{"id":35,"date":"2025-07-18T01:12:11","date_gmt":"2025-07-17T23:12:11","guid":{"rendered":"https:\/\/aikido-takemusu-50naire.be\/?page_id=35"},"modified":"2025-07-21T21:34:22","modified_gmt":"2025-07-21T19:34:22","slug":"inscription","status":"publish","type":"page","link":"https:\/\/aikido-takemusu-50naire.be\/index.php\/inscription\/","title":{"rendered":"Inscription"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" data-token=\"abb230c4b57b390f4c4a8faa05cb38ac\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_ajax_submit \" id=\"form_contact-us\" data-token=\"abb230c4b57b390f4c4a8faa05cb38ac\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Formulaire d&rsquo;inscription<\/legend>\r\n\r\n<div class=\"frm_description\"><p>Si vous souhaitez vous inscrire comme pratiquant du club \u00ab\u00a0Aikido Takemusu 50naire\u00a0\u00bb, vous inscrire aux 2 cours d&rsquo;essai gratuits, ou \u00eatre tenu au courant des nouveaut\u00e9s par email, veuillez remplir ce formulaire.<\/p>\n<\/div><div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"contact-us\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"fa65808c6a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/35\" \/><div id=\"frm_field_6_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_qh4icy2\" class=\"frm_primary_label\">Nom\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qh4icy2\" name=\"item_meta[6]\" value=\"\"  maxlength=\"50\" data-reqmsg=\"Nom doit \u00eatre compl\u00e9t\u00e9\" aria-required=\"true\" data-invmsg=\"Nom is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_ocfup12\" class=\"frm_primary_label\">Prenom\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ocfup12\" name=\"item_meta[7]\" value=\"\"  maxlength=\"50\" data-reqmsg=\"Prenom doit \u00eatre compl\u00e9t\u00e9\" aria-required=\"true\" data-invmsg=\"Prenom is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm4 frm_first\">\r\n    <label for=\"field_29yf4d2\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_29yf4d2\" name=\"item_meta[8]\" value=\"\"  maxlength=\"50\" data-reqmsg=\"Email doit \u00eatre compl\u00e9t\u00e9\" aria-required=\"true\" data-invmsg=\"Email est non valide\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth\">\r\n\t<label for=\"field_76yna\" id=\"field_76yna_label\" class=\"frm_primary_label\">T\u00e9l\u00e9phone\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_76yna\" name=\"item_meta[13]\" value=\"\"  maxlength=\"20\" data-reqmsg=\"T\u00e9l\u00e9phone doit \u00eatre compl\u00e9t\u00e9\" aria-required=\"true\" data-invmsg=\"T\u00e9l\u00e9phone est non valide\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_sixth\">\r\n\t<label for=\"field_7krxj\" id=\"field_7krxj_label\" class=\"frm_primary_label\">Date de naissance\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_7krxj\" name=\"item_meta[24]\" value=\"\"  placeholder=\"jj\/mm\/aaaa\" data-reqmsg=\"Date de naissance cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date de naissance format incorrect\" aria-invalid=\"false\" pattern=\"\\d\\d\\\/\\d\\d\\\/\\d\\d\\d\\d$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_t wo_thirds frm10\">\r\n\t<label for=\"field_5xexa\" id=\"field_5xexa_label\" class=\"frm_primary_label\">Rue\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_5xexa\" name=\"item_meta[15]\" value=\"\"  maxlength=\"50\" data-reqmsg=\"Rue doit \u00eatre compl\u00e9t\u00e9\" aria-required=\"true\" data-invmsg=\"Rue est non valide\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_sixth\">\r\n\t<label for=\"field_rolzy\" id=\"field_rolzy_label\" class=\"frm_primary_label\">Num\u00e9ro\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_rolzy\" name=\"item_meta[16]\" value=\"\"  maxlength=\"5\" data-reqmsg=\"Num\u00e9ro doit \u00eatre compl\u00e9t\u00e9\" aria-required=\"true\" data-invmsg=\"Num\u00e9ro