{"id":1746,"date":"2024-09-02T16:24:25","date_gmt":"2024-09-02T14:24:25","guid":{"rendered":"https:\/\/accessia.be\/hedera\/?page_id=1746"},"modified":"2024-09-16T15:06:11","modified_gmt":"2024-09-16T13:06:11","slug":"test-formulaire","status":"publish","type":"page","link":"https:\/\/accessia.be\/hedera\/test-formulaire\/","title":{"rendered":"Test Formulaire"},"content":{"rendered":"<div class='fluentform ff-default fluentform_wrapper_8  ff_guten_block ffs_default_wrap'><form data-form_id=\"8\" id=\"fluentform_8\" class=\"frm-fluent-form fluent_form_8 ff-el-form-top ff_form_instance_8_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_8_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Formulaire Hedera<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='1746' \/><input type=\"hidden\" id=\"_fluentform_8_fluentformnonce\" name=\"_fluentform_8_fluentformnonce\" value=\"b7d5a7e584\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/hedera\/wp-json\/wp\/v2\/pages\/1746\" \/><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-8_1\" ><p><strong>Identit\u00e9 de l&rsquo;enfant<\/strong><\/p><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_names_last_name_' aria-label=\"Nom &amp; pr\u00e9nom \">Nom &amp; pr\u00e9nom <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_8_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Nom de famille\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_datetime' aria-label=\"Date de Naissance\">Date de Naissance<\/label><\/div><div class='ff-el-input--content'><input data-type-datepicker data-format='m\/d\/Y' type=\"text\" name=\"datetime\" id=\"ff_8_datetime\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text' aria-label=\"Nationalit\u00e9\">Nationalit\u00e9<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_8_input_text\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text_1' aria-label=\"N\u00b0de registre National\">N\u00b0de registre National<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_8_input_text_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_description' aria-label=\"Domicile\">Domicile<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description\" id=\"ff_8_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_numeric_field' aria-label=\"N\u00b0 de GSM\">N\u00b0 de GSM<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field\" id=\"ff_8_numeric_field\" class=\"ff-el-form-control\" data-name=\"numeric_field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_email' aria-label=\"E-mail\">E-mail<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_8_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-8_2\" ><p><strong>Parcours Scolaire<\/strong><\/p><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_description_1' aria-label=\"Maternelle :  Nom de l&#039;\u00e9cole \/ Ann\u00e9es ou Classes\">Maternelle :  Nom de l&rsquo;\u00e9cole \/ Ann\u00e9es ou Classes<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_1\" id=\"ff_8_description_1\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_1\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_description_2' aria-label=\"Primaire: Nom de l&#039;\u00e9cole \/ Ann\u00e9es ou Classes\">Primaire: Nom de l&rsquo;\u00e9cole \/ Ann\u00e9es ou Classes<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_2\" id=\"ff_8_description_2\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_2\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_description_3' aria-label=\"Secondaire : Nom de l&#039;\u00e9cole \/ Ann\u00e9es ou Classes\">Secondaire : Nom de l&rsquo;\u00e9cole \/ Ann\u00e9es ou Classes<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_3\" id=\"ff_8_description_3\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_3\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Votre enfant fr\u00e9quente actuellement l&#039;enseignement sp\u00e9cialis\u00e9 ?\">Votre enfant fr\u00e9quente actuellement l&rsquo;enseignement sp\u00e9cialis\u00e9 ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_45b4572711d77d222ecd3f1f41ce2956><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_45b4572711d77d222ecd3f1f41ce2956' aria-label='Oui' aria-invalid='false' aria-required=false> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_612c99c30d7f34a0985bdd6f08bd9e7c><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_612c99c30d7f34a0985bdd6f08bd9e7c' aria-label='Non' aria-invalid='false' aria-required=false> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_description_4' aria-label=\"Si oui, veuillez indiquer le nom et l&#039;adresse de l&#039;\u00e9cole \">Si oui, veuillez indiquer le nom et l&rsquo;adresse de l&rsquo;\u00e9cole <\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_4\" id=\"ff_8_description_4\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_4\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text_2' aria-label=\"Nom du titulaire \/ Adresse mail\">Nom du titulaire \/ Adresse mail<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" data-name=\"input_text_2\" id=\"ff_8_input_text_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Votre enfant est-il suivi en int\u00e9gration ?