=\"4\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 34.5%;'><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-11_6\" ><h4><strong>Veuillez saisir ci-dessous le(s) nom(s) du(des) participant(s) \u00e0 inscrire<\/strong><\/h4><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_names_first_name_' id='label_ff_11_names_first_name_' >Nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_11_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Nom\" tabindex=\"5\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_names_last_name_' id='label_ff_11_names_last_name_' >Pr\u00e9nom <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_11_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Pr\u00e9nom\" tabindex=\"6\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div data-type=\"name-element\" data-name=\"names_1\" class=\"has-conditions  ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_names_1_first_name_' id='label_ff_11_names_1_first_name_' >Nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[first_name]\" id=\"ff_11_names_1_first_name_\" class=\"ff-el-form-control\" placeholder=\"Nom\" tabindex=\"7\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_names_1_last_name_' id='label_ff_11_names_1_last_name_' >Pr\u00e9nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[last_name]\" id=\"ff_11_names_1_last_name_\" class=\"ff-el-form-control\" placeholder=\"Pr\u00e9nom\" tabindex=\"8\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div data-type=\"name-element\" data-name=\"names_2\" class=\"has-conditions  ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_names_2_first_name_' id='label_ff_11_names_2_first_name_' >Nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_2[first_name]\" id=\"ff_11_names_2_first_name_\" class=\"ff-el-form-control\" placeholder=\"Nom\" tabindex=\"9\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_names_2_last_name_' id='label_ff_11_names_2_last_name_' >Pr\u00e9nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_2[last_name]\" id=\"ff_11_names_2_last_name_\" class=\"ff-el-form-control\" placeholder=\"Pr\u00e9nom\" tabindex=\"10\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div data-type=\"name-element\" data-name=\"names_3\" class=\"has-conditions  ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_names_3_first_name_' id='label_ff_11_names_3_first_name_' >Nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_3[first_name]\" id=\"ff_11_names_3_first_name_\" class=\"ff-el-form-control\" placeholder=\"Nom\" tabindex=\"11\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_names_3_last_name_' id='label_ff_11_names_3_last_name_' >Pr\u00e9nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_3[last_name]\" id=\"ff_11_names_3_last_name_\" class=\"ff-el-form-control\" placeholder=\"Pr\u00e9nom\" tabindex=\"12\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-11_7\" ><p>&nbsp;<\/p>\n<p>&nbsp;<\/p><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Indiquez votre mode de paiement\">Indiquez votre mode de paiement<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_d1c277f945061b8b53f43cbacb1856a5'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"13\" value=\"Ch\u00e8que\"  id='input_radio_d1c277f945061b8b53f43cbacb1856a5' aria-label='Ch\u00e8que' aria-invalid='false' aria-required=true> <span>Ch\u00e8que<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1c22b90876356effb6831f0817c36a57'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Virement\"  id='input_radio_1c22b90876356effb6831f0817c36a57' aria-label='Virement' aria-invalid='false' aria-required=true> <span>Virement<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-11_8\" ><h4><span style=\"color: #ff0000\">Si vous optez pour le paiement par virement, veuillez v\u00e9rifier auparavant s&#8217;il n&#8217;y a pas d\u00e9j\u00e0 une liste d&#8217;attente. Pour cela, rendez vous \u00e0 la page Aide-M\u00e9moire, &#8220;O\u00f9 suis-je&#8221; et v\u00e9rifier les informations relatives \u00e0 la sortie de votre choix. S&#8217;il y a une liste d&#8217;attente, vous pouvez n\u00e9anmoins vous inscrire et indiquer votre mode de paiement, sans proc\u00e9der au virement. Si une place se lib\u00e8re,<\/span><span style=\"color: #ff0000\">\u00a0vous serez inform\u00e9 \u00a0et vous pourrez alors proc\u00e9der au virement pour confirmer votre inscription. Cette proc\u00e9dure vous \u00e9vitera d&#8217;\u00eatre d\u00e9bit\u00e9 inutilement.<\/span><\/h4><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-11_9\" ><h3 style=\"text-align: center\"><span style=\"color: #3366ff\"><strong>ATTENTION :<\/strong><\/span><\/h3>\n<h3 style=\"text-align: center\"><span style=\"color: #3366ff\"><strong>Merci de bien vouloir <span style=\"text-decoration: underline\">r\u00e9gler cette sortie d\u00e8s votre inscription<\/span> afin que celle-ci soit prise en compte.\u00a0<\/strong><\/span><\/h3>\n<h3 style=\"text-align: center\">\u00a0<\/h3><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Je consens \u00e0 ce que ce site stocke les informations que j\u2019ai envoy\u00e9es afin de pouvoir r\u00e9pondre \u00e0 ma demande.' class='ff-el-form-check-label ff_tc_label' for=gdpr-agreement_18014140af27b9187f7760d3ef37ca9c><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"gdpr-agreement\" class=\"ff-el-form-check-input ff_gdpr_field\" data-name=\"gdpr-agreement\" id=\"gdpr-agreement_18014140af27b9187f7760d3ef37ca9c\" tabindex=\"14\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'>Je consens \u00e0 ce que ce site stocke les informations que j\u2019ai envoy\u00e9es afin de pouvoir r\u00e9pondre \u00e0 ma demande.<\/div><\/label><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 13.69%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_datetime_1' id='label_ff_11_datetime_1' aria-label=\"Date\">Date<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date Use arrow keys to navigate dates. 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