est non valide\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_fourth\">\r\n\t<label for=\"field_cwf3g\" id=\"field_cwf3g_label\" class=\"frm_primary_label\">Code postal\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_cwf3g\" name=\"item_meta[17]\" value=\"\"  maxlength=\"5\" data-reqmsg=\"Code postal doit \u00eatre compl\u00e9t\u00e9\" aria-required=\"true\" data-invmsg=\"Code postal est non valide\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_three_fourths\">\r\n\t<label for=\"field_hhjor\" id=\"field_hhjor_label\" class=\"frm_primary_label\">Localit\u00e9\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_hhjor\" name=\"item_meta[18]\" value=\"\"  maxlength=\"50\" data-reqmsg=\"Localit\u00e9 doit \u00eatre compl\u00e9t\u00e9\" aria-required=\"true\" data-invmsg=\"Localit\u00e9 est non valide\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_20_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n\t<div  id=\"field_1kau6_label\" class=\"frm_primary_label\">Vous souhaitez\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_1kau6_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_20-1\">\t\t\t<label  for=\"field_1kau6-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[20][]\" id=\"field_1kau6-1\" value=\"Vous inscrire aux cours\"  data-invmsg=\"Vous souhaitez is invalid\"   \/> Vous inscrire aux cours<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_20-0\">\t\t\t<label  for=\"field_1kau6-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[20][]\" id=\"field_1kau6-0\" value=\"Venir essayer et profiter des 2 cours gratuits\"  data-invmsg=\"Vous souhaitez is invalid\"   \/> Venir essayer et profiter des 2 cours gratuits<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_20-2\">\t\t\t<label  for=\"field_1kau6-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[20][]\" id=\"field_1kau6-2\" value=\"Rester en contact et \u00eatre tenu au courant\"  data-invmsg=\"Vous souhaitez is invalid\"   \/> Rester en contact et \u00eatre tenu au courant<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_21_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first vertical_radio\">\r\n\t<div  id=\"field_mu1km_label\" class=\"frm_primary_label\">Avez-vous d\u00e9j\u00e0 pratiqu\u00e9 l&rsquo;aikido ?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_mu1km_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_21-0\">\t\t\t<label  for=\"field_mu1km-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[21]\" id=\"field_mu1km-0\" value=\"Oui\"\n\t\t data-reqmsg=\"Avez-vous d\u00e9j\u00e0 pratiqu\u00e9 l&#039;aikido ? cannot be blank.\" data-invmsg=\"Avez-vous d\u00e9j\u00e0 pratiqu\u00e9 l&#039;aikido ? is invalid\"   \/> Oui<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_21-1\">\t\t\t<label  for=\"field_mu1km-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[21]\" id=\"field_mu1km-1\" value=\"Non\"\n\t\t data-reqmsg=\"Avez-vous d\u00e9j\u00e0 pratiqu\u00e9 l&#039;aikido ? cannot be blank.\" data-invmsg=\"Avez-vous d\u00e9j\u00e0 pratiqu\u00e9 l&#039;aikido ? is invalid\"   \/> Non<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n\t<label for=\"field_hsdur\" id=\"field_hsdur_label\" class=\"frm_primary_label\">Si oui, quel grade avez vous\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[22]\" id=\"field_hsdur\"  data-invmsg=\"Si oui, quel grade avez vous is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Veuillez choisir ...