{"id":211408,"date":"2018-01-15T14:38:01","date_gmt":"2018-01-15T13:38:01","guid":{"rendered":"http:\/\/ecoleaces.com\/?page_id=211408"},"modified":"2025-10-17T15:59:22","modified_gmt":"2025-10-17T13:59:22","slug":"pre-inscriptions","status":"publish","type":"page","link":"https:\/\/ecoleaces.com\/index.php\/inscriptions\/pre-inscriptions\/","title":{"rendered":"pr\u00e9-inscriptions college"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbPricing Paln Section\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_color_gradient_direction=\u00a0\u00bb165deg\u00a0\u00bb custom_padding=\u00a0\u00bb||0px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbPricing Paln Title Area\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_type=\u00a0\u00bbcircular\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#b9121b 20%|#4c1b1b 100%\u00a0\u00bb background_color_gradient_start=\u00a0\u00bb#b9121b\u00a0\u00bb background_color_gradient_start_position=\u00a0\u00bb20%\u00a0\u00bb background_color_gradient_end=\u00a0\u00bb#4c1b1b\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb width_tablet=\u00a0\u00bb80%\u00a0\u00bb width_phone=\u00a0\u00bb\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_tablet=\u00a0\u00bb80%\u00a0\u00bb max_width_phone=\u00a0\u00bb\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb z_index_tablet=\u00a0\u00bb500&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_divider color=\u00a0\u00bb#ffffff\u00a0\u00bb divider_position=\u00a0\u00bbcenter\u00a0\u00bb divider_weight=\u00a0\u00bb2px\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; max_width=\u00a0\u00bb50px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb||15px|\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb animation_style=\u00a0\u00bbslide\u00a0\u00bb animation_direction=\u00a0\u00bbtop\u00a0\u00bb animation_intensity_slide=\u00a0\u00bb20%\u00a0\u00bb animation_starting_opacity=\u00a0\u00bb100%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<br \/>\n[\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.24.2&Prime; text_font=\u00a0\u00bbBree Serif|700|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_line_height=\u00a0\u00bb1.8em\u00a0\u00bb header_font=\u00a0\u00bb|700|||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#253542&Prime; header_letter_spacing=\u00a0\u00bb7px\u00a0\u00bb header_line_height=\u00a0\u00bb1.4em\u00a0\u00bb header_2_font=\u00a0\u00bbBree Serif|700||on|||||\u00a0\u00bb header_2_font_size=\u00a0\u00bb30px\u00a0\u00bb header_2_letter_spacing=\u00a0\u00bb7px\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.4em\u00a0\u00bb header_3_font=\u00a0\u00bb|700|||||||\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb max_width=\u00a0\u00bb600px\u00a0\u00bb max_width_tablet=\u00a0\u00bb\u00a0\u00bb max_width_phone=\u00a0\u00bb\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb|||\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; header_2_font_size_tablet=\u00a0\u00bb24px\u00a0\u00bb header_2_font_size_phone=\u00a0\u00bb\u00a0\u00bb header_2_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb text_text_shadow_style=\u00a0\u00bbpreset5&Prime; header_text_shadow_style=\u00a0\u00bbpreset5&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<h2>PR\u00c9-INSCRIPTIONS COLL\u00c8GE 2026-2027<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.16&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_code _builder_version=\u00a0\u00bb4.24.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb|||200px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb|||0px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|||0px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f216360-o1\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/211408#wpcf7-f216360-o1\" method=\"post\" class=\"wpcf7-form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"216360\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f216360-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<\/div>\n<p>\t\t<div id=\"cf7md-form\" class=\"cf7md-form cf7md-spacing--tight\">\n\t\t\t<div class=\"mdc-layout-grid\">\n\t\t\t\t<div class=\"mdc-layout-grid__inner\">\n\t\t\t\t\t\t\t\t\t\t\n<div id=\"responsive-form\" class=\"clearfix\">\n<p><label> Votre nom (obligatoire)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Votre Pr\u00e9nom (obligatoire)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-prenom\"><input type=\"text\" name=\"your-prenom\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Votre adresse de messagerie (obligatoire)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>Identit\u00e9 de l'\u00e9l\u00e8ve :<\/p>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Nom-eleve\"><input type=\"text\" name=\"Nom-eleve\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Nom<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Prenom-eleve\"><input type=\"text\" name=\"Prenom-eleve\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Pr\u00e9nom<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-checkbox mdc-layout-grid__cell mdc-layout-grid__cell--span-12 cf7md-list cf7md-list__columns-2\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">Sexe<\/label>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap sexe-eleve\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sexe-eleve\" value=\"Fille\" \/><span class=\"wpcf7-list-item-label\">Fille<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sexe-eleve\" value=\"Gar\u00e7on\" \/><span