{"id":3209,"date":"2026-05-24T17:46:05","date_gmt":"2026-05-24T17:46:05","guid":{"rendered":"https:\/\/bronhandball.fr\/bronhb.fr\/?page_id=3209"},"modified":"2026-05-24T17:58:08","modified_gmt":"2026-05-24T17:58:08","slug":"adhesion-2026-2027","status":"publish","type":"page","link":"https:\/\/bronhandball.fr\/bronhb.fr\/adhesion-2026-2027\/","title":{"rendered":"Adh\u00e9sion 2026-2027"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3209\" class=\"elementor elementor-3209\">\n\t\t\t\t<div class=\"elementor-element elementor-element-344a1f81 e-flex e-con-boxed e-con e-parent\" data-id=\"344a1f81\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-1a7f8154 e-con-full e-flex e-con e-child\" data-id=\"1a7f8154\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-404ba68d elementor-widget elementor-widget-heading\" data-id=\"404ba68d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Adh\u00e9sion<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-81db079 e-grid e-con-boxed e-con e-parent\" data-id=\"81db079\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-46a3e28 elementor-widget__width-inherit elementor-widget elementor-widget-sureforms_form\" data-id=\"46a3e28\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"sureforms_form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"srfm-form-container srfm-form-container-2648 srfm-form-container-2648-elementor-46a3e28 srfm-bg-color srfm-submit-button-hidden\">\n\t\t\t<style>\n\t\t\t\t\/* Need to check and remove the input variables related to the Style Tab. *\/\n\t\t\t\t.srfm-form-container-2648-elementor-46a3e28 {\n\t\t\t\t\t\/* New test variables *\/\n\t\t\t\t\t--srfm-color-scheme-primary: var(--ast-global-color-1);\n\t\t\t\t\t--srfm-color-scheme-text-on-primary: #FFFFFF;\n\t\t\t\t\t--srfm-color-scheme-text: #fdfdfd;\n\t\t\t\t\t--srfm-quill-editor-color: var(--ast-global-color-1);\n\n\t\t\t\t\t--srfm-color-input-label: #fdfdfd;\n\t\t\t\t\t--srfm-color-input-description: hsl( from #fdfdfd h s l \/ 0.65 );\n\t\t\t\t\t--srfm-color-input-placeholder: hsl( from #fdfdfd h s l \/ 0.5 );\n\t\t\t\t\t--srfm-color-input-text: #fdfdfd;\n\t\t\t\t\t--srfm-color-input-prefix: hsl( from #fdfdfd h s l \/ 0.65 );\n\t\t\t\t\t--srfm-color-input-background: hsl( from #fdfdfd h s l \/ 0.02 );\n\t\t\t\t\t--srfm-color-input-background-hover: hsl( from #fdfdfd h s l \/ 0.05 );\n\t\t\t\t\t--srfm-color-input-background-disabled: hsl( from #fdfdfd h s l \/ 0.07 );\n\t\t\t\t\t--srfm-color-input-border: hsl( from #fdfdfd h s l \/ 0.25 );\n\t\t\t\t\t--srfm-color-input-border-disabled: hsl( from #fdfdfd h s l \/ 0.15 );\n\t\t\t\t\t--srfm-color-multi-choice-svg: hsl( from #fdfdfd h s l \/ 0.7 );\n\t\t\t\t\t--srfm-color-input-border-hover: hsl( from var(--ast-global-color-1) h s l \/ 0.65 );\n\t\t\t\t\t--srfm-color-input-border-focus-glow: hsl( from var(--ast-global-color-1) h s l \/ 0.15 );\n\t\t\t\t\t--srfm-color-input-selected: hsl( from var(--ast-global-color-1) h s l \/ 0.1 );\n\t\t\t\t\t--srfm-btn-color-hover: hsl( from var(--ast-global-color-1) h s l \/ 0.9 );\n\t\t\t\t\t--srfm-btn-color-disabled: hsl( from var(--ast-global-color-1) h s l \/ 0.25 );\n\n\t\t\t\t\t\/* Dropdown Variables *\/\n\t\t\t\t\t--srfm-dropdown-input-background-hover: hsl( from #fdfdfd h s l \/ 0.05 );\n\t\t\t\t\t--srfm-dropdown-option-background-hover: