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custom_padding=\u00a0\u00bb0px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][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_text admin_label=\u00a0\u00bbMatr\u00edcula t\u00edtol\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bba9637137-e175-4c07-942f-c294692118b6&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2>Inscription \u00e0 l\u2019\u00e9cole de voile ou d\u2019aviron<\/h2>\n<p>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbtext\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb||||||||\u00a0\u00bb 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data-token-time=\"1775277242\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-345261-field_1-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-first wpforms-field-select-style-classic\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_1\">Modalit\u00e9 <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-345261-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" required=\"required\"><option value=\"Voile\"  selected='selected' class=\"choice-1 depth-1\"  >Voile<\/option><option value=\"Planche \u00e0 voile\"  class=\"choice-2 depth-1\"  >Planche \u00e0 voile<\/option><option value=\"Rem\"  class=\"choice-3 depth-1\"  >Rem<\/option><\/select><div class=\"wpforms-field-description\">Choisissez l\u2019option dans laquelle vous souhaitez vous inscrire<\/div><\/div><div id=\"wpforms-345261-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_3\">Niveau <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-345261-field_3\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Initiation\"  selected='selected' class=\"choice-1 depth-1\"  >Initiation<\/option><option value=\"Am\u00e9lioration\"  class=\"choice-2 depth-1\"  >Am\u00e9lioration<\/option><option value=\"Avan\u00e7at\"  class=\"choice-3 depth-1\"  >Avan\u00e7at<\/option><\/select><div class=\"wpforms-field-description\">Choisissez votre niveau<\/div><\/div><div id=\"wpforms-345261-field_4-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-field-select-style-classic\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_4\">Horaire <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-345261-field_4\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" required=\"required\"><option value=\"Matin\"  selected='selected' class=\"choice-1 depth-1\"  >Matin<\/option><option value=\"Apr\u00e8s-midi\"  class=\"choice-2 depth-1\"  >Apr\u00e8s-midi<\/option><option value=\"Aucune pr\u00e9f\u00e9rence\"  class=\"choice-3 depth-1\"  >Aucune pr\u00e9f\u00e9rence<\/option><\/select><div class=\"wpforms-field-description\">Choisissez votre emploi du temps<\/div><\/div><div id=\"wpforms-345261-field_5-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_5\">Date de d\u00e9but <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-345261-field_5\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"1\" data-disable-todays-date=\"0\" data-input=\"true\" name=\"wpforms[fields][5][date]\" required><a title=\"Effacer la date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-345261-field_6-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_6\">Date de fin <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-345261-field_6\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"1\" data-disable-todays-date=\"0\" data-input=\"true\" name=\"wpforms[fields][6][date]\" required><a title=\"Effacer la date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-345261-field_7-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_7\">Nom du participant \/ Nom de l\u2019\u00e9tudiant <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-345261-field_7\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][7][first]\" placeholder=\"Nom\" required><label for=\"wpforms-345261-field_7\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-345261-field_7-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][7][last]\" placeholder=\"Nom de famille\" required><label for=\"wpforms-345261-field_7-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Cognoms<\/label><\/div><\/div><\/div><div id=\"wpforms-345261-field_36-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_36\">DNI <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-345261-field_36\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99999999A\" name=\"wpforms[fields][36]\" required><\/div><div id=\"wpforms-345261-field_33-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_33\">L\u2019utilisateur a-t-il l\u2019\u00e2ge l\u00e9gal? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-345261-field_33\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][33]\" required=\"required\"><option value=\"Oui\"  class=\"choice-1 depth-1\"  >Oui<\/option><option value=\"Non\"  class=\"choice-2 depth-1\"  >Non<\/option><\/select><\/div><div id=\"wpforms-345261-field_9-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-third\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_9\">Date de naissance <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-345261-field_9\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][9][date]\" required><a title=\"Effacer la date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-345261-field_10-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_10\">Adresse habituelle <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-345261-field_10\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][10][address1]\" placeholder=\"Adre\u00e7a\" required><label for=\"wpforms-345261-field_10\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Adresse ligne\u00a01<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-345261-field_10-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][10][city]\" placeholder=\"Poblaci\u00f3\" required><label for=\"wpforms-345261-field_10-city\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Ville<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-345261-field_10-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][10][state]\" placeholder=\"Provincia\" required><label for=\"wpforms-345261-field_10-state\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">\u00c9tat \/ Province \/ R\u00e9gion<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-345261-field_10-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][10][postal]\" placeholder=\"Postal\" required><label for=\"wpforms-345261-field_10-postal\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Code postal<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-345261-field_10-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][10][country]\" required><option class=\"placeholder\" value=\"\" selected disabled>--- S\u00e9lectionner\u00a0: country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"ZA\" >Afrique du Sud<\/option><option value=\"AL\" >Albanie<\/option><option value=\"DZ\" >Alg\u00e9rie<\/option><option value=\"DE\" >Allemagne<\/option><option value=\"AD\" >Andorre<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctique<\/option><option value=\"AG\" >Antigua-et-Barbuda<\/option><option value=\"SA\" >Arabie Saoudite<\/option><option value=\"AR\" >Argentine<\/option><option value=\"AM\" >Arm\u00e9nie<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australie<\/option><option value=\"AT\" >Autriche<\/option><option value=\"AZ\" >Azerba\u00efdjan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahre\u00efn<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbade<\/option><option value=\"BE\" >Belgique<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BM\" >Bermudes<\/option><option value=\"BT\" >Bhoutan<\/option><option value=\"BY\" >Bi\u00e9lorussie<\/option><option value=\"BO\" >Bolivie (\u00c9tat plurinational de)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnie-Herz\u00e9govine<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BR\" >Br\u00e9sil<\/option><option value=\"BG\" >Bulgarie<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BJ\" >B\u00e9nin<\/option><option value=\"KH\" >Cambodge<\/option><option value=\"CM\" >Cameroun<\/option><option value=\"CA\" >Canada<\/option><option value=\"CV\" >Cap-Vert<\/option><option value=\"CL\" >Chili<\/option><option value=\"CN\" >Chine<\/option><option value=\"CY\" >Chypre<\/option><option value=\"CO\" >Colombie<\/option><option value=\"KM\" >Comores<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (R\u00e9publique d\u00e9mocratique du)<\/option><option value=\"KR\" >Cor\u00e9e (R\u00e9publique de)<\/option><option value=\"KP\" >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatie<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CI\" >C\u00f4te d\u2019Ivoire<\/option><option value=\"DK\" >Danemark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominique<\/option><option value=\"ES\" >Espagne<\/option><option value=\"EE\" >Estonie<\/option><option value=\"SZ\" >Eswatini (Royaume de)<\/option><option value=\"FJ\" >Fidji<\/option><option value=\"FI\" >Finlande<\/option><option value=\"FR\" >France<\/option><option value=\"RU\" >F\u00e9d\u00e9ration Russe<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambie<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Grenade<\/option><option value=\"GL\" >Groenland<\/option><option value=\"GR\" >Gr\u00e8ce<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernesey<\/option><option value=\"GN\" >Guin\u00e9e<\/option><option value=\"GQ\" >Guin\u00e9e \u00e9quatoriale<\/option><option