{"id":4189,"date":"2025-11-30T12:06:35","date_gmt":"2025-11-30T11:06:35","guid":{"rendered":"https:\/\/institutmoulin.com\/?page_id=4189"},"modified":"2025-12-01T18:42:24","modified_gmt":"2025-12-01T17:42:24","slug":"formulaire-dinscription-en-ligne","status":"publish","type":"page","link":"https:\/\/institutmoulin.com\/en\/formulaire-dinscription-en-ligne\/","title":{"rendered":"Formulaire d&rsquo;inscription en ligne"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"4189\" class=\"elementor elementor-4189\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-691c5bf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"691c5bf\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d567c45 sc_layouts_column_icons_position_left\" data-id=\"d567c45\" data-element_type=\"column\" data-e-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-788c4af sc_fly_static elementor-widget elementor-widget-html\" data-id=\"788c4af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n  .cg-title-wrapper {\n    text-align: center;\n    margin-bottom: 40px;\n    padding-top: 10px;\n  }\n\n  .cg-title {\n    font-size: 2.2rem;\n    font-weight: 700;\n    margin: 0;\n  }\n\n  .cg-title-underline {\n    width: 60px;\n    height: 4px;\n    background: #333;\n    margin: 12px auto 0;\n    border-radius: 3px;\n  }\n<\/style>\n\n<div class=\"cg-title-wrapper\">\n  <h1 class=\"cg-title\">Formulaire d'inscription en ligne<\/h1>\n  <div class=\"cg-title-underline\"><\/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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-390d414 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"390d414\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f4cde26 sc_layouts_column_icons_position_left\" data-id=\"f4cde26\" data-element_type=\"column\" data-e-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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fc3e704 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fc3e704\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3388f45 sc_layouts_column_icons_position_left\" data-id=\"3388f45\" data-element_type=\"column\" data-e-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-0858e06 scheme_default sc_fly_static elementor-widget elementor-widget-shortcode\" data-id=\"0858e06\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4186-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"4186\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/4189#wpcf7-f4186-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/4189#wpcf7-f4186-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4186\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4186-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<style>\n  .cg-wrapper {\n    max-width: 880px;\n    margin: 0 auto;\n  }\n\n  .cg-section {\n    background: #ffffff;\n    border: 1px solid #eeeeee;\n    border-radius: 10px;\n    padding: 24px 24px 20px;\n    margin-bottom: 24px;\n    box-shadow: 0 4px 12px rgba(0, 0, 0, 0.03);\n  }\n\n  .cg-section h2 {\n    display: flex;\n    align-items: center;\n    gap: 8px;\n    margin-top: 0;\n    margin-bottom: 16px;\n    font-size: 1.4rem;\n  }\n\n  .cg-icon {\n    font-size: 1.5rem;\n  }\n\n  .cg-section p {\n    margin: 0 0 10px;\n    line-height: 1.6;\n  }\n\n  .cg-note {\n    margin-top: 10px;\n    padding: 10px 12px;\n    border-radius: 8px;\n    background: #f7f7f7;\n    font-size: 0.95rem;\n  }\n\n  .cg-note strong {\n    font-weight: 600;\n  }\n\n  \/* Grid for the form columns *\/\n  .cf7-grid {\n    display: grid;\n    grid-template-columns: repeat(auto-fit, minmax(260px, 1fr));\n    gap: 24px;\n  }\n\n  .cf7-col {\n    display: flex;\n    flex-direction: column;\n    gap: 12px;\n  }\n\n  .cf7-field label {\n    display: block;\n    font-weight: 600;\n    font-size: 0.95rem;\n    margin-bottom: 4px;\n  }\n\n  .cf7-field small {\n    display: block;\n    font-size: 0.85rem;\n    color: #666666;\n    margin-top: 4px;\n  }\n\n  .cf7-field input,\n  .cf7-field textarea,\n  .cf7-field select {\n    width: 100%;\n  }\n\n  .cf7-acceptances {\n    display: flex;\n    flex-direction: column;\n    gap: 10px;\n    margin-top: 10px;\n  }\n\n  .cf7-acceptances p {\n    margin: 0;\n  }\n\n  .cf7-submit-wrap {\n    text-align: center;\n    margin-top: 12px;\n  }\n\n  @media (max-width: 600px) {\n    .cg-section {\n      padding: 18px 16px 16px;\n    }\n\n    .cg-section h2 {\n      font-size: 1.2rem;\n    }\n  }\n<\/style>\n\n<div class=\"cg-wrapper\">\n\n  <!