{"id":58,"date":"2022-11-03T17:04:26","date_gmt":"2022-11-03T17:04:26","guid":{"rendered":"https:\/\/auxpetitsartistes.com\/?page_id=58"},"modified":"2025-11-04T13:22:06","modified_gmt":"2025-11-04T13:22:06","slug":"demande-de-pre-inscription","status":"publish","type":"page","link":"https:\/\/auxpetitsartistes.com\/?page_id=58","title":{"rendered":"Demande de pr\u00e9inscription"},"content":{"rendered":"\n<p>Besoin d&rsquo;un mode de garde pour votre enfant, remplissez ce formulaire de pr\u00e9-inscription qui nous permettra de vous recontacter et vous fournir l\u2019ensemble des informations n\u00e9cessaires.<\/p>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-5bd66945-9b3b-4602-b143-80f5dfe56627\" id=\"wpforms-17\"><form id=\"wpforms-form-17\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"17\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F58\" data-token=\"f13a9e2c051efdbe2079b0785cb643af\" data-token-time=\"1784428235\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-17-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_0\">Nom et pr\u00e9nom de l&#039;enfant <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17-field_0\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][0]\" required><\/div><div id=\"wpforms-17-field_21-container\" class=\"wpforms-field wpforms-field-text tlphone\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_21\">date de naissance <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17-field_21\" class=\"wpforms-field-small wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99\/99\/9999\" name=\"wpforms[fields][21]\" placeholder=\"JJ\/MM\/AAAA\" required><div class=\"wpforms-field-description\">Date de naissance de votre enfant.<\/div><\/div><div id=\"wpforms-17-field_15-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_15\">Nom et pr\u00e9nom de la m\u00e8re <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required><\/div><div id=\"wpforms-17-field_16-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_16\">Nom et pr\u00e9nom du p\u00e8re <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-17-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_6\">adresse <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-17-field_19-container\" class=\"wpforms-field wpforms-field-text code postal\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_19\">code postal <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17-field_19\" class=\"wpforms-field-small wpforms-field-required wpforms-masked-input wpforms-limit-characters-enabled\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99999\" data-form-id=\"17\" data-field-id=\"19\" data-text-limit=\"5\" name=\"wpforms[fields][19]\" placeholder=\"38000\" maxlength=\"5\" required><\/div><div id=\"wpforms-17-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_8\">commune <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-17-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-17-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-17-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_20\">t\u00e9l\u00e9phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17-field_20\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input wpforms-limit-characters-enabled\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99 99 99 99 99\" data-form-id=\"17\" data-field-id=\"20\" data-text-limit=\"14\" name=\"wpforms[fields][20]\" placeholder=\"0X XX XX XX XX\" maxlength=\"14\" required><div class=\"wpforms-field-description\">Merci de renseigner le num\u00e9ro de t\u00e9l\u00e9phone o\u00f9 l&rsquo;on peut vous recontacter.<\/div><\/div><div id=\"wpforms-17-field_18-container\" class=\"wpforms-field wpforms-field-text date\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_18\">date d&#039;accueil souhait\u00e9e <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17-field_18\" class=\"wpforms-field-small wpforms-field-required wpforms-masked-input wpforms-limit-characters-enabled\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99\/99\/9999\" data-form-id=\"17\" data-field-id=\"18\" data-text-limit=\"12\" name=\"wpforms[fields][18]\" placeholder=\"JJ\/MM\/AAAA\" maxlength=\"12\" required><\/div><div id=\"wpforms-17-field_3-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"3\"><label class=\"wpforms-field-label\">Jours d&#039;accueil souhait\u00e9s <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-17-field_3\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-17-field_3_1\" name=\"wpforms[fields][3][]\" value=\"lundi\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17-field_3_1\">lundi<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-17-field_3_2\" name=\"wpforms[fields][3][]\" value=\"mardi\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17-field_3_2\">mardi<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-17-field_3_3\" name=\"wpforms[fields][3][]\" value=\"mercredi\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17-field_3_3\">mercredi<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-17-field_3_4\" name=\"wpforms[fields][3][]\" value=\"jeudi\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17-field_3_4\">jeudi<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-17-field_3_5\" name=\"wpforms[fields][3][]\" value=\"vendredi\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17-field_3_5\">vendredi<\/label><\/li><\/ul><\/div><div id=\"wpforms-17-field_12-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Les jours souhait\u00e9s sont-ils modulables ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-17-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-17-field_12_1\" name=\"wpforms[fields][12][]\" value=\"OUI\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17-field_12_1\">OUI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-17-field_12_2\" name=\"wpforms[fields][12][]\" value=\"NON\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17-field_12_2\">NON<\/label><\/li><\/ul><\/div><div id=\"wpforms-17-field_14-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"14\"><label class=\"wpforms-field-label\">Votre soci\u00e9t\u00e9 souhaite-elle participer au financement ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-17-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-17-field_14_1\" name=\"wpforms[fields][14][]\" value=\"OUI\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17-field_14_1\">OUI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-17-field_14_2\" name=\"wpforms[fields][14][]\" value=\"NON\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17-field_14_2\">NON<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-17-field_14_4\" name=\"wpforms[fields][14][]\" value=\"Besoin d&#039;informations sur les avantages\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17-field_14_4\">Besoin d&rsquo;informations sur les avantages<\/label><\/li><\/ul><\/div><div id=\"wpforms-17-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_13\">Revenu fiscal de r\u00e9f\u00e9rence du couple si vous souhaitez que l&#039;on \u00e9value les aides \u00e0 votre disposition<\/label><input type=\"text\" id=\"wpforms-17-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-17-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-17-field_22\">Questions particuli\u00e8res<\/label><input type=\"text\" id=\"wpforms-17-field_22\" class=\"wpforms-field-large wpforms-limit-words-enabled\" data-form-id=\"17\" data-field-id=\"22\" data-text-limit=\"200\" name=\"wpforms[fields][22]\" ><div class=\"wpforms-field-description\">N&rsquo;h\u00e9sitez pas \u00e0 nous poser toutes les questions que vous pourriez avoir.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"17\"><input type=\"hidden\" 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