\">Votre enfant est-il suivi en int\u00e9gration ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_547cbf499603109cc8305ccb5ccd625d><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_1_547cbf499603109cc8305ccb5ccd625d' aria-label='Oui' aria-invalid='false' aria-required=false> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_6c621a5099a9defca201ecab4ec0a7e8><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_1_6c621a5099a9defca201ecab4ec0a7e8' aria-label='Non' aria-invalid='false' aria-required=false> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_description_5' aria-label=\"Nom du p\u00f4le territorial qui assure le suivi et depuis quand (Ann\u00e9e ou Classe)\">Nom du p\u00f4le territorial qui assure le suivi et depuis quand (Ann\u00e9e ou Classe)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_5\" id=\"ff_8_description_5\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_5\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_description_6' aria-label=\"Nom et adresse de l&#039;\u00e9cole ordinaire actuelle\">Nom et adresse de l&rsquo;\u00e9cole ordinaire actuelle<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_6\" id=\"ff_8_description_6\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_6\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text_4' aria-label=\"Classe actuelle et option ?\">Classe actuelle et option ?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" data-name=\"input_text_4\" id=\"ff_8_input_text_4\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Type\">Type<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_dc6c6679bc0477f13dc0bcf719465248><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_3_dc6c6679bc0477f13dc0bcf719465248' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_a8b646d554a9bf684003611e0094b22c><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_3_a8b646d554a9bf684003611e0094b22c' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_2b222be75e3046d29dcae0e1edf51ff7><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\" 3\"  id='input_radio_3_2b222be75e3046d29dcae0e1edf51ff7' aria-label=' 3' aria-invalid='false' aria-required=false> <span> 3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_55bfe42280a260d32b311a1d66f05241><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\" 4\"  id='input_radio_3_55bfe42280a260d32b311a1d66f05241' aria-label=' 4' aria-invalid='false' aria-required=false> <span> 4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_1e1e329f92286f3227de9bcc48a126d9><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"5\"  id='input_radio_3_1e1e329f92286f3227de9bcc48a126d9' aria-label='5' aria-invalid='false' aria-required=false> <span>5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_060e250b606e01998848548332468308><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"6\"  id='input_radio_3_060e250b606e01998848548332468308' aria-label='6' aria-invalid='false' aria-required=false> <span>6<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_fe3a452f75340157cf291d4668cb032d><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"7\"  id='input_radio_3_fe3a452f75340157cf291d4668cb032d' aria-label='7' aria-invalid='false' aria-required=false> <span>7<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_39cc21bbeae496995b04e59b1b70f4cd><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"8\"  id='input_radio_3_39cc21bbeae496995b04e59b1b70f4cd' aria-label='8' aria-invalid='false' aria-required=false> <span>8<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text_3' aria-label=\"Nom du titulaire \/ Adresse mail\">Nom du titulaire \/ Adresse mail<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" data-name=\"input_text_3\" id=\"ff_8_input_text_3\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_datetime_1' aria-label=\"Date souhait\u00e9e pour le d\u00e9but de l&#039;int\u00e9gration avec le p\u00f4le Hedera\">Date souhait\u00e9e pour le d\u00e9but de l&rsquo;int\u00e9gration avec le p\u00f4le Hedera<\/label><\/div><div class='ff-el-input--content'><input data-type-datepicker data-format='m\/d\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_8_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Avez-vous pr\u00e9par\u00e9 ce projet avec le PMS ?