{"id":1621,"date":"2024-07-22T15:44:05","date_gmt":"2024-07-22T13:44:05","guid":{"rendered":"https:\/\/salonduchiotmde.fr\/?page_id=1621"},"modified":"2024-07-22T15:44:05","modified_gmt":"2024-07-22T13:44:05","slug":"inscription","status":"publish","type":"page","link":"https:\/\/salonduchiotmde.fr\/?page_id=1621","title":{"rendered":"Inscription"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\n<div class=\"um um-register um-1619\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_1619_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-1619\">Nom<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"last_name-1619\" id=\"last_name-1619\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1619_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-1619\">Pr\u00e9nom<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"first_name-1619\" id=\"first_name-1619\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1619_El\" class=\"um-field um-field-text  um-field-El um-field-text um-field-type_text\" data-key=\"El\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"fas fa-dog\" aria-label=\"Elevage\"><\/i><\/div><label for=\"El-1619\">Elevage<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"El-1619\" id=\"El-1619\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"El\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_1619_Adresse\" class=\"um-field um-field-text  um-field-Adresse um-field-text um-field-type_text\" data-key=\"Adresse\"><div class=\"um-field-label\"><label for=\"Adresse-1619\">Adresse<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"Adresse-1619\" id=\"Adresse-1619\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Adresse\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1619_mobile_number\" class=\"um-field um-field-tel  um-field-mobile_number um-field-tel um-field-type_tel\" data-key=\"mobile_number\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"fas fa-mobile-screen\" aria-label=\"Num\u00e9ro de portable\"><\/i><\/div><label for=\"mobile_number-1619\">Num\u00e9ro de portable<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"tel\" name=\"mobile_number-1619\" id=\"mobile_number-1619\" value=\"\" placeholder=\"\" data-validate=\"phone_number\" data-key=\"mobile_number\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1619_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"far fa-envelope\" aria-label=\"Adresse e-mail\"><\/i><\/div><label for=\"user_email-1619\">Adresse e-mail<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_email-1619\" id=\"user_email-1619\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_2 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_1619_siret\" class=\"um-field um-field-text  um-field-siret um-field-text um-field-type_text\" data-key=\"siret\"><div class=\"um-field-label\"><label for=\"siret-1619\">SIRET<\/label><span class=\"um-tip um-tip-w\" title=\"Ex : 553 279 879 00672\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"siret-1619\" id=\"siret-1619\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"siret\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1619_transport\" class=\"um-field um-field-text  um-field-transport um-field-text um-field-type_text\" data-key=\"transport\"><div class=\"um-field-label\"><label for=\"transport-1619\">CERTIFICAT TRANSPORT<\/label><span class=\"um-tip um-tip-w\" title=\"Num\u00e9ro certificat de transport\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"transport-1619\" id=\"transport-1619\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"transport\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1619_capacite\" class=\"um-field um-field-text  um-field-capacite um-field-text um-field-type_text\" data-key=\"capacite\"><div class=\"um-field-label\"><label for=\"capacite-1619\">CERTIFICAT CAPACITE<\/label><span class=\"um-tip um-tip-w\" title=\"Num\u00e9ro certificat de capacit\u00e9\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"capacite-1619\" id=\"capacite-1619\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"capacite\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div>\t\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_1619\" value=\"1619\" \/>\n\t\n\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_1619\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_1619\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"a4f46082f3\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1621\" \/>\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-center\">\n\t\t\t\t<input type=\"submit\" value=\"S\u2019inscrire\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-1619.um {\n\t\t\tmax-width: 700px;\n\t\t}\n\t\t<\/style>\n<\/p>\n\n\n\n<p 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