value=\"GW\" >Guin\u00e9e-Bissau<\/option><option value=\"GF\" >Guyane<\/option><option value=\"GY\" >Guyane<\/option><option value=\"GE\" >G\u00e9orgie<\/option><option value=\"GS\" >G\u00e9orgie du Sud et \u00eeles Sandwich du Sud<\/option><option value=\"HT\" >Ha\u00efti<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hongrie<\/option><option value=\"IN\" >Inde<\/option><option value=\"ID\" >Indon\u00e9sie<\/option><option value=\"IQ\" >Irak<\/option><option value=\"IR\" >Iran (R\u00e9publique islamique d\u2019)<\/option><option value=\"IE\" >Irlande (R\u00e9publique d\u2019)<\/option><option value=\"IS\" >Islande<\/option><option value=\"IL\" >Isra\u00ebl<\/option><option value=\"IT\" >Italie<\/option><option value=\"JM\" >Jama\u00efque<\/option><option value=\"JP\" >Japon<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordanie<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KG\" >Kirghizistan<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kowe\u00eft<\/option><option value=\"RE\" >La R\u00e9union<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LV\" >Lettonie<\/option><option value=\"LB\" >Liban<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libye<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituanie<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Mac\u00e9doine du Nord (R\u00e9publique de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malaisie<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malte<\/option><option value=\"MA\" >Maroc<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritanie<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexique<\/option><option value=\"FM\" >Micron\u00e9sie (\u00c9tats f\u00e9d\u00e9r\u00e9s de)<\/option><option value=\"MD\" >Moldova (R\u00e9publique de)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolie<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"ME\" >Mont\u00e9n\u00e9gro<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibie<\/option><option value=\"NR\" >Nauru<\/option><option value=\"BN\" >Negara Brunei Darussalam<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nig\u00e9ria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Norv\u00e8ge<\/option><option value=\"NC\" >Nouvelle-Cal\u00e9donie<\/option><option value=\"NZ\" >Nouvelle-Z\u00e9lande<\/option><option value=\"NP\" >N\u00e9pal<\/option><option value=\"OM\" >Oman<\/option><option value=\"UG\" >Ouganda<\/option><option value=\"UZ\" >Ouzb\u00e9kistan<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (\u00c9tat de)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pays-Bas<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PL\" >Pologne<\/option><option value=\"PF\" >Polyn\u00e9sie fran\u00e7aise<\/option><option value=\"PR\" >Porto Rico<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PE\" >P\u00e9rou<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Roumanie<\/option><option value=\"GB\" >Royaume-Uni de Grande-Bretagne et d\u2019Irlande du Nord<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"SY\" >R\u00e9publique arabe syrienne<\/option><option value=\"CF\" >R\u00e9publique centrafricaine<\/option><option value=\"DO\" >R\u00e9publique dominicaine<\/option><option value=\"LA\" >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value=\"CZ\" >R\u00e9publique tch\u00e8que<\/option><option value=\"EH\" >Sahara occidental<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"PM\" >Saint Pierre et Miquelon<\/option><option value=\"KN\" >Saint-Christophe-et-Nevis<\/option><option value=\"SM\" >Saint-Marin<\/option><option value=\"MF\" >Saint-Martin (partie fran\u00e7aise)<\/option><option value=\"VC\" >Saint-Vincent-et-les Grenadines<\/option><option value=\"SH\" >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value=\"LC\" >Sainte-Lucie<\/option><option value=\"SV\" >Salvador<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa am\u00e9ricaines<\/option><option value=\"ST\" >Sao Tom\u00e9 et Principe<\/option><option value=\"RS\" >Serbie<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapour<\/option><option value=\"SX\" >Sint Maarten (partie hollandaise)<\/option><option value=\"SK\" >Slovaquie<\/option><option value=\"SI\" >Slov\u00e9nie<\/option><option value=\"SO\" >Somalie<\/option><option value=\"SD\" >Soudan<\/option><option value=\"SS\" >Soudan du Sud<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"CH\" >Suisse<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SE\" >Su\u00e8de<\/option><option value=\"SN\" >S\u00e9n\u00e9gal<\/option><option value=\"TJ\" >Tadjikistan<\/option><option value=\"TW\" >Taiwan, R\u00e9publique de Chine<\/option><option value=\"TZ\" >Tanzanie (R\u00e9publique-Unie de)<\/option><option