\">Avez-vous pr\u00e9par\u00e9 ce projet avec le PMS ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_4_d03e4308443fe890cb0eea4129fab688><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui \"  id='input_radio_4_d03e4308443fe890cb0eea4129fab688' aria-label='Oui ' aria-invalid='false' aria-required=false> <span>Oui <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_4_2993a260fc5ceb531cfe1acb638485b3><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_4_2993a260fc5ceb531cfe1acb638485b3' aria-label='Non' aria-invalid='false' aria-required=false> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Avez-vous eu un contact avec l&#039;\u00e9cole ordinaire pour la future int\u00e9gration ?\">Avez-vous eu un contact avec l&rsquo;\u00e9cole ordinaire pour la future int\u00e9gration ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_5_fadbe08f58b31dbce6c2d42dd08318dd><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui \"  id='input_radio_5_fadbe08f58b31dbce6c2d42dd08318dd' aria-label='Oui ' aria-invalid='false' aria-required=false> <span>Oui <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_5_cf88ca08befb7ed962b70f801661845d><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_5_cf88ca08befb7ed962b70f801661845d' aria-label='Non' aria-invalid='false' aria-required=false> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-8_3\" ><p><strong>Identit\u00e9 des parents<\/strong><\/p><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-8_4\" ><p><strong>Identit\u00e9 de la m\u00e8re<\/strong><\/p><\/div><div data-type=\"name-element\" data-name=\"names_1\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_names_1_last_name_' aria-label=\"Nom &amp; pr\u00e9nom \">Nom &amp; pr\u00e9nom <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[last_name]\" id=\"ff_8_names_1_last_name_\" class=\"ff-el-form-control\" placeholder=\"Nom de famille\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_numeric_field_1' aria-label=\"T\u00e9l\u00e9phone\">T\u00e9l\u00e9phone<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_1\" id=\"ff_8_numeric_field_1\" class=\"ff-el-form-control\" data-name=\"numeric_field_1\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_email_1' aria-label=\"E-mail\">E-mail<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" id=\"ff_8_email_1\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-8_5\" ><p><strong>Identit\u00e9 du p\u00e8re<\/strong><\/p><\/div><div data-type=\"name-element\" data-name=\"names_2\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_names_2_last_name_' aria-label=\"Nom &amp; pr\u00e9nom \">Nom &amp; pr\u00e9nom <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_2[last_name]\" id=\"ff_8_names_2_last_name_\" class=\"ff-el-form-control\" placeholder=\"Nom de famille\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_numeric_field_2' aria-label=\"T\u00e9l\u00e9phone\">T\u00e9l\u00e9phone<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_2\" id=\"ff_8_numeric_field_2\" class=\"ff-el-form-control\" data-name=\"numeric_field_2\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_email_2' aria-label=\"E-mail\">E-mail<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_2\" id=\"ff_8_email_2\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Les parents sont:\">Les parents sont:<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_98836340e882ba6c4da4ea8308719eb7><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"mari\u00e9s\"  id='input_radio_8_98836340e882ba6c4da4ea8308719eb7' aria-label='mari\u00e9s' aria-invalid='false' aria-required=false> <span>mari\u00e9s<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_6d718a455a0c8b541b185b08537685a1><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"S\u00e9par\u00e9s\"  id='input_radio_8_6d718a455a0c8b541b185b08537685a1' aria-label='S\u00e9par\u00e9s' aria-invalid='false' aria-required=false> <span>S\u00e9par\u00e9s<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_af09f0701dd31a79151736f52be11e3f><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Divorc\u00e9s\"  id='input_radio_8_af09f0701dd31a79151736f52be11e3f' aria-label='Divorc\u00e9s' aria-invalid='false' aria-required=false> <span>Divorc\u00e9s<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_bd558999400f753bf546dcc7de891e51><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Cohabitants\"  id='input_radio_8_bd558999400f753bf546dcc7de891e51' aria-label='Cohabitants' aria-invalid='false' aria-required=false> <span>Cohabitants<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_17a3623dfd9cd2dbc644ca0edbd30545><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Autre\"  id='input_radio_8_17a3623dfd9cd2dbc644ca0edbd30545' aria-label='Autre' aria-invalid='false' aria-required=false> <span>Autre<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text_6' aria-label=\"Si les parents sont s\u00e9par\u00e9s ou divorc\u00e9s, quel est le r\u00e9gime de garde ?