{"id":1075,"date":"2025-12-22T02:59:37","date_gmt":"2025-12-22T01:59:37","guid":{"rendered":"https:\/\/lfgreims.com\/?page_id=1075"},"modified":"2025-12-22T03:12:08","modified_gmt":"2025-12-22T02:12:08","slug":"inscription-avec-cb-lfg-revin","status":"publish","type":"page","link":"https:\/\/lfgreims.com\/index.php\/inscription-avec-cb-lfg-revin\/","title":{"rendered":"Inscription avec CB &#8211; LFG Revin"},"content":{"rendered":"\n<p class=\"has-large-font-size\"><strong>Inscription par Carte Bancaire &#8211; LFG Re<\/strong>vin :<\/p>\n\n\n<style id=\"wpforms-css-vars-root\">\n\t\t\t\t:root {\n\t\t\t\t\t--wpforms-field-border-radius: 3px;\n--wpforms-field-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\n--wpforms-label-color: rgba( 0, 0, 0, 0.85 );\n--wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 );\n--wpforms-label-error-color: #d63637;\n--wpforms-button-border-radius: 3px;\n--wpforms-button-background-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-stripe wpforms-block wpforms-block-797bd90a-da42-458e-ac20-3d2dd15f29b1 wpforms-render-modern\" id=\"wpforms-1058\"><form id=\"wpforms-form-1058\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1058\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/1075\" data-token=\"4fa2ced4323ecdea2d90b8595d30c484\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-1058-field_28-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_28\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1058-field_28\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][28]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1058-field_28-error\" required><\/div><div id=\"wpforms-1058-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><fieldset><legend class=\"wpforms-field-label\">Identit\u00e9 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1058-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" placeholder=\"Nom\" aria-errormessage=\"wpforms-1058-field_0-error\" required><label for=\"wpforms-1058-field_0\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1058-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" placeholder=\"Pr\u00e9nom\" aria-errormessage=\"wpforms-1058-field_0-last-error\" required><label for=\"wpforms-1058-field_0-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Nom<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1058-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_23\">Date de naissance <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1058-field_23\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][23]\" placeholder=\"DD\/MM\/YYYY\" aria-errormessage=\"wpforms-1058-field_23-error\" aria-describedby=\"wpforms-1058-field_23-description\" required><div id=\"wpforms-1058-field_23-description\" class=\"wpforms-field-description\">DD\/MM\/YYYY<\/div><\/div><div id=\"wpforms-1058-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_27\">Ville de naissance <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1058-field_27\" class=\"wpforms-field-small wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"1058\" data-field-id=\"27\" data-text-limit=\"30\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-1058-field_27-error\" maxlength=\"30\" required><\/div><div id=\"wpforms-1058-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_4\">Adresse <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1058-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-1058-field_4-error\" required><\/div><div id=\"wpforms-1058-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_24\">Code postal <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1058-field_24\" class=\"wpforms-field-small wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"1058\" data-field-id=\"24\" data-text-limit=\"6\" name=\"wpforms[fields][24]\" aria-errormessage=\"wpforms-1058-field_24-error\" maxlength=\"6\" required><\/div><div id=\"wpforms-1058-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_25\">Ville <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1058-field_25\" class=\"wpforms-field-small wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"1058\" data-field-id=\"25\" data-text-limit=\"30\" name=\"wpforms[fields][25]\" aria-errormessage=\"wpforms-1058-field_25-error\" maxlength=\"30\" required><\/div><div id=\"wpforms-1058-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_29\">T\u00e9l\u00e9phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1058-field_29\" class=\"wpforms-field-small wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"1058\" data-field-id=\"29\" data-text-limit=\"11\" name=\"wpforms[fields][29]\" aria-errormessage=\"wpforms-1058-field_29-error\" maxlength=\"11\" required><\/div><div id=\"wpforms-1058-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_38\">Personne \u00e0 pr\u00e9venir en cas d&#039;accident <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1058-field_38\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-1058-field_38-error\" required><\/div><div id=\"wpforms-1058-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_31\">T\u00e9l\u00e9phone de la personne  \u00e0 pr\u00e9venir en