{"id":3062,"global_id":"academiedentaire.com?id=3062","global_id_lineage":["academiedentaire.com?id=3062"],"author":"1","status":"publish","date":"2016-03-09 09:11:31","date_utc":"2016-03-09 17:11:31","modified":"2016-03-11 10:51:30","modified_utc":"2016-03-11 18:51:30","url":"https:\/\/academiedentaire.com\/formation\/demande-dinscription-2017\/","rest_url":"https:\/\/academiedentaire.com\/wp-json\/tribe\/events\/v1\/events\/3062","title":"DEMANDE D&rsquo;INSCRIPTION 2017","description":"<div class=\"wpcf7 no-js\" id=\"wpcf7-f3069-o1\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/tribe\/events\/v1\/events\/3062#wpcf7-f3069-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"3069\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3069-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"tribe-events-event-meta inscription\">\n\t<h3>Inscription\n\t<\/h3>\n\t<p>Pour faire une demande d'inscription, remplissez le formulaire suivant et nous vous contacterons.**\n\t<\/p>\n\t<p><i>*Information requise<\/i>\n\t<\/p>\n\t<p>S\u2019il y a lieu de faire un choix de date(s) ou de plage horaire pour la formation; l\u2019inscrire ici\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-593\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" min=\"2016-01-01\" aria-invalid=\"false\" placeholder=\"aaaa-mm-jj\" value=\"\" type=\"date\" name=\"date-593\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-202\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-202\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"AM\">AM<\/option><option value=\"PM\">PM<\/option><\/select><\/span>\n\t<\/p>\n\t<p>*Votre nom et fonction\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-749\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-749\" value=\"DMD\" \/><span class=\"wpcf7-list-item-label\">DMD<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-749\" value=\"HD\" \/><span class=\"wpcf7-list-item-label\">HD<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-749\" value=\"Assistante\" \/><span class=\"wpcf7-list-item-label\">Assistante<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-749\" value=\"Autre\" \/><span class=\"wpcf7-list-item-label\">Autre<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>*Votre courriel\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t<\/p>\n\t<p>*T\u00e9l\u00e9phone (Pour vous joindre facilement)\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-741\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-741\" \/><\/span>\n\t<\/p>\n\t<p>Nom de votre lieu de travail\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-285\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-285\" \/><\/span>\n\t<\/p>\n\t<p>T\u00e9l\u00e9phone au travail\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-755\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-755\" \/><\/span>\n\t<\/p>\n\t<p>S'il y a d'autres participants; inscrire leurs noms et leurs fonctions ici\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name1\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name1\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-750\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-750\" value=\"DMD\" \/><span class=\"wpcf7-list-item-label\">DMD<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-750\" value=\"HD\" \/><span class=\"wpcf7-list-item-label\">HD<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-750\" value=\"Assistante\" \/><span class=\"wpcf7-list-item-label\">Assistante<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-750\" value=\"Autre\" \/><span class=\"wpcf7-list-item-label\">Autre<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name2\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-751\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-751\" value=\"DMD\" \/><span class=\"wpcf7-list-item-label\">DMD<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-751\" value=\"HD\" \/><span class=\"wpcf7-list-item-label\">HD<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-751\" value=\"Assistante\" \/><span class=\"wpcf7-list-item-label\">Assistante<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-751\" value=\"Autre\" \/><span class=\"wpcf7-list-item-label\">Autre<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name3\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-752\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-752\" value=\"DMD\" \/><span class=\"wpcf7-list-item-label\">DMD<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-752\" value=\"HD\" \/><span class=\"wpcf7-list-item-label\">HD<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-752\" value=\"Assistante\" \/><span class=\"wpcf7-list-item-label\">Assistante<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-752\" value=\"Autre\" \/><span class=\"wpcf7-list-item-label\">Autre<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Note\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n\t<\/p>\n\t<p><i>**En compl\u00e9tant cette fiche vous faites une demande d'inscription mais, pour r\u00e9server une place, un d\u00e9p\u00f4t de 10 % du co\u00fbt de la formation (avant taxes) est requis (un minimum de 100 $ est requis si co\u00fbt de formation inf\u00e9rieur \u00e0 1000 $). Ce d\u00e9p\u00f4t sera d\u00e9duit du co\u00fbt total de la formation, qui lui, est payable trente (30) jours avant le d\u00e9but de cette formation. Nous vous contacterons donc pour compl\u00e9ter l'information de paiement.<br \/>\nUne politique d\u2019annulation est disponible sur demande.<br \/>\n<\/i>\n\t<\/p>\n\t<p>J'ai d\u00e9j\u00e0 suivi une formation \u00e0 l'ADM <span class=\"wpcf7-form-control-wrap\" data-name=\"radio-398\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-398\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-398\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-398\" value=\"Incertain\" \/><span class=\"wpcf7-list-item-label\">Incertain<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Je vous ai donn\u00e9 la permission de conserver mes informations de paiement et vous pouvez les utiliser pour pr\u00e9lever le d\u00e9p\u00f4t requis pour r\u00e9server la (les) place(s) \u00e0 cette formation <span class=\"wpcf7-form-control-wrap\" data-name=\"radio-489\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-489\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-489\" value=\"Non, contactez-moi\" \/><span class=\"wpcf7-list-item-label\">Non, contactez-moi<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n\t<\/p>\n<\/div><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>","excerpt":"","slug":"demande-dinscription-2017","image":false,"all_day":true,"start_date":"2017-01-01 00:00:00","start_date_details":{"year":"2017","month":"01","day":"01","hour":"00","minutes":"00","seconds":"00"},"end_date":"2017-12-31 23:59:59","end_date_details":{"year":"2017","month":"12","day":"31","hour":"23","minutes":"59","seconds":"59"},"utc_start_date":"2017-01-01 08:00:00","utc_start_date_details":{"year":"2017","month":"01","day":"01","hour":"08","minutes":"00","seconds":"00"},"utc_end_date":"2018-01-01 07:59:59","utc_end_date_details":{"year":"2018","month":"01","day":"01","hour":"07","minutes":"59","seconds":"59"},"timezone":"UTC-8","timezone_abbr":"","cost":"","cost_details":{"currency_symbol":"","currency_code":"","currency_position":"prefix","values":[]},"website":"","show_map":true,"show_map_link":true,"hide_from_listings":true,"sticky":false,"featured":false,"categories":[],"tags":[],"venue":[],"organizer":[],"json_ld":{"@context":"http:\/\/schema.org","@type":"Event","name":"DEMANDE D&rsquo;INSCRIPTION 2017","description":"","url":"https:\/\/academiedentaire.com\/formation\/demande-dinscription-2017\/","eventAttendanceMode":"https:\/\/schema.org\/OfflineEventAttendanceMode","eventStatus":"https:\/\/schema.org\/EventScheduled","startDate":"2017-01-01T00:00:00-08:00","endDate":"2017-12-31T23:59:59-08:00","performer":"Organization"},"ticketed":false}