class=\"wpcf7-list-item-label\">Gar\u00e7on<\/span><\/span><\/span><\/span>\t\t\t<div style=\"display: none;\" class=\"cf7md-checkbox-html\">\n\t\t\t\t<div class=\"mdc-checkbox__background\">\n\t\t\t\t\t<svg class=\"mdc-checkbox__checkmark\" viewBox=\"0 0 24 24\">\n\t\t\t\t\t\t<path class=\"mdc-checkbox__checkmark-path\" fill=\"none\" d=\"M1.73,12.91 8.1,19.28 22.79,4.59\"\/>\n\t\t\t\t\t<\/svg>\n\t\t\t\t\t<div class=\"mdc-checkbox__mixedmark\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap date-naissance\"><input type=\"date\" name=\"date-naissance\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Date de naissance<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Lieu-naissance\"><input type=\"text\" name=\"Lieu-naissance\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Lieu de naissance<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Nationalite\"><input type=\"text\" name=\"Nationalite\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Nationalit\u00e9<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap classe\"><select name=\"classe\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"6\u00e8me\">6\u00e8me<\/option><option value=\"5\u00e8me\">5\u00e8me<\/option><option value=\"4\u00e8me\">4\u00e8me<\/option><option value=\"3\u00e8me\">3\u00e8me<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Classe demand\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<br>\n<\/div>\n<p>S'agit-il de votre<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Demande\"><select name=\"Demande\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"1\u00e8re demande\">1\u00e8re demande<\/option><option value=\"2\u00e8me demande\">2\u00e8me demande<\/option><option value=\"3\u00e8me demande ou plus\">3\u00e8me demande ou plus<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Demande<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n<\/div>\n<p>Responsable l\u00e9gal 1:<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap responsable1\"><select name=\"responsable1\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"P\u00e8re\">P\u00e8re<\/option><option value=\"M\u00e8re\">M\u00e8re<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">responsable1<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Nom-responsable1\"><input type=\"text\" name=\"Nom-responsable1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Nom responsable1<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Prenom-responsable1\"><input type=\"text\" name=\"Prenom-responsable1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Pr\u00e9nom responsable1<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Adresse\"><input type=\"text\" name=\"Adresse\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Adresse<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Code-postal\"><input type=\"text\" name=\"Code-postal\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Code postal<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Ville\"><input type=\"text\" name=\"Ville\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Ville<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap email-responsable1\"><input type=\"email\" name=\"email-responsable1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">E-mail<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Tel\"><input type=\"tel\" name=\"Tel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">T\u00e9l\u00e9phone<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Profession\"><input type=\"text\" name=\"Profession\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Profession<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Tel-professionnel\"><input type=\"text\" name=\"Tel-professionnel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Tel professionnel<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<br><\/div>\n<\/div>\n<p>Responsable l\u00e9gal 2:<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap responsable2\"><select name=\"responsable2\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"P\u00e8re\">P\u00e8re<\/option><option value=\"M\u00e8re\">M\u00e8re<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">responsable2<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Nom-responsable2\"><input type=\"text\" name=\"Nom-responsable2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Nom responsable2<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Prenom-responsable2\"><input type=\"text\" name=\"Prenom-responsable2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Pr\u00e9nom responsable2<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Adresse2\"><input type=\"text\" name=\"Adresse2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Adresse<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Code-postal2\"><input type=\"text\" name=\"Code-postal2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Code postal<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Ville2\"><input type=\"text\" name=\"Ville2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Ville<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap email-responsable2\"><input type=\"email\" name=\"email-responsable2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">E-mail<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Tel2\"><input type=\"tel\" name=\"Tel2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">T\u00e9l\u00e9phone<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Profession2\"><input