value=\"TD\" >Tchad<\/option><option value=\"TF\" >Terres Australes Fran\u00e7aises<\/option><option value=\"IO\" >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value=\"TH\" >Tha\u00eflande<\/option><option value=\"TL\" >Timor oriental<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinit\u00e9 et Tobago<\/option><option value=\"TN\" >Tunisie<\/option><option value=\"TM\" >Turkm\u00e9nistan<\/option><option value=\"TR\" >Turquie<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (R\u00e9publique bolivarienne du)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis et Futuna<\/option><option value=\"YE\" >Y\u00e9men<\/option><option value=\"ZM\" >Zambie<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"EG\" >\u00c9gypte<\/option><option value=\"AE\" >\u00c9mirats arabes unis<\/option><option value=\"EC\" >\u00c9quateur<\/option><option value=\"ER\" >\u00c9rythr\u00e9e<\/option><option value=\"VA\" >\u00c9tat de la cit\u00e9 du Vatican<\/option><option value=\"US\" >\u00c9tats-Unis d\u2019Am\u00e9rique<\/option><option value=\"ET\" >\u00c9thiopie<\/option><option value=\"BV\" >\u00cele Bouvet<\/option><option value=\"CX\" >\u00cele Christmas<\/option><option value=\"MU\" >\u00cele Maurice<\/option><option value=\"NF\" >\u00cele Norfolk<\/option><option value=\"IM\" >\u00cele de Man<\/option><option value=\"KY\" >\u00celes Ca\u00efmans<\/option><option value=\"CC\" >\u00celes Cocos (Keeling)<\/option><option value=\"CK\" >\u00celes Cook<\/option><option value=\"FK\" >\u00celes Falkland (Malvinas)<\/option><option value=\"FO\" >\u00celes F\u00e9ro\u00e9<\/option><option value=\"HM\" >\u00celes Heard et McDonald<\/option><option value=\"MP\" >\u00celes Mariannes du Nord<\/option><option value=\"MH\" >\u00celes Marshall<\/option><option value=\"PN\" >\u00celes Pitcairn<\/option><option value=\"SB\" >\u00celes Salomon<\/option><option value=\"TC\" >\u00celes Turques et Ca\u00efques<\/option><option value=\"VI\" >\u00celes Vierges (Am\u00e9ricaines)<\/option><option value=\"VG\" >\u00celes Vierges (Britanniques)<\/option><option value=\"SJ\" >\u00celes de Svalbard et Jan Mayen<\/option><option value=\"UM\" >\u00celes mineures am\u00e9ricaines<\/option><option value=\"AX\" >\u00celes \u00c5land<\/option><\/select><label for=\"wpforms-345261-field_10-country\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Pays<\/label><\/div><\/div><\/div><div id=\"wpforms-345261-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_12\">Adresse \u00e0 St. Feliu ou adresse temporaire<\/label><input type=\"text\" id=\"wpforms-345261-field_12\" class=\"wpforms-field-large\" name=\"wpforms[fields][12]\" ><\/div><div id=\"wpforms-345261-field_14-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-third wpforms-first\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_14\">T\u00e9l\u00e9phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-345261-field_14\" class=\"wpforms-field-large wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][14]\" aria-label=\"T\u00e9l\u00e9phone\" required><\/div><div id=\"wpforms-345261-field_15-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-third\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_15\">Mobile<\/label><input type=\"tel\" id=\"wpforms-345261-field_15\" class=\"wpforms-field-large\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][15]\" aria-label=\"Mobile\" ><\/div><div id=\"wpforms-345261-field_13-container\" class=\"wpforms-field wpforms-field-email wpforms-one-third\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_13\">Messagerie \u00e9lectronique <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-345261-field_13\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][13]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-345261-field_16-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_16\">Assurance medique - num\u00e9ro <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-345261-field_16\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][16]\" required><div class=\"wpforms-field-description\">S\u00e9curit\u00e9 sociale ou assurance alternative<\/div><\/div><div id=\"wpforms-345261-field_17-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_17\">L\u2019utilisateur a-t-il une allergie ou une NEE? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-345261-field_17\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-345261-field_42-container\" class=\"wpforms-field wpforms-field-divider h2_desc wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"42\" style=\"display:none;\"><h3 id=\"wpforms-345261-field_42\">P\u00e8re, grand ou tuteur l\u00e9gal<\/h3><div class=\"wpforms-field-description\"><h2>P\u00e8re, m\u00e8re ou tuteur l\u00e9gal dans le cas o\u00f9 l\u2019utilisateur est mineur<\/h2>\n<\/div><\/div><div id=\"wpforms-345261-field_20-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"20\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_20\">Nom <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-345261-field_20\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][20][first]\" placeholder=\"Nom\" required><label for=\"wpforms-345261-field_20\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-345261-field_20-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][20][last]\" placeholder=\"Nom de famille\" required><label for=\"wpforms-345261-field_20-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Cognoms<\/label><\/div><\/div><\/div><div id=\"wpforms-345261-field_37-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"37\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_37\">DNI <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-345261-field_37\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99999999A\" name=\"wpforms[fields][37]\" required><\/div><div id=\"wpforms-345261-field_22-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"22\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_22\">Relation avec l\u2019utilisateur inscrit <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-345261-field_22\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-345261-field_23-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"23\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_23\">Messagerie \u00e9lectronique <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-345261-field_23\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][23]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-345261-field_24-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"24\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-345261-field_24\">T\u00e9l\u00e9phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-345261-field_24\" class=\"wpforms-field-large wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][24]\" aria-label=\"T\u00e9l\u00e9phone\" required><\/div><div id=\"wpforms-345261-field_25-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half wpforms-first wpforms-list-inline\" data-field-id=\"25\"><label class=\"wpforms-field-label\">L\u2019utilisateur enregistr\u00e9 sait-il nager? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-345261-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-345261-field_25_1\" name=\"wpforms[fields][25][]\" value=\"Oui\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-345261-field_25_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-345261-field_25_2\" name=\"wpforms[fields][25][]\" value=\"Non\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-345261-field_25_2\">Non<\/label><\/li><\/ul><\/div><div id=\"wpforms-345261-field_26-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half wpforms-list-inline\" data-field-id=\"26\"><label class=\"wpforms-field-label\">L\u2019utilisateur enregistr\u00e9 sait-il naviguer \u00e0 voile? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-345261-field_26\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-345261-field_26_1\" name=\"wpforms[fields][26][]\" value=\"Oui\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-345261-field_26_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-345261-field_26_2\" name=\"wpforms[fields][26][]\" value=\"Non\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-345261-field_26_2\">Non<\/label><\/li><\/ul><\/div><div id=\"wpforms-345261-field_41-container\" class=\"wpforms-field wpforms-field-divider h3_desc wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"41\" style=\"display:none;\"><div class=\"wpforms-field-description\"><small>La place ne sera confirm\u00e9e qu'apr\u00e8s le paiement de 20% du montant du cours inscrit.<\/small><\/div><\/div><div id=\"wpforms-345261-field_34-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"34\" style=\"display:none;\"><ul id=\"wpforms-345261-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-345261-field_34_1\" name=\"wpforms[fields][34][]\" value=\"En tant que personne morale, j\u2019autorise les inscrits \u00e0 participer \u00e0 ce cours. Je me d\u00e9clare seul responsable de tout dommage pouvant d\u00e9couler de votre participation, en me retirant de toutes les actions ou r\u00e9clamations pouvant survenir contre la personne physique ou morale du Club Nautique de Sant Feliu de Gu\u00edxols&lt;span class=&quot;red&quot;&gt; * span&gt;.&lt;\/span&gt;\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-345261-field_34_1\">En tant que personne morale, j\u2019autorise les inscrits \u00e0 participer \u00e0 ce cours. Je me d\u00e9clare seul responsable de tout dommage pouvant d\u00e9couler de votre participation, en me retirant de toutes les actions ou r\u00e9clamations pouvant survenir contre la personne physique ou morale du Club Nautique de Sant Feliu de Gu\u00edxols<span class=\"red\"> * span&gt;.