\">Si les parents sont s\u00e9par\u00e9s ou divorc\u00e9s, quel est le r\u00e9gime de garde ?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_6\" class=\"ff-el-form-control\" data-name=\"input_text_6\" id=\"ff_8_input_text_6\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Parent(s) \u00e0 contacter en priorit\u00e9\">Parent(s) \u00e0 contacter en priorit\u00e9<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_9_44aee19ad4acd188b63d5abce89e4d3e><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"M\u00e8re\"  id='input_radio_9_44aee19ad4acd188b63d5abce89e4d3e' aria-label='M\u00e8re' aria-invalid='false' aria-required=false> <span>M\u00e8re<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_9_92bba2f57db3b46491b72e5b07bc5f12><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"P\u00e8re\"  id='input_radio_9_92bba2f57db3b46491b72e5b07bc5f12' aria-label='P\u00e8re' aria-invalid='false' aria-required=false> <span>P\u00e8re<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Fratrie (fr\u00e8res \/ soeurs)\">Fratrie (fr\u00e8res \/ soeurs)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_10_ea43506cda629c6ff2fa8925c4ef7c4b><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_10_ea43506cda629c6ff2fa8925c4ef7c4b' aria-label='Oui' aria-invalid='false' aria-required=false> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_10_714ba46c6f5fa1bd2f036e5738d137e4><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_10_714ba46c6f5fa1bd2f036e5738d137e4' aria-label='Non' aria-invalid='false' aria-required=false> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_description_7' aria-label=\"Nom &amp; pr\u00e9nom \/ Date de naissance \/ Ecole actuelle\">Nom &amp; pr\u00e9nom \/ Date de naissance \/ Ecole actuelle<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_7\" id=\"ff_8_description_7\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_7\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-8_6\" ><p><strong>Situation familiale<\/strong><\/p><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"L&#039;enfant vit en semaine\">L&rsquo;enfant vit en semaine<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_ead18cbebf336ca852b9990f725372d1><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"en famille\"  id='input_radio_6_ead18cbebf336ca852b9990f725372d1' aria-label='en famille' aria-invalid='false' aria-required=false> <span>en famille<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_9f17a82a7eede4a75b572ae7ff321578><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"en institution\"  id='input_radio_6_9f17a82a7eede4a75b572ae7ff321578' aria-label='en institution' aria-invalid='false' aria-required=false> <span>en institution<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_c5a26f7119fdf53dc74f3c8ede09c6af><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"en famille d&#039;accueil\"  id='input_radio_6_c5a26f7119fdf53dc74f3c8ede09c6af' aria-label='en famille d&#039;accueil' aria-invalid='false' aria-required=false> <span>en famille d&rsquo;accueil<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_ff8bf04a30e13b0783980ac538215932><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"autres\"  id='input_radio_6_ff8bf04a30e13b0783980ac538215932' aria-label='autres' aria-invalid='false' aria-required=false> <span>autres<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text_5' aria-label=\"Si le jeune vit en institution, veuillez renseigner le nom de l&#039;institution et le nom de l&#039;\u00e9ducateur r\u00e9f\u00e9rent\">Si le jeune vit en institution, veuillez renseigner le nom de l&rsquo;institution et le nom de l&rsquo;\u00e9ducateur r\u00e9f\u00e9rent<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" data-name=\"input_text_5\" id=\"ff_8_input_text_5\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text_7' aria-label=\"Si le jeune vit en famille, quels sont les langues parl\u00e9es \u00e0 la maison ?\">Si le jeune vit en famille, quels sont les langues parl\u00e9es \u00e0 la maison ?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_7\" class=\"ff-el-form-control\" data-name=\"input_text_7\" id=\"ff_8_input_text_7\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"L&#039;enfant parle-t-il cette langue\">L&rsquo;enfant parle-t-il cette langue<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_11_d20a479f508e82620454025156c37d97><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_11_d20a479f508e82620454025156c37d97' aria-label='Oui' aria-invalid='false' aria-required=false> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_11_77e4bb4cc1f55c43085e5d06a9df6834><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_11_77e4bb4cc1f55c43085e5d06a9df6834' aria-label='Non' aria-invalid='false' aria-required=false> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"L&#039;enfant comprend-il cette langue ?