{"id":109,"date":"2018-02-24T13:24:07","date_gmt":"2018-02-24T12:24:07","guid":{"rendered":"https:\/\/www.romanel-libre.ch\/?page_id=109"},"modified":"2020-10-19T15:58:48","modified_gmt":"2020-10-19T13:58:48","slug":"109-2","status":"publish","type":"page","link":"https:\/\/www.romanel-libre.ch\/?page_id=109","title":{"rendered":"Bulletin d&rsquo;adh\u00e9sion"},"content":{"rendered":"<div class=\"fm-form-container fm-theme3\"><div id=\"fm-pages7\" class=\"fm-pages wdform_page_navigation \" show_title=\"\" show_numbers=\"1\" type=\"none\"><\/div><form name=\"form7\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F109\" method=\"post\" id=\"form7\" class=\"fm-form form7  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"counter7\" value=\"24\" name=\"counter7\" \/><input type=\"hidden\" id=\"Itemid7\" value=\"\" name=\"Itemid7\" \/><input type=\"hidden\" id=\"fm_bot_validation7\" value=\"\" name=\"fm_bot_validation7\" \/><input type=\"hidden\" id=\"fm_empty_field_validation7\" value=\"\" name=\"fm_empty_field_validation7\" data-value=\"2a81fc198fda07d9627bd48231100651\" \/><div class=\"wdform-page-and-images\"><div id=\"7form_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"false\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"6\" class=\"wdform_row\"><div type=\"type_name\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_6_element_first7\" class=\"wdform-label\">Identit\u00e9<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_6_element_first7\" name=\"wdform_6_element_first7\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_6_element_first7\">Pr\u00e9nom<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_6_element_last7\" name=\"wdform_6_element_last7\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_6_element_last7\">Nom<\/label><\/div><\/div><\/div><\/div><div wdid=\"7\" class=\"wdform_row\"><div type=\"type_date_fields\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100 wdform_date_fields wd-flex-row\">    <label  for=\"wdform_7_day7\" class=\"wdform-label\">Date de naissance<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_date_fields wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row wd-width-100 wd-align-items\"><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_7_day7\" name=\"wdform_7_day7\" style=\"width: 60px;\" ><option value=\"\"><\/option><option value=\"01\" >01<\/option><option value=\"02\" >02<\/option><option value=\"03\" >03<\/option><option value=\"04\" >04<\/option><option value=\"05\" >05<\/option><option value=\"06\" >06<\/option><option value=\"07\" >07<\/option><option value=\"08\" >08<\/option><option value=\"09\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><label for=\"wdform_7_day7\" class=\"mini_label\">Jour<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_7_month7\" name=\"wdform_7_month7\" style=\"width: 100px;\" ><option value=\"\"><\/option><option value=\"01\"   >Janvier<\/option><option value=\"02\" >f\u00e9vrier<\/option><option value=\"03\" >mars<\/option><option value=\"04\"  >Avril<\/option><option value=\"05\"  >Mai<\/option><option value=\"06\"  >juin<\/option><option value=\"07\"  >Juillet<\/option><option value=\"08\"  >ao\u00fbt<\/option><option value=\"09\"  >Septembre<\/option><option value=\"10\"  >octobre<\/option><option value=\"11\" >novembre<\/option><option value=\"12\"  >D\u00e9cembre<\/option><\/select><label for=\"wdform_7_month7\" class=\"mini_label\">Mois<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_7_year7\" name=\"wdform_7_year7\"  from=\"1901\" to=\"2018\" style=\"width: 80px;\" ><option value=\"\"><\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><option value=\"1919\" >1919<\/option><option value=\"1918\" >1918<\/option><option value=\"1917\" >1917<\/option><option value=\"1916\" >1916<\/option><option value=\"1915\" >1915<\/option><option value=\"1914\" >1914<\/option><option value=\"1913\" >1913<\/option><option value=\"1912\" >1912<\/option><option value=\"1911\" >1911<\/option><option value=\"1910\" >1910<\/option><option value=\"1909\" >1909<\/option><option value=\"1908\" >1908<\/option><option value=\"1907\" >1907<\/option><option value=\"1906\" >1906<\/option><option value=\"1905\" >1905<\/option><option value=\"1904\" >1904<\/option><option value=\"1903\" >1903<\/option><option value=\"1902\" >1902<\/option><option value=\"1901\" >1901<\/option><\/select><label for=\"wdform_7_year7\" class=\"mini_label\">Ann\u00e9e<\/label><\/div><\/div><\/div><\/div><\/div><div wdid=\"8\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_8_element7\" class=\"wdform-label\">Profession<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_8_element7\"                           