hsl( from #fdfdfd h s l \/ 0.10 );\n\t\t\t\t\t--srfm-dropdown-option-background-selected: hsl( from #fdfdfd h s l \/ 0.05 );\n\t\t\t\t\t--srfm-dropdown-option-selected-icon: hsl( from #fdfdfd h s l \/ 0.65 );\n\t\t\t\t\t--srfm-dropdown-option-text-color: hsl( from #fdfdfd h s l \/ 0.80 );\n\t\t\t\t\t--srfm-dropdown-option-selected-text: #fdfdfd;\n\t\t\t\t\t--srfm-dropdown-badge-background: hsl( from #fdfdfd h s l \/ 0.05 );\n\t\t\t\t\t--srfm-dropdown-badge-background-hover: hsl( from #fdfdfd h s l \/ 0.10 );\n\t\t\t\t\t--srfm-dropdown-menu-border-color: hsl( from #fdfdfd h s l \/ 0.10 );\n\t\t\t\t\t--srfm-dropdown-placeholder-color: hsl( from #fdfdfd h s l \/ 0.50 );\n\t\t\t\t\t--srfm-dropdown-icon-color: hsl( from #fdfdfd h s l \/ 0.65 );\n\t\t\t\t\t--srfm-dropdown-icon-disabled: hsl( from #fdfdfd h s l \/ 0.25 );\n\n\t\t\t\t\t\/* Background Control Variables *\/\n\t\t\t\t\t--srfm-instant-form-padding-top: 32px;--srfm-instant-form-padding-right: 32px;--srfm-instant-form-padding-bottom: 32px;--srfm-instant-form-padding-left: 32px;--srfm-instant-form-border-radius-top: 12px;--srfm-instant-form-border-radius-right: 12px;--srfm-instant-form-border-radius-bottom: 12px;--srfm-instant-form-border-radius-left: 12px;--srfm-form-padding-top: 0px;--srfm-form-padding-right: 0px;--srfm-form-padding-bottom: 0px;--srfm-form-padding-left: 0px;--srfm-form-border-radius-top: 0px;--srfm-form-border-radius-right: 0px;--srfm-form-border-radius-bottom: 0px;--srfm-form-border-radius-left: 0px;--srfm-bg-color: #090e3c;--srfm-bg-overlay-opacity: 1;\t\t\t\t\t--srfm-row-gap-between-blocks: 16px;--srfm-address-label-font-size: 14px;--srfm-address-label-line-height: 20px;--srfm-address-description-font-size: 12px;--srfm-address-description-line-height: 16px;--srfm-col-gap-between-fields: 12px;--srfm-row-gap-between-fields: 12px;--srfm-gap-below-address-label: 12px;--srfm-dropdown-font-size: 14px;--srfm-dropdown-gap-between-input-menu: 4px;--srfm-dropdown-badge-padding: 2px 6px;--srfm-dropdown-multiselect-font-size: 12px;--srfm-dropdown-multiselect-line-height: 16px;--srfm-dropdown-padding-right: 12px;--srfm-dropdown-padding-right-icon: calc( var( --srfm-dropdown-padding-right ) + 20px );--srfm-dropdown-multiselect-padding: 8px var( --srfm-dropdown-padding-right-icon ) 8px 8px;--srfm-input-height: 40px;--srfm-input-field-padding: 10px 12px;--srfm-input-field-font-size: 14px;--srfm-input-field-line-height: 20px;--srfm-input-field-margin-top: 4px;--srfm-input-field-margin-bottom: 4px;--srfm-checkbox-label-font-size: 14px;--srfm-checkbox-label-line-height: 20px;--srfm-checkbox-description-font-size: 12px;--srfm-checkbox-description-line-height: 16px;--srfm-check-ctn-width: 16px;--srfm-check-ctn-height: 16px;--srfm-check-svg-size: 10px;--srfm-checkbox-margin-top-frontend: 2px;--srfm-checkbox-margin-top-editor: 3px;--srfm-check-gap: 8px;--srfm-checkbox-description-margin-left: 24px;--srfm-flag-section-padding: 10px 0 10px 12px;--srfm-gap-between-icon-text: 8px;--srfm-label-font-size: 14px;--srfm-label-line-height: 20px;--srfm-description-font-size: 12px;--srfm-description-line-height: 16px;--srfm-btn-padding: 8px 14px;--srfm-btn-font-size: 14px;--srfm-btn-line-height: 20px;--srfm-multi-choice-horizontal-padding: 16px;--srfm-multi-choice-vertical-padding: 16px;--srfm-multi-choice-internal-option-gap: 8px;