type=\"text\" name=\"Profession2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Profession<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Tel-professionnel2\"><input type=\"text\" name=\"Tel-professionnel2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Tel professionnel<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-checkbox mdc-layout-grid__cell mdc-layout-grid__cell--span-12 cf7md-list cf7md-list__columns-2\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">Situation familiale<\/label>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap situation-familiale\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"situation-familiale&#091;&#093;\" value=\"mari\u00e9s\" \/><span class=\"wpcf7-list-item-label\">mari\u00e9s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"situation-familiale&#091;&#093;\" value=\"s\u00e9par\u00e9s\" \/><span class=\"wpcf7-list-item-label\">s\u00e9par\u00e9s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"situation-familiale&#091;&#093;\" value=\"divorc\u00e9s\" \/><span class=\"wpcf7-list-item-label\">divorc\u00e9s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"situation-familiale&#091;&#093;\" value=\"veuf\/veuve\" \/><span class=\"wpcf7-list-item-label\">veuf\/veuve<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"situation-familiale&#091;&#093;\" value=\"autre\" \/><span class=\"wpcf7-list-item-label\">autre<\/span><\/span><\/span><\/span>\t\t\t<div style=\"display: none;\" class=\"cf7md-checkbox-html\">\n\t\t\t\t<div class=\"mdc-checkbox__background\">\n\t\t\t\t\t<svg class=\"mdc-checkbox__checkmark\" viewBox=\"0 0 24 24\">\n\t\t\t\t\t\t<path class=\"mdc-checkbox__checkmark-path\" fill=\"none\" d=\"M1.73,12.91 8.1,19.28 22.79,4.59\"\/>\n\t\t\t\t\t<\/svg>\n\t\t\t\t\t<div class=\"mdc-checkbox__mixedmark\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<br>\n<\/div>\n<p>Ann\u00e9e scolaire 2025\/2026 :<\/p>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Annee-2023-2024\"><input type=\"text\" name=\"Annee-2023-2024\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Classe, nom de l'\u00e9cole et ville<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap menu1\"><select name=\"menu1\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Ecole publique\">Ecole publique<\/option><option value=\"Ecole priv\u00e9e\">Ecole priv\u00e9e<\/option><option value=\"Association\">Association<\/option><option value=\"Enseignement \u00e0 distance\">Enseignement \u00e0 distance<\/option><option value=\"Enseignement \u00e0 domicile\">Enseignement \u00e0 domicile<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Pr\u00e9ciser<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<br><\/div>\n<\/div>\n<p>Veuillez joindre le bulletin du 1er trimestre ou le relev\u00e9 de notes de l'ann\u00e9e en cours (2025-2026).<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-file mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">trimestre 1<\/label>\n\t\t\t\t\t\t<label class=\"cf7md-file--label\">\n\t\t\t\t<span class=\"cf7md-file--btn mdc-button mdc-button--raised\">\n\t\t\t\t\tJoindre un fichier\t\t\t\t<\/span>\n\t\t\t\t<span class=\"cf7md-file--value\">Doc, DocX et PDF<\/span>\n\t\t\t\t<span class=\"wpcf7-form-control-wrap bulletin1\"><input type=\"file\" name=\"bulletin1\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".doc,.docx,.pdf\" aria-invalid=\"false\" \/><\/span>\t\t\t<\/label>\n\t\t\t<p class=\"cf7md-help-text\">La limite de taille est de 5 Mo.<\/p>\t\t<\/div>\n\t\t<br>\n<\/div>\n<p>Ann\u00e9e scolaire 2024\/2025 :<\/p>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Annee-2021-2022\"><input type=\"text\" name=\"Annee-2021-2022\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Classe, nom de l'\u00e9cole et ville<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap menu2\"><select name=\"menu2\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Ecole publique\">Ecole publique<\/option><option value=\"Ecole priv\u00e9e\">Ecole priv\u00e9e<\/option><option value=\"Association\">Association<\/option><option value=\"Enseignement \u00e0 distance\">Enseignement \u00e0 distance<\/option><option value=\"Enseignement \u00e0 domicile\">Enseignement \u00e0 domicile<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Pr\u00e9ciser<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<br><\/div>\n<\/div>\n<p>Veuillez joindre les bulletins des 3 trimestres de l'ann\u00e9e pr\u00e9c\u00e9dente (2024-2025).<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-file mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">trimestre 1*<\/label>\n\t\t\t\t\t\t<label class=\"cf7md-file--label\">\n\t\t\t\t<span class=\"cf7md-file--btn mdc-button mdc-button--raised\">\n\t\t\t\t\tJoindre un fichier\t\t\t\t<\/span>\n\t\t\t\t<span class=\"cf7md-file--value\">Doc, DocX et PDF<\/span>\n\t\t\t\t<span class=\"wpcf7-form-control-wrap bulletin2\"><input type=\"file\" name=\"bulletin2\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".doc,.docx,.pdf\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t<\/label>\n\t\t\t<p class=\"cf7md-help-text\">La limite de taille est de 5 Mo.