name=\"wdform_8_element7\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"9\" class=\"wdform_row\"><div type=\"type_address\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100 wdform_address wd-flex-column\">    <label  for=\"wdform_9_street17\" class=\"wdform-label\">Adresse<\/label><\/div><div class=\"wdform-element-section wd-flex wdform_address wd-flex-column wd-width-100\" ><span class=\"wd-width-100 wd-address\">                <input class=\"wd-width-100\" type=\"text\" id=\"wdform_9_street17\" name=\"wdform_9_street17\" value=\"\"  \/>                <label for=\"wdform_9_street17\" class=\"mini_label\">Rue n\u00b0<\/label><\/span><span class=\"wd-width-100 wd-flex wd-flex-row wd-flex-wrap wd-justify-content\"><\/span><\/div><\/div><\/div><div wdid=\"15\" class=\"wdform_row\"><div type=\"type_phone_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_15_element7\" class=\"wdform-label\">T\u00e9l\u00e9phone<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><input type=\"text\"                       class=\"wd-width-100\"                       id=\"wdform_15_element7\"                       name=\"wdform_15_element7\"                       value=\"\"                       placeholder=\"\"  \/><\/div><\/div><\/div><div wdid=\"18\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_phone_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_18_element7\" class=\"wdform-label\">Mobile<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><input type=\"text\"                       class=\"wd-width-100\"                       id=\"wdform_18_element7\"                       name=\"wdform_18_element7\"                       value=\"\"                       placeholder=\"\"  \/><\/div><\/div><\/div><div wdid=\"17\" class=\"wdform_row\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_17_element7\" class=\"wdform-label\">Email<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_17_element7\" name=\"wdform_17_element7\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('17', '7', 'Ceci n\\'est pas une adresse e-mail valide')\" \/><\/div><\/div><\/div><div wdid=\"19\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\"> <\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_19_element7\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_19_element70\" name=\"wdform_19_element7\" value=\"J&#039;ai lu les statuts\" onclick=\"set_default(&quot;wdform_19&quot;,&quot;0&quot;,&quot;7&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_19_element70\"><span><\/span>J'ai lu les statuts<\/label><\/div><\/div><\/div><\/div><\/div><div wdid=\"23\" class=\"wdform_row\"><div type=\"type_recaptcha\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wd-flex-row wd-hidden\">    <label  class=\"wdform-label\">reCAPTCHA<\/label><\/div><div class=\"wdform-element-section wd-flex wd-flex-row wd-width-100\" ><div id=\"recaptcha723\" class=\"g-recaptcha\" data-sitekey=\"6Lf9Td4UAAAAAEuVaw6O9aGqIBXzfvxFJFjEhlmz\" data-form_id=\"7\" data-badge=\"bottomright\"><\/div><\/div><\/div><\/div><div wdid=\"1\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-right wd-width-100\" ><button  type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('7');\" >Je signe !<\/button><button  type=\"button\" class=\"button-reset \" onclick=\"fm_reset_form(7);\" >Tout effacer<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer wd-width-100\"><div class=\"wd-width-100\"><div class=\"wd-width-100 wd-table\" style=\"padding-top:10px;\"><div class=\"wd-table-group\"><div id=\"7page_nav1\" class=\"wd-table-row\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><\/form><\/div>\n<p>Les statuts sont consultables <a href=\"https:\/\/www.romanel-libre.ch\/?page_id=105\" target=\"_blank\" rel=\"noopener noreferrer\">ici<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les statuts sont consultables ici<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-109","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/P8S038-1L","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.romanel-libre.ch\/index.php?rest_route=\/wp\/v2\/pages\/109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.romanel-libre.ch\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.romanel-libre.ch\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.romanel-libre.ch\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.romanel-libre.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=109"}],"version-history":[{"count":0,"href":"https:\/\/www.romanel-libre.ch\/index.php?rest_route=\/wp\/v2\/pages\/109\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.romanel-libre.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}