cas d&#039;accident <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1058-field_31\" class=\"wpforms-field-small wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"1058\" data-field-id=\"31\" data-text-limit=\"11\" name=\"wpforms[fields][31]\" aria-errormessage=\"wpforms-1058-field_31-error\" maxlength=\"11\" required><\/div><div id=\"wpforms-1058-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Acceptation de la charte du club <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-1058-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1058-field_15_1\" name=\"wpforms[fields][15][]\" value=\"J&#039;accepte\" aria-errormessage=\"wpforms-1058-field_15_1-error\" aria-describedby=\"wpforms-1058-field_15-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1058-field_15_1\">J&rsquo;accepte<\/label><\/li><\/ul><div id=\"wpforms-1058-field_15-description\" class=\"wpforms-field-description wpforms-disclaimer-description\">J&rsquo;accepte les conditions du club selon la charte visible sur le site internet du club Lion Fight Gym Reims.<\/div><\/fieldset><\/div><div id=\"wpforms-1058-field_37-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"37\"><fieldset><legend class=\"wpforms-field-label\">En cochant cette case vous nous donnez :<\/legend><ul id=\"wpforms-1058-field_37\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1058-field_37_1\" name=\"wpforms[fields][37][]\" value=\"J&#039;accepte\" aria-errormessage=\"wpforms-1058-field_37_1-error\" aria-describedby=\"wpforms-1058-field_37-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1058-field_37_1\">J&rsquo;accepte<\/label><\/li><\/ul><div id=\"wpforms-1058-field_37-description\" class=\"wpforms-field-description wpforms-disclaimer-description\">&#8211; L\u2019accord parental en cas d\u2019accident (\u00e9ventuelle prise en charge \u00e0 l\u2019h\u00f4pital),<br \/>\r\n&#8211; L\u2019accord pour les photos et diffusion sur l\u2019ensemble des outils m\u00e9diatiques existants.<br \/>\r\n<\/div><\/fieldset><\/div><div id=\"wpforms-1058-field_36-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-field-select-style-classic\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_36\">Abonnement :<\/label><select id=\"wpforms-1058-field_36\" class=\"wpforms-payment-price wpforms-field-medium\" name=\"wpforms[fields][36]\"><option value=\"1\" data-amount=\"60,00\" >Enfant (1 cours\/semaine) &#8211; 60 \u20ac<\/option><option value=\"2\" data-amount=\"96,00\" >Adolescent (2 cours\/semaine) &#8211; 96 \u20ac<\/option><option value=\"3\" data-amount=\"132,00\" >Adulte (3 cours\/semaine) &#8211; 132 \u20ac<\/option><option value=\"4\" data-amount=\"78,00\" >Self d\u00e9fense &#8211; 78 \u20ac<\/option><\/select><\/div><div id=\"wpforms-1058-field_21-container\" class=\"wpforms-field wpforms-field-payment-total\" data-field-id=\"21\" aria-live=\"polite\" aria-atomic=\"true\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_21\">Total :<\/label><div class=\"wpforms-payment-total\">0,00 &euro;<\/div><input type=\"hidden\" id=\"wpforms-1058-field_21\" class=\"wpforms-payment-total\" name=\"wpforms[fields][21]\" value=\"0\" aria-errormessage=\"wpforms-1058-field_21-error\"><\/div><div id=\"wpforms-1058-field_39-container\" class=\"wpforms-field wpforms-field-stripe-credit-card\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-1058-field_39\">Carte bancaire Stripe <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-no-columns wpforms-field-medium \" data-sublabel-position=\"above\" data-link-email=\"\" data-required=\"1\"><div id=\"wpforms-field-stripe-link-element-1058\"><\/div><div id=\"wpforms-field-stripe-payment-element-1058\"><\/div><input type=\"text\" class=\"wpforms-stripe-credit-card-hidden-input\" name=\"wpforms[stripe-credit-card-hidden-input-1058]\" disabled style=\"display: none;\"><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1058\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1058\" class=\"wpforms-submit\" data-alt-text=\"Envoi...\" data-submit-text=\"Envoy\u00e9\" aria-live=\"assertive\" value=\"wpforms-submit\">Envoy\u00e9<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/lfgreims.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"<p>Inscription par Carte Bancaire &#8211; LFG Revin :<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1075","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lfgreims.com\/index.php\/wp-json\/wp\/v2\/pages\/1075","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lfgreims.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lfgreims.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lfgreims.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lfgreims.com\/index.php\/wp-json\/wp\/v2\/comments?post=1075"}],"version-history":[{"count":2,"href":"https:\/\/lfgreims.com\/index.php\/wp-json\/wp\/v2\/pages\/1075\/revisions"}],"predecessor-version":[{"id":1081,"href":"https:\/\/lfgreims.com\/index.php\/wp-json\/wp\/v2\/pages\/1075\/revisions\/1081"}],"wp:attachment":[{"href":"https:\/\/lfgreims.com\/index.php\/wp-json\/wp\/v2\/media?parent=1075"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}