{"id":351,"date":"2015-06-05T17:04:02","date_gmt":"2015-06-05T16:04:02","guid":{"rendered":"http:\/\/www.attin-mairie.fr\/?page_id=351"},"modified":"2018-11-11T17:35:19","modified_gmt":"2018-11-11T16:35:19","slug":"formulaire-des-foulees-attinoises-du-14-juillet-2015","status":"publish","type":"page","link":"https:\/\/www.attin-mairie.fr\/?page_id=351","title":{"rendered":"Formulaire des Foul\u00e9es Attinoises 2019"},"content":{"rendered":"<p>Merci de remplir ce formulaire pour toute demande d&rsquo;inscription :<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f345-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"345\">\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%2F351#wpcf7-f345-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=\"345\" \/><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-f345-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"civilite\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"civilite\" value=\"Mr\" \/><span class=\"wpcf7-list-item-label\">Mr<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"civilite\" value=\"Mme\" \/><span class=\"wpcf7-list-item-label\">Mme<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Votre nom*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><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=\"your-name\" \/><\/span>\n<\/p>\n<p>Votre pr\u00e9nom*\n<\/p>\n<p><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>\n<\/p>\n<p>Date de naissance*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-de-naissance\"><input size=\"12\" maxlength=\"10\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"01\/01\/1900\" value=\"\" type=\"text\" name=\"date-de-naissance\" \/><\/span>\n<\/p>\n<p>Adresse*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><input size=\"100\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adresse\" \/><\/span>\n<\/p>\n<p>Code postal*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"postal\"><input size=\"6\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal\" \/><\/span>\n<\/p>\n<p>Ville*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ville\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ville\" \/><\/span>\n<\/p>\n<p>Votre email*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-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=\"your-email\" \/><\/span>\n<\/p>\n<p>N\u00b0 de Licence\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"LicenceN\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"LicenceN\" \/><\/span>\n<\/p>\n<p>Distance<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Distance\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Distance\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"5,5 Kms\">5,5 Kms<\/option><option value=\"11 Kms\">11 Kms<\/option><\/select><\/span>\n<\/p>\n<p>Cat\u00e9gorie*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cat\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"cat\"><option value=\"cadet\">cadet<\/option><option value=\"junior\">junior<\/option><option value=\"senior\">senior<\/option><option value=\"v\u00e9t\u00e9ran 1\">v\u00e9t\u00e9ran 1<\/option><option value=\"v\u00e9t\u00e9ran 2\">v\u00e9t\u00e9ran 2<\/option><option value=\"v\u00e9t\u00e9ran 3\">v\u00e9t\u00e9ran 3<\/option><\/select><\/span>\n<\/p>\n<p><i>Les champs * sont obligatoires.<\/i>\n<\/p>\n<p>Tarif de l'incription 6\u20ac ( r\u00e9glement par ch\u00e9que, libell\u00e9 \u00e0 l'ordre de l'AJA) avant l'\u00e9preuve ou 7 \u20ac le jour m\u00eame<br \/>\nadresse: 12, rue de l'\u00e9glise 62170 Attin\n<\/p>\n<p><b>Je m'engage \u00e0 n'exercer aucune poursuite envers les organisateurs pour tout incident pouvant r\u00e9sulter de cette manifestation.<\/b>\n<\/p>\n<p>Je pr\u00e9sente le jour de l'\u00e9preuve:<br \/>\n- une copie de ma licence (FFA, Triathlon, comp\u00e9tition FSCF, FSGT ou UFOLEP avec la mention \"athl\u00e9tisme\", UNSS ou UGSEL) si je suis engag\u00e9 par l'\u00e9tablissement scolaire ou l'association sportive.<br \/>\n- ou une copie du certificat m\u00e9dical datant de moins d'un an avec la mention \"non contre- indication \u00e0 la pratique de la course \u00e0 pied ou de l'athl\u00e9tisme en comp\u00e9tition.\n<\/p>\n<p>J'accepte* : <span class=\"wpcf7-form-control-wrap\" data-name=\"accord\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"accord\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span>\n<\/p>\n<p>Cl\u00f4ture des inscriptions le 12 juillet.\n<\/p>\n<p>[print-me target=\"div#content\"] J'ai bien imprimer mon formulaire <span class=\"wpcf7-form-control-wrap\" data-name=\"printed\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"printed\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n<\/p>\n<p>Merci d'imprimer ce formulaire puis de l'envoyer gr\u00e2ce \u00e0 l'ic\u00f4ne .\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=\"249\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Merci de remplir ce formulaire pour toute demande d&rsquo;inscription : &nbsp; &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":302,"menu_order":1,"comment_status":"closed","ping_status":"open","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-351","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.attin-mairie.fr\/index.php?rest_route=\/wp\/v2\/pages\/351","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.attin-mairie.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.attin-mairie.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.attin-mairie.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.attin-mairie.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=351"}],"version-history":[{"count":6,"href":"https:\/\/www.attin-mairie.fr\/index.php?rest_route=\/wp\/v2\/pages\/351\/revisions"}],"predecessor-version":[{"id":1877,"href":"https:\/\/www.attin-mairie.fr\/index.php?rest_route=\/wp\/v2\/pages\/351\/revisions\/1877"}],"up":[{"embeddable":true,"href":"https:\/\/www.attin-mairie.fr\/index.php?rest_route=\/wp\/v2\/pages\/302"}],"wp:attachment":[{"href":"https:\/\/www.attin-mairie.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=351"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}