\">L&rsquo;enfant comprend-il cette langue ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_12_151903eaa64aa77383851abb8bcf48b2><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_12_151903eaa64aa77383851abb8bcf48b2' aria-label='Oui' aria-invalid='false' aria-required=false> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_12_5f358b1bdebf36ed8a4f2850590e4d3b><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_12_5f358b1bdebf36ed8a4f2850590e4d3b' aria-label='Non' aria-invalid='false' aria-required=false> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Votre famille a-t-elle d\u00e9j\u00e0 eu recours \u00e0  un service judiciaire ?\">Votre famille a-t-elle d\u00e9j\u00e0 eu recours \u00e0  un service judiciaire ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_13_cb32c19f5babf9cfb9b5d61b724086c6><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_13_cb32c19f5babf9cfb9b5d61b724086c6' aria-label='Oui' aria-invalid='false' aria-required=false> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_13_0a850902523e2871d44886bb45e78a6d><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_13_0a850902523e2871d44886bb45e78a6d' aria-label='Non' aria-invalid='false' aria-required=false> <span>Non<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_13_2e94a8f8b22395ad4101e5ad7d32e8f3><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Dossier SAJ\"  id='input_radio_13_2e94a8f8b22395ad4101e5ad7d32e8f3' aria-label='Dossier SAJ' aria-invalid='false' aria-required=false> <span>Dossier SAJ<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_13_ad1745e487d740eb20225af9cc79a4e6><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Dossier SPJ\"  id='input_radio_13_ad1745e487d740eb20225af9cc79a4e6' aria-label='Dossier SPJ' aria-invalid='false' aria-required=false> <span>Dossier SPJ<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text_8' aria-label=\"Arrondissement judiciaire\">Arrondissement judiciaire<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_8\" class=\"ff-el-form-control\" data-name=\"input_text_8\" id=\"ff_8_input_text_8\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text_9' aria-label=\"Personne de contact ( D\u00e9l\u00e9gu\u00e9 du juge)\">Personne de contact ( D\u00e9l\u00e9gu\u00e9 du juge)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_9\" class=\"ff-el-form-control\" data-name=\"input_text_9\" id=\"ff_8_input_text_9\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"L&#039;enfant a-t-il une reconnaissance de son handicap ?\">L&rsquo;enfant a-t-il une reconnaissance de son handicap ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_14_7a50883fccb9f24bda18cf35be3f24fe><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_14_7a50883fccb9f24bda18cf35be3f24fe' aria-label='Oui' aria-invalid='false' aria-required=false> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_14_5dae1c359a85dc21bfccee794b07b36f><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"N\u00b0 PHARE\"  id='input_radio_14_5dae1c359a85dc21bfccee794b07b36f' aria-label='N\u00b0 PHARE' aria-invalid='false' aria-required=false> <span>N\u00b0 PHARE<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_14_b7cfe9aa1287f6d4c07f424468cbb5d5><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Inscription Aviq\"  id='input_radio_14_b7cfe9aa1287f6d4c07f424468cbb5d5' aria-label='Inscription Aviq' aria-invalid='false' aria-required=false> <span>Inscription Aviq<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_14_4c89362c12d053f7f5b4f3f2a49756e2><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_14_4c89362c12d053f7f5b4f3f2a49756e2' aria-label='Non' aria-invalid='false' aria-required=false> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_description_8' aria-label=\"Informations Suppl\u00e9mentaires\">Informations Suppl\u00e9mentaires<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_8\" id=\"ff_8_description_8\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_8\" ><\/textarea><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Envoyer<\/button><\/div><\/fieldset><\/form><div id='fluentform_8_errors' class='ff-errors-in-stack ff_form_instance_8_1 ff-form-loading_errors ff_form_instance_8_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_8_1 = 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