-- Identit\u00e9 -->\n  <section class=\"cg-section\" id=\"identite\">\n    <h2><span class=\"cg-icon\">\ud83d\udc64<\/span>Votre identit\u00e9<\/h2>\n\n    <div class=\"cf7-grid\">\n      <div class=\"cf7-col\">\n        <p class=\"cf7-field\">\n          <label>Nom *<\/label>\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\" placeholder=\"Votre nom\" value=\"\" type=\"text\" name=\"nom\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Pr\u00e9nom *<\/label>\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\" placeholder=\"Votre pr\u00e9nom\" value=\"\" type=\"text\" name=\"prenom\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Adresse<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea full-width\" aria-invalid=\"false\" placeholder=\"Rue, num\u00e9ro, compl\u00e9ment, etc.\" name=\"adresse\"><\/textarea><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Code postal<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"code-postal\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"75000\" value=\"\" type=\"text\" name=\"code-postal\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Ville<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"ville\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Votre ville\" value=\"\" type=\"text\" name=\"ville\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Pays<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"pays\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Votre pays\" value=\"\" type=\"text\" name=\"pays\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Date de naissance<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"date-naissance\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-naissance\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>N\u00b0 de passeport<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"passeport\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"passeport\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Nationalit\u00e9<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"nationalite\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nationalite\" \/><\/span>\n        <\/p>\n      <\/div>\n\n      <div class=\"cf7-col\">\n        <p class=\"cf7-field\">\n          <label>Profession<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"profession\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"profession\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Email *<\/label>\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\" placeholder=\"vous@exemple.com\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>N\u00b0 de t\u00e9l\u00e9phone domicile<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-domicile\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"+33 ...\" value=\"\" type=\"tel\" name=\"tel-domicile\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>N\u00b0 de t\u00e9l\u00e9phone portable<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-portable\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"+33 ...\" value=\"\" type=\"tel\" name=\"tel-portable\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Probl\u00e8mes de sant\u00e9 particuliers<br>(allergie, diab\u00e8te\u2026)<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"sante\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Merci de pr\u00e9ciser\" name=\"sante\"><\/textarea><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>N\u00b0 de t\u00e9l\u00e9phone en cas d\u2019urgence<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-urgence\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"+33 ...\" value=\"\" type=\"tel\" name=\"tel-urgence\" \/><\/span>\n        <\/p>\n      <\/div>\n    <\/div>\n  <\/section>\n\n  <!-- S\u00e9jour -->\n  <section class=\"cg-section\" id=\"sejour\">\n    <h2><span class=\"cg-icon\">\u2708\ufe0f<\/span>Votre s\u00e9jour<\/h2>\n\n    <div class=\"cf7-grid\">\n      <div class=\"cf7-col\">\n        <p class=\"cf7-field\">\n          <label>Date de d\u00e9but du stage<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"date-debut\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-debut\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Date de fin de stage<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"date-fin\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-fin\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Cours choisi<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"cours-choisi\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"cours-choisi[]\" value=\"Cours fran\u00e7ais