<\/p>\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-file mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">trimestre 2*<\/label>\n\t\t\t\t\t\t<label class=\"cf7md-file--label\">\n\t\t\t\t<span class=\"cf7md-file--btn mdc-button mdc-button--raised\">\n\t\t\t\t\tJoindre un fichier\t\t\t\t<\/span>\n\t\t\t\t<span class=\"cf7md-file--value\">Doc, DocX et PDF<\/span>\n\t\t\t\t<span class=\"wpcf7-form-control-wrap bulletin3\"><input type=\"file\" name=\"bulletin3\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".doc,.docx,.pdf\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t<\/label>\n\t\t\t<p class=\"cf7md-help-text\">La limite de taille est de 5 Mo.<\/p>\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-file mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">trimestre 3*<\/label>\n\t\t\t\t\t\t<label class=\"cf7md-file--label\">\n\t\t\t\t<span class=\"cf7md-file--btn mdc-button mdc-button--raised\">\n\t\t\t\t\tJoindre un fichier\t\t\t\t<\/span>\n\t\t\t\t<span class=\"cf7md-file--value\">Doc, DocX et PDF<\/span>\n\t\t\t\t<span class=\"wpcf7-form-control-wrap bulletin4\"><input type=\"file\" name=\"bulletin4\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".doc,.docx,.pdf\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t<\/label>\n\t\t\t<p class=\"cf7md-help-text\">La limite de taille est de 5 Mo.<\/p>\t\t<\/div>\n\t\t\n<\/div>\n<p>Renseignements compl\u00e9mentaires :<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-checkbox mdc-layout-grid__cell mdc-layout-grid__cell--span-12 cf7md-list cf7md-list__columns-2\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">Redoublement<\/label>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap redoublement\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"redoublement\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"redoublement\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span>\t\t\t<div style=\"display: none;\" class=\"cf7md-checkbox-html\">\n\t\t\t\t<div class=\"mdc-checkbox__background\">\n\t\t\t\t\t<svg class=\"mdc-checkbox__checkmark\" viewBox=\"0 0 24 24\">\n\t\t\t\t\t\t<path class=\"mdc-checkbox__checkmark-path\" fill=\"none\" d=\"M1.73,12.91 8.1,19.28 22.79,4.59\"\/>\n\t\t\t\t\t<\/svg>\n\t\t\t\t\t<div class=\"mdc-checkbox__mixedmark\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap preciser-redoublement\"><input type=\"text\" name=\"preciser-redoublement\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Si oui quelle(s) classe(s)<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-checkbox mdc-layout-grid__cell mdc-layout-grid__cell--span-12 cf7md-list cf7md-list__columns-2\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">Ann\u00e9e d'avance<\/label>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap annee-avance\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"annee-avance\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"annee-avance\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span>\t\t\t<div style=\"display: none;\" class=\"cf7md-checkbox-html\">\n\t\t\t\t<div class=\"mdc-checkbox__background\">\n\t\t\t\t\t<svg class=\"mdc-checkbox__checkmark\" viewBox=\"0 0 24 24\">\n\t\t\t\t\t\t<path class=\"mdc-checkbox__checkmark-path\" fill=\"none\" d=\"M1.73,12.91 8.1,19.28 22.79,4.59\"\/>\n\t\t\t\t\t<\/svg>\n\t\t\t\t\t<div class=\"mdc-checkbox__mixedmark\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap preciser-Classe-avance\"><input type=\"text\" name=\"preciser-Classe-avance\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Si oui quelle(s) classe(s)<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap langue-arabe\"><input type=\"text\" name=\"langue-arabe\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Niveau de langue arabe<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\n\t\t<div class=\"cf7md-item cf7md-textarea mdc-layout-grid__cell mdc-layout-grid__cell--span-12 cf7md-textarea-autosize\">\n\t\t\t<span class=\"wpcf7-form-control-wrap medecin\"><textarea name=\"medecin\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--textarea\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">L'enfant est-il ou a t-il \u00e9t\u00e9 suivi par un praticien particulier ?<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t<div class=\"cf7md-item cf7md-quiz mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap quiz-1234\"><label><span class=\"wpcf7-quiz-label\">Que font 7+2 ?<\/span> <input type=\"text\" name=\"quiz-1234\" size=\"40\" class=\"wpcf7-form-control wpcf7-quiz\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" \/><\/label><input type=\"hidden\" name=\"_wpcf7_quiz_answer_quiz-1234\" value=\"0a4f5caa384c559ad06229e5b1b6639c\" \/><\/span>\t\t\t<p class=\"cf7md-help-text\">Cette question prot\u00e8ge du spam<\/p>\t\t\t<div style=\"display: none;\" class=\"cf7md-quiz-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\"><\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t<div class=\"cf7md-item cf7md-accept cf7md-is-wpcf7v5 mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap optional\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"optional\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">J'accepte que mon adresse e-mail soit stock\u00e9e pour apporter une r\u00e9ponse<\/span><\/label><\/span><\/span><\/span>\t\t\t<label class=\"cf7md-accept-label\"><\/label>\n\t\t\t<div style=\"display: none;\" class=\"cf7md-checkbox-html\">\n\t\t\t\t<div class=\"mdc-checkbox__background\">\n\t\t\t\t\t<svg class=\"mdc-checkbox__checkmark\" viewBox=\"0 0 24 24\">\n\t\t\t\t\t\t<path class=\"mdc-checkbox__checkmark-path\" fill=\"none\" d=\"M1.73,12.91 8.1,19.28 22.79,4.59\"\/>\n\t\t\t\t\t<\/svg>\n\t\t\t\t\t<div class=\"mdc-checkbox__mixedmark\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-submit mdc-layout-grid__cell mdc-layout-grid__cell--span-12\" data-button-style=\"raised\">\n\t\t\t<input type=\"submit\" value=\"J&#039;envoie le message\" class=\"wpcf7-form-control wpcf7-submit\" \/>\t\t\t<svg class=\"cf7md-spinner\" width=\"25px\" height=\"25px\" viewBox=\"0 0 66 66\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<circle class=\"cf7md-spinner-path\" fill=\"none\" stroke-width=\"6\" stroke-linecap=\"round\" cx=\"33\" cy=\"33\" r=\"30\"><\/circle>\n\t\t\t<\/svg>\n\t\t<\/div>\n\t\t\n<\/div>\n<\/div>\n<p><!