\">Veuillez choisir &#8230;<\/option><option  value=\"7eme kyu\">7eme kyu<\/option><option  value=\"6eme kyu\">6eme kyu<\/option><option  value=\"5eme kyu\">5eme kyu<\/option><option  value=\"4eme kyu\">4eme kyu<\/option><option  value=\"3eme kyu\">3eme kyu<\/option><option  value=\"2eme kyu\">2eme kyu<\/option><option  value=\"1er kyu\">1er kyu<\/option><option  value=\"1er dan\">1er dan<\/option><option  value=\"2eme dan\">2eme dan<\/option><option  value=\"3eme dan\">3eme dan<\/option><option  value=\"4eme dan\">4eme dan<\/option><option  value=\"5eme dan\">5eme dan<\/option><option  value=\"6eme dan\">6eme dan<\/option><option  value=\"7eme dan\">7eme dan<\/option><option  value=\"8eme dan\">8eme dan<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n\t<label for=\"field_viti\" id=\"field_viti_label\" class=\"frm_primary_label\">Dans quel club\/dojo, quelle f\u00e9d\u00e9ration ?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_viti\" name=\"item_meta[23]\" value=\"\"  data-invmsg=\"Dans quel club\/dojo, quelle f\u00e9d\u00e9ration ? is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_25_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<div  id=\"field_nejsa_label\" class=\"frm_primary_label\">Protection de la vie priv\u00e9e &#8211; RGPD\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t\n<div class=\"frm_checkbox\" role=\"group\" aria-labelledby=\"frm-gdpr-accept-25\">\n\t<label for=\"frm-gdpr-accept-25\">\n\t\t<input type=\"checkbox\" aria-required=\"true\" name=\"item_meta[25]\" id=\"frm-gdpr-accept-25\" value=\"1\" \n\t\t \t\t data-reqmsg=\"Protection de la vie priv\u00e9e - RGPD cannot be blank.\" aria-required=\"true\" data-invmsg=\"Protection de la vie priv\u00e9e - RGPD is invalid\" aria-invalid=\"false\"  \t\t\/>\n\t\tJ\u2019autorise \u00ab Aikido Takemusu Cinquantenaire \u00bb \u00e0 traiter mes donn\u00e9es \u00e0 caract\u00e8re personnel pour les besoins de gestion, pour \u00eatre tenu au courant des activit\u00e9s et permettre de communiquer avec les membres. Les donn\u00e9es ne seront jamais communiqu\u00e9es \u00e0 des tiers, sauf pour les seuls besoins de la gestion et pour l\u2019affiliation \u00e0 la f\u00e9d\u00e9ration.\t<\/label>\n<\/div>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_none_container frm12 frm_first\">\r\n\t<label for=\"g-recaptcha-response\" id=\"field_pt10b_label\" class=\"frm_primary_label\">Captcha\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<div  id=\"field_pt10b\" class=\"g-recaptcha\" data-sitekey=\"6LdHuoorAAAAACZCtV0EN-cTPr2lJFaoV0UjYEhj\" data-size=\"normal\" data-theme=\"light\"><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_11_container\" class=\"frm_form_field form-field  frm_sixth\">\r\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\" >Envoyer<\/button>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_26_container\">\n\t\t\t<label for=\"field_sqnly\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_sqnly\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[26]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"\/S9xYYiTtSYqwPLijKeae12nSFKB0BNBVPdW4ZmD2fM=\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"139\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-35","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/aikido-takemusu-50naire.be\/index.php\/wp-json\/wp\/v2\/pages\/35","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/aikido-takemusu-50naire.be\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aikido-takemusu-50naire.be\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aikido-takemusu-50naire.be\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/aikido-takemusu-50naire.be\/index.php\/wp-json\/wp\/v2\/comments?post=35"}],"version-history":[{"count":3,"href":"https:\/\/aikido-takemusu-50naire.be\/index.php\/wp-json\/wp\/v2\/pages\/35\/revisions"}],"predecessor-version":[{"id":116,"href":"https:\/\/aikido-takemusu-50naire.be\/index.php\/wp-json\/wp\/v2\/pages\/35\/revisions\/116"}],"wp:attachment":[{"href":"https:\/\/aikido-takemusu-50naire.be\/index.php\/wp-json\/wp\/v2\/media?parent=35"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}