g\u00e9n\u00e9ral (15 heures\/semaine)\" \/><span class=\"wpcf7-list-item-label\">Cours fran\u00e7ais g\u00e9n\u00e9ral (15 heures\/semaine)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"cours-choisi[]\" value=\"Cours fran\u00e7ais g\u00e9n\u00e9ral (15 heures\/semaine) + Cours particuliers (3 heures\/semaine)\" \/><span class=\"wpcf7-list-item-label\">Cours fran\u00e7ais g\u00e9n\u00e9ral (15 heures\/semaine) + Cours particuliers (3 heures\/semaine)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"cours-choisi[]\" value=\"Formule Cours particuliers (10 heures\/semaine)\" \/><span class=\"wpcf7-list-item-label\">Formule Cours particuliers (10 heures\/semaine)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"cours-choisi[]\" value=\"Formule Cours particuliers (20 heures\/semaine)\" \/><span class=\"wpcf7-list-item-label\">Formule Cours particuliers (20 heures\/semaine)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"cours-choisi[]\" value=\"Pr\u00e9paration DELF\/DALF\" \/><span class=\"wpcf7-list-item-label\">Pr\u00e9paration DELF\/DALF<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"cours-choisi[]\" value=\"Cours du Soir\" \/><span class=\"wpcf7-list-item-label\">Cours du Soir<\/span><\/label><\/span><\/span><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Souhaitez-vous des cours particuliers ?<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"cours-particuliers\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"cours-particuliers\" value=\"Oui\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"cours-particuliers\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Si oui, combien par semaine ?<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"cours-particuliers-nb\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"0\" max=\"40\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"cours-particuliers-nb\" \/><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>H\u00e9bergement choisi<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"hebergement\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"hebergement[]\" value=\"Chez l\u2019habitant, chambre individuelle + acc\u00e8s cuisine\" \/><span class=\"wpcf7-list-item-label\">Chez l\u2019habitant, chambre individuelle + acc\u00e8s cuisine<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"hebergement[]\" value=\"Chez l\u2019habitant, chambre individuelle + petit d\u00e9jeuner\" \/><span class=\"wpcf7-list-item-label\">Chez l\u2019habitant, chambre individuelle + petit d\u00e9jeuner<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"hebergement[]\" value=\"Chez l\u2019habitant, chambre individuelle + \u00bd pension\" \/><span class=\"wpcf7-list-item-label\">Chez l\u2019habitant, chambre individuelle + \u00bd pension<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"hebergement[]\" value=\"En r\u00e9sidence h\u00f4teli\u00e8re\" \/><span class=\"wpcf7-list-item-label\">En r\u00e9sidence h\u00f4teli\u00e8re<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"hebergement[]\" value=\"Je n\u2019ai pas besoin d\u2019h\u00e9bergement\" \/><span class=\"wpcf7-list-item-label\">Je n\u2019ai pas besoin d\u2019h\u00e9bergement<\/span><\/label><\/span><\/span><\/span>\n        <\/p>\n      <\/div>\n\n      <div class=\"cf7-col\">\n        <p class=\"cf7-field\">\n          <label>Quel est votre niveau de connaissance de la langue ?<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"niveau-francais\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"niveau-francais\" value=\"D\u00e9butant\" \/><span class=\"wpcf7-list-item-label\">Beginner<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"niveau-francais\" value=\"A1 basique\" \/><span class=\"wpcf7-list-item-label\">A1 basique<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"niveau-francais\" value=\"A2 \u00e9l\u00e9mentaire\" \/><span class=\"wpcf7-list-item-label\">A2 \u00e9l\u00e9mentaire<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"niveau-francais\" value=\"B1 interm\u00e9diaire\" \/><span class=\"wpcf7-list-item-label\">B1 interm\u00e9diaire<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"niveau-francais\" value=\"B2 interm\u00e9diaire avanc\u00e9\" \/><span class=\"wpcf7-list-item-label\">B2 interm\u00e9diaire avanc\u00e9<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"niveau-francais\" value=\"C1 avanc\u00e9\" \/><span class=\"wpcf7-list-item-label\">C1 avanc\u00e9<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"niveau-francais\" value=\"C2 avanc\u00e9 sup\u00e9rieur\" \/><span class=\"wpcf7-list-item-label\">C2 avanc\u00e9 sup\u00e9rieur<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"niveau-francais\" value=\"Je ne sais pas\" \/><span class=\"wpcf7-list-item-label\">Je ne sais pas<\/span><\/label><\/span><\/span><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Comment avez-vous connu l\u2019Institut Moulin ?