--fin des instructions pour deux colonnes--><\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PR\u00c9-INSCRIPTIONS COLL\u00c8GE 2026-2027<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f216360-o2\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/211408#wpcf7-f216360-o2\" method=\"post\" class=\"wpcf7-form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"216360\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f216360-o2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<\/div>\n<p>\t\t<div id=\"cf7md-form\" class=\"cf7md-form cf7md-spacing--tight\">\n\t\t\t<div class=\"mdc-layout-grid\">\n\t\t\t\t<div class=\"mdc-layout-grid__inner\">\n\t\t\t\t\t\t\t\t\t\t\n<div id=\"responsive-form\" class=\"clearfix\">\n<p><label> Votre nom (obligatoire)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Votre Pr\u00e9nom (obligatoire)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-prenom\"><input type=\"text\" name=\"your-prenom\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Votre adresse de messagerie (obligatoire)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>Identit\u00e9 de l'\u00e9l\u00e8ve :<\/p>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Nom-eleve\"><input type=\"text\" name=\"Nom-eleve\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Nom<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Prenom-eleve\"><input type=\"text\" name=\"Prenom-eleve\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Pr\u00e9nom<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-checkbox mdc-layout-grid__cell mdc-layout-grid__cell--span-12 cf7md-list cf7md-list__columns-2\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">Sexe<\/label>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap sexe-eleve\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sexe-eleve\" value=\"Fille\" \/><span class=\"wpcf7-list-item-label\">Fille<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sexe-eleve\" value=\"Gar\u00e7on\" \/><span class=\"wpcf7-list-item-label\">Gar\u00e7on<\/span><\/span><\/span><\/span>\t\t\t<div style=\"display: none;\" class=\"cf7md-checkbox-html\">\n\t\t\t\t<div class=\"mdc-checkbox__background\">\n\t\t\t\t\t<svg class=\"mdc-checkbox__checkmark\" viewBox=\"0 0 24 24\">\n\t\t\t\t\t\t<path class=\"mdc-checkbox__checkmark-path\" fill=\"none\" d=\"M1.73,12.91 8.1,19.28 22.79,4.59\"\/>\n\t\t\t\t\t<\/svg>\n\t\t\t\t\t<div class=\"mdc-checkbox__mixedmark\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap date-naissance\"><input type=\"date\" name=\"date-naissance\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Date de naissance<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Lieu-naissance\"><input type=\"text\" name=\"Lieu-naissance\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Lieu de naissance<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Nationalite\"><input type=\"text\" name=\"Nationalite\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Nationalit\u00e9<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap classe\"><select name=\"classe\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"6\u00e8me\">6\u00e8me<\/option><option value=\"5\u00e8me\">5\u00e8me<\/option><option value=\"4\u00e8me\">4\u00e8me<\/option><option value=\"3\u00e8me\">3\u00e8me<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Classe demand\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<br>\n<\/div>\n<p>S'agit-il de votre<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Demande\"><select name=\"Demande\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"1\u00e8re demande\">1\u00e8re demande<\/option><option value=\"2\u00e8me demande\">2\u00e8me demande<\/option><option value=\"3\u00e8me demande ou plus\">3\u00e8me demande ou plus<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Demande<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n<\/div>\n<p>Responsable l\u00e9gal 1:<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap responsable1\"><select name=\"responsable1\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"P\u00e8re\">P\u00e8re<\/option><option value=\"M\u00e8re\">M\u00e8re<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">responsable1<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Nom-responsable1\"><input type=\"text\" name=\"Nom-responsable1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Nom responsable1<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Prenom-responsable1\"><input type=\"text\" name=\"Prenom-responsable1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Pr\u00e9nom responsable1<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Adresse\"><input type=\"text\" name=\"Adresse\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Adresse<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Code-postal\"><input