<\/span><\/label><\/li><\/ul><\/div><div id=\"wpforms-345261-field_35-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"35\" style=\"display:none;\"><ul id=\"wpforms-345261-field_35\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-345261-field_35_1\" name=\"wpforms[fields][35][]\" value=\"Je me d\u00e9clare seul responsable de tout dommage pouvant d\u00e9couler de ma participation, en me retirant de toutes les actions ou r\u00e9clamations pouvant survenir contre la personne physique ou morale du Club Nautique de Sant Feliu de Gu\u00edxols&lt;span class=&quot;red&quot;&gt; * &lt;\/span&gt;.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-345261-field_35_1\">Je me d\u00e9clare seul responsable de tout dommage pouvant d\u00e9couler de ma participation, en me retirant de toutes les actions ou r\u00e9clamations pouvant survenir contre la personne physique ou morale du Club Nautique de Sant Feliu de Gu\u00edxols<span class=\"red\"> * <\/span>.<\/label><\/li><\/ul><\/div><div id=\"wpforms-345261-field_28-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"28\" style=\"display:none;\"><ul id=\"wpforms-345261-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-345261-field_28_1\" name=\"wpforms[fields][28][]\" value=\"Confirme le p\u00e8re, la m\u00e8re, le tuteur l\u00e9gal ou l\u2019adulte inscrit et j\u2019accepte et consents express\u00e9ment \u00e0 la politique de protection des donn\u00e9es.&lt;span class=&quot;red&quot;&gt;* span&gt;.&lt;\/span&gt;\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-345261-field_28_1\">Confirme le p\u00e8re, la m\u00e8re, le tuteur l\u00e9gal ou l\u2019adulte inscrit et j\u2019accepte et consents express\u00e9ment \u00e0 la politique de protection des donn\u00e9es.<span class=\"red\">* span&gt;.<\/span><\/label><\/li><\/ul><\/div><div id=\"wpforms-345261-field_44-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-id=\"44\"><label class=\"wpforms-field-label\">Droits \u00e0 l&#039;image <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-345261-field_44\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-345261-field_44_1\" name=\"wpforms[fields][44][]\" value=\"J&#039;autorise la prise de photographies et de vid\u00e9os, ainsi que leur publication \u00e0 des fins promotionnelles par le Club N\u00e0utic Sant Feliu de Guixols.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-345261-field_44_1\">J'autorise la prise de photographies et de vid\u00e9os, ainsi que leur publication \u00e0 des fins promotionnelles par le Club N\u00e0utic Sant Feliu de Guixols.<\/label><\/li><\/ul><\/div><div id=\"wpforms-345261-field_32-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-id=\"32\"><label class=\"wpforms-field-label\">Textos legals <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-345261-field_32\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-345261-field_32_1\" name=\"wpforms[fields][32][]\" value=\"J\u2019accepte la &lt;a href=&quot;https:\/\/cnsfg.xtraz.net\/politica-de-privacitat\/&quot;&gt;autorise express\u00e9ment&lt;\/a&gt; la &lt;a href=&quot;https:\/\/cnsfg.xtraz.net\/avis-legal\/&quot;&gt;politique de protection des donn\u00e9es&lt;\/a&gt;&lt;span class=&quot;red&quot;&gt; * &lt;\/span&gt;.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-345261-field_32_1\">J\u2019accepte la <a href=\"https:\/\/cnsfg.xtraz.net\/politica-de-privacitat\/\">autorise express\u00e9ment<\/a> la <a href=\"https:\/\/cnsfg.xtraz.net\/avis-legal\/\">politique de protection des donn\u00e9es<\/a><span class=\"red\"> * <\/span>.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"345261\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/cnsfg.cat\/fr\/wp-json\/wp\/v2\/pages\/352173\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-345261\" class=\"wpforms-submit\" data-alt-text=\"Envoi...\" data-submit-text=\"Envoyer\" aria-live=\"assertive\" value=\"wpforms-submit\">Envoyer<\/button><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div><\/p>\n","protected":false},"author":5,"featured_media":407228,"parent":351710,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"difl_page_category":[],"class_list":["post-352173","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Inscription - Club N\u00e0utic Sant Feliu de Guixols<\/title>\n<meta name=\"description\" content=\"Inscription au cours de voile, au cours de planche \u00e0 voile ou aux activit\u00e9s d\u2019aviron ou de kayak au Yacht Club de Sant Feliu de Gu\u00edxols - Costa Brava.\" 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