<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"connaissance-institut\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"connaissance-institut[]\" value=\"Affiche\" \/><span class=\"wpcf7-list-item-label\">Affiche<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"connaissance-institut[]\" value=\"Internet\" \/><span class=\"wpcf7-list-item-label\">Internet<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"connaissance-institut[]\" value=\"Amis\" \/><span class=\"wpcf7-list-item-label\">Amis<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"connaissance-institut[]\" value=\"Institut fran\u00e7ais\" \/><span class=\"wpcf7-list-item-label\">Institut fran\u00e7ais<\/span><\/label><\/span><\/span><\/span>\n        <\/p>\n\n        <p class=\"cf7-field\">\n          <label>Par un autre moyen de communication \u2013 pr\u00e9cisez<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"connaissance-autre\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Pr\u00e9cisez\" value=\"\" type=\"text\" name=\"connaissance-autre\" \/><\/span>\n        <\/p>\n      <\/div>\n    <\/div>\n  <\/section>\n\n  <!-- D\u00e9clarations & signature -->\n  <section class=\"cg-section\" id=\"declarations\">\n    <h2><span class=\"cg-icon\">\ud83d\udee1\ufe0f<\/span>D\u00e9clarations & assurances<\/h2>\n\n    <div class=\"cf7-acceptances\">\n      <p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"accept-conditions\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"accept-conditions\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Je d\u00e9clare accepter les <a href=\"https:\/\/institutmoulin.com\/en\/conditions-generales\/\" target=\"_blank\">conditions g\u00e9n\u00e9rales<\/a>\n        et avoir pris connaissance des conditions d\u2019annulation.<\/span><\/label><\/span><\/span><\/span>\n      <\/p>\n\n      <p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"accept-assurance\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"accept-assurance\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Je certifie avoir souscrit une assurance responsabilit\u00e9 civile et\n        garantie maladie-accident.<\/span><\/label><\/span><\/span><\/span>\n      <\/p>\n    <\/div>\n\n    <div class=\"cf7-grid\" style=\"margin-top:16px;\">\n      <div class=\"cf7-col\">\n        <p class=\"cf7-field\">\n          <label>Lieu<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"lieu\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lieu\" \/><\/span>\n        <\/p>\n      <\/div>\n      <div class=\"cf7-col\">\n        <p class=\"cf7-field\">\n          <label>Date<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"date-signature\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-signature\" \/><\/span>\n        <\/p>\n      <\/div>\n    <\/div>\n  <\/section>\n\n  <!-- Envoi -->\n  <section class=\"cg-section\">\n    <h2><span class=\"cg-icon\">\ud83d\udce8<\/span>Envoyer votre demande<\/h2>\n    <div class=\"cf7-submit-wrap\">\n      <input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer ma demande\" \/>\n    <\/div>\n  <\/section>\n\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n<\/div>\n<\/div>\n\t\t\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Formulaire d&rsquo;inscription en ligne<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-4189","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/institutmoulin.com\/en\/wp-json\/wp\/v2\/pages\/4189","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/institutmoulin.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/institutmoulin.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/institutmoulin.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/institutmoulin.com\/en\/wp-json\/wp\/v2\/comments?post=4189"}],"version-history":[{"count":10,"href":"https:\/\/institutmoulin.com\/en\/wp-json\/wp\/v2\/pages\/4189\/revisions"}],"predecessor-version":[{"id":4260,"href":"https:\/\/institutmoulin.com\/en\/wp-json\/wp\/v2\/pages\/4189\/revisions\/4260"}],"wp:attachment":[{"href":"https:\/\/institutmoulin.com\/en\/wp-json\/wp\/v2\/media?parent=4189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}