type=\"text\" name=\"Code-postal\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Code postal<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Ville\"><input type=\"text\" name=\"Ville\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Ville<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap email-responsable1\"><input type=\"email\" name=\"email-responsable1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">E-mail<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Tel\"><input type=\"tel\" name=\"Tel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">T\u00e9l\u00e9phone<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Profession\"><input type=\"text\" name=\"Profession\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Profession<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Tel-professionnel\"><input type=\"text\" name=\"Tel-professionnel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Tel professionnel<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<br><\/div>\n<\/div>\n<p>Responsable l\u00e9gal 2:<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap responsable2\"><select name=\"responsable2\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"P\u00e8re\">P\u00e8re<\/option><option value=\"M\u00e8re\">M\u00e8re<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">responsable2<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Nom-responsable2\"><input type=\"text\" name=\"Nom-responsable2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Nom responsable2<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Prenom-responsable2\"><input type=\"text\" name=\"Prenom-responsable2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Pr\u00e9nom responsable2<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Adresse2\"><input type=\"text\" name=\"Adresse2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Adresse<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Code-postal2\"><input type=\"text\" name=\"Code-postal2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Code postal<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Ville2\"><input type=\"text\" name=\"Ville2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Ville<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap email-responsable2\"><input type=\"email\" name=\"email-responsable2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">E-mail<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Tel2\"><input type=\"tel\" name=\"Tel2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">T\u00e9l\u00e9phone<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Profession2\"><input type=\"text\" name=\"Profession2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Profession<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Tel-professionnel2\"><input type=\"text\" name=\"Tel-professionnel2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Tel professionnel<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-checkbox mdc-layout-grid__cell mdc-layout-grid__cell--span-12 cf7md-list cf7md-list__columns-2\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">Situation familiale<\/label>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap situation-familiale\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"situation-familiale&#091;&#093;\" value=\"mari\u00e9s\" \/><span class=\"wpcf7-list-item-label\">mari\u00e9s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"situation-familiale&#091;&#093;\" value=\"s\u00e9par\u00e9s\" \/><span class=\"wpcf7-list-item-label\">s\u00e9par\u00e9s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"situation-familiale&#091;&#093;\" value=\"divorc\u00e9s\" \/><span class=\"wpcf7-list-item-label\">divorc\u00e9s<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"situation-familiale&#091;&#093;\" value=\"veuf\/veuve\" \/><span class=\"wpcf7-list-item-label\">veuf\/veuve<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"situation-familiale&#091;&#093;\" value=\"autre\" \/><span class=\"wpcf7-list-item-label\">autre<\/span><\/span><\/span><\/span>\t\t\t<div style=\"display: none;\" class=\"cf7md-checkbox-html\">\n\t\t\t\t<div class=\"mdc-checkbox__background\">\n\t\t\t\t\t<svg class=\"mdc-checkbox__checkmark\" viewBox=\"0 0 24 24\">\n\t\t\t\t\t\t<path class=\"mdc-checkbox__checkmark-path\" fill=\"none\" d=\"M1.73,12.91 8.1,19.28 22.79,4.59\"\/>\n\t\t\t\t\t<\/svg>\n\t\t\t\t\t<div class=\"mdc-checkbox__mixedmark\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<br>\n<\/div>\n<p>Ann\u00e9e scolaire 2025\/2026 :<\/p>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Annee-2023-2024\"><input type=\"text\" name=\"Annee-2023-2024\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Classe, nom de l'\u00e9cole et ville<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap menu1\"><select name=\"menu1\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Ecole publique\">Ecole publique<\/option><option value=\"Ecole priv\u00e9e\">Ecole priv\u00e9e<\/option><option value=\"Association\">Association<\/option><option value=\"Enseignement \u00e0 distance\">Enseignement \u00e0 distance<\/option><option value=\"Enseignement \u00e0 domicile\">Enseignement \u00e0 domicile<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Pr\u00e9ciser<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<br><\/div>\n<\/div>\n<p>Veuillez joindre le bulletin du 1er trimestre ou le relev\u00e9 de notes de l'ann\u00e9e en cours (2025-2026).<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-file mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">trimestre 1<\/label>\n\t\t\t\t\t\t<label class=\"cf7md-file--label\">\n\t\t\t\t<span class=\"cf7md-file--btn mdc-button mdc-button--raised\">\n\t\t\t\t\tJoindre un fichier\t\t\t\t<\/span>\n\t\t\t\t<span class=\"cf7md-file--value\">Doc, DocX et PDF<\/span>\n\t\t\t\t<span class=\"wpcf7-form-control-wrap bulletin1\"><input type=\"file\" name=\"bulletin1\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".doc,.docx,.pdf\" aria-invalid=\"false\" \/><\/span>\t\t\t<\/label>\n\t\t\t<p class=\"cf7md-help-text\">La limite de taille est de 5 Mo.<\/p>\t\t<\/div>\n\t\t<br>\n<\/div>\n<p>Ann\u00e9e scolaire 2024\/2025 :<\/p>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap Annee-2021-2022\"><input type=\"text\" name=\"Annee-2021-2022\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Classe, nom de l'\u00e9cole et ville<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t<div class=\"cf7md-item cf7md-select mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap menu2\"><select name=\"menu2\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Ecole publique\">Ecole publique<\/option><option value=\"Ecole priv\u00e9e\">Ecole priv\u00e9e<\/option><option value=\"Association\">Association<\/option><option value=\"Enseignement \u00e0 distance\">Enseignement \u00e0 distance<\/option><option value=\"Enseignement \u00e0 domicile\">Enseignement \u00e0 domicile<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span><br \/>\n\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-select-html\">\n\t\t\t\t<div class=\"mdc-select  mdc-select--outlined\">\n\t\t\t\t\t\t\n\t\t\t\t\t<i class=\"mdc-select__dropdown-icon\"><\/i>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Pr\u00e9ciser<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<br><\/div>\n<\/div>\n<p>Veuillez joindre les bulletins des 3 trimestres de l'ann\u00e9e pr\u00e9c\u00e9dente (2024-2025).<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-file mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">trimestre 1*<\/label>\n\t\t\t\t\t\t<label class=\"cf7md-file--label\">\n\t\t\t\t<span class=\"cf7md-file--btn mdc-button mdc-button--raised\">\n\t\t\t\t\tJoindre un fichier\t\t\t\t<\/span>\n\t\t\t\t<span class=\"cf7md-file--value\">Doc, DocX et PDF<\/span>\n\t\t\t\t<span class=\"wpcf7-form-control-wrap bulletin2\"><input type=\"file\" name=\"bulletin2\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".doc,.docx,.pdf\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t<\/label>\n\t\t\t<p class=\"cf7md-help-text\">La limite de taille est de 5 Mo.<\/p>\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-file mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">trimestre 2*<\/label>\n\t\t\t\t\t\t<label class=\"cf7md-file--label\">\n\t\t\t\t<span class=\"cf7md-file--btn mdc-button mdc-button--raised\">\n\t\t\t\t\tJoindre un fichier\t\t\t\t<\/span>\n\t\t\t\t<span class=\"cf7md-file--value\">Doc, DocX et PDF<\/span>\n\t\t\t\t<span class=\"wpcf7-form-control-wrap bulletin3\"><input type=\"file\" name=\"bulletin3\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".doc,.docx,.pdf\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t<\/label>\n\t\t\t<p class=\"cf7md-help-text\">La limite de taille est de 5 Mo.<\/p>\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-file mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">trimestre 3*<\/label>\n\t\t\t\t\t\t<label class=\"cf7md-file--label\">\n\t\t\t\t<span class=\"cf7md-file--btn mdc-button mdc-button--raised\">\n\t\t\t\t\tJoindre un fichier\t\t\t\t<\/span>\n\t\t\t\t<span class=\"cf7md-file--value\">Doc, DocX et PDF<\/span>\n\t\t\t\t<span class=\"wpcf7-form-control-wrap bulletin4\"><input type=\"file\" name=\"bulletin4\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".doc,.docx,.pdf\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t<\/label>\n\t\t\t<p class=\"cf7md-help-text\">La limite de taille est de 5 Mo.<\/p>\t\t<\/div>\n\t\t\n<\/div>\n<p>Renseignements compl\u00e9mentaires :<\/p>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-checkbox mdc-layout-grid__cell mdc-layout-grid__cell--span-12 cf7md-list cf7md-list__columns-2\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">Redoublement<\/label>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap redoublement\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"redoublement\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"redoublement\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span>\t\t\t<div style=\"display: none;\" class=\"cf7md-checkbox-html\">\n\t\t\t\t<div class=\"mdc-checkbox__background\">\n\t\t\t\t\t<svg class=\"mdc-checkbox__checkmark\" viewBox=\"0 0 24 24\">\n\t\t\t\t\t\t<path class=\"mdc-checkbox__checkmark-path\" fill=\"none\" d=\"M1.73,12.91 8.1,19.28 22.79,4.59\"\/>\n\t\t\t\t\t<\/svg>\n\t\t\t\t\t<div class=\"mdc-checkbox__mixedmark\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap preciser-redoublement\"><input type=\"text\" name=\"preciser-redoublement\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Si oui quelle(s) classe(s)<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-checkbox mdc-layout-grid__cell mdc-layout-grid__cell--span-12 cf7md-list cf7md-list__columns-2\">\n\t\t\t\t\t\t\t<label class=\"cf7md-label cf7md-label--static\">Ann\u00e9e d'avance<\/label>\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap annee-avance\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"annee-avance\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"annee-avance\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span>\t\t\t<div style=\"display: none;\" class=\"cf7md-checkbox-html\">\n\t\t\t\t<div class=\"mdc-checkbox__background\">\n\t\t\t\t\t<svg class=\"mdc-checkbox__checkmark\" viewBox=\"0 0 24 24\">\n\t\t\t\t\t\t<path class=\"mdc-checkbox__checkmark-path\" fill=\"none\" d=\"M1.73,12.91 8.1,19.28 22.79,4.59\"\/>\n\t\t\t\t\t<\/svg>\n\t\t\t\t\t<div class=\"mdc-checkbox__mixedmark\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap preciser-Classe-avance\"><input type=\"text\" name=\"preciser-Classe-avance\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Si oui quelle(s) classe(s)<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t\n\t\t<div class=\"cf7md-item cf7md-text mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t<span class=\"wpcf7-form-control-wrap langue-arabe\"><input type=\"text\" name=\"langue-arabe\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">Niveau de langue arabe<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\n\t\t<div class=\"cf7md-item cf7md-textarea mdc-layout-grid__cell mdc-layout-grid__cell--span-12 cf7md-textarea-autosize\">\n\t\t\t<span class=\"wpcf7-form-control-wrap medecin\"><textarea name=\"medecin\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span>\t\t\t\t\t\t<div style=\"display: none;\" class=\"cf7md-text-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--textarea\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t<label class=\"mdc-floating-label\">L'enfant est-il ou a t-il \u00e9t\u00e9 suivi par un praticien particulier ?<\/label>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-half\">\t\t<div class=\"cf7md-item cf7md-quiz mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap quiz-1234\"><label><span class=\"wpcf7-quiz-label\">Que font 7+2 ?<\/span> <input type=\"text\" name=\"quiz-1234\" size=\"40\" class=\"wpcf7-form-control wpcf7-quiz\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" \/><\/label><input type=\"hidden\" name=\"_wpcf7_quiz_answer_quiz-1234\" value=\"0a4f5caa384c559ad06229e5b1b6639c\" \/><\/span>\t\t\t<p class=\"cf7md-help-text\">Cette question prot\u00e8ge du spam<\/p>\t\t\t<div style=\"display: none;\" class=\"cf7md-quiz-html\">\n\t\t\t\t<div class=\"mdc-text-field  mdc-text-field--outlined\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"mdc-notched-outline\">\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__leading\"><\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__notch\">\n\t\t\t\t\t\t\t\t<label class=\"mdc-floating-label\"><\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"mdc-notched-outline__trailing\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<div class=\"column-half\">\t\t<div class=\"cf7md-item cf7md-accept cf7md-is-wpcf7v5 mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap optional\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"optional\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">J'accepte que mon adresse e-mail soit stock\u00e9e pour apporter une r\u00e9ponse<\/span><\/label><\/span><\/span><\/span>\t\t\t<label class=\"cf7md-accept-label\"><\/label>\n\t\t\t<div style=\"display: none;\" class=\"cf7md-checkbox-html\">\n\t\t\t\t<div class=\"mdc-checkbox__background\">\n\t\t\t\t\t<svg class=\"mdc-checkbox__checkmark\" viewBox=\"0 0 24 24\">\n\t\t\t\t\t\t<path class=\"mdc-checkbox__checkmark-path\" fill=\"none\" d=\"M1.73,12.91 8.1,19.28 22.79,4.59\"\/>\n\t\t\t\t\t<\/svg>\n\t\t\t\t\t<div class=\"mdc-checkbox__mixedmark\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\">\t\t<div class=\"cf7md-item cf7md-submit mdc-layout-grid__cell mdc-layout-grid__cell--span-12\" data-button-style=\"raised\">\n\t\t\t<input type=\"submit\" value=\"J&#039;envoie le message\" class=\"wpcf7-form-control wpcf7-submit\" \/>\t\t\t<svg class=\"cf7md-spinner\" width=\"25px\" height=\"25px\" viewBox=\"0 0 66 66\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<circle class=\"cf7md-spinner-path\" fill=\"none\" stroke-width=\"6\" stroke-linecap=\"round\" cx=\"33\" cy=\"33\" r=\"30\"><\/circle>\n\t\t\t<\/svg>\n\t\t<\/div>\n\t\t\n<\/div>\n<\/div>\n<p><!--fin des instructions pour deux colonnes--><\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":211302,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-template-blank.php","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"_links":{"self":[{"href":"https:\/\/ecoleaces.com\/index.php\/wp-json\/wp\/v2\/pages\/211408"}],"collection":[{"href":"https:\/\/ecoleaces.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ecoleaces.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ecoleaces.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ecoleaces.com\/index.php\/wp-json\/wp\/v2\/comments?post=211408"}],"version-history":[{"count":68,"href":"https:\/\/ecoleaces.com\/index.php\/wp-json\/wp\/v2\/pages\/211408\/revisions"}],"predecessor-version":[{"id":216370,"href":"https:\/\/ecoleaces.com\/index.php\/wp-json\/wp\/v2\/pages\/211408\/revisions\/216370"}],"up":[{"embeddable":true,"href":"https:\/\/ecoleaces.com\/index.php\/wp-json\/wp\/v2\/pages\/211302"}],"wp:attachment":[{"href":"https:\/\/ecoleaces.com\/index.php\/wp-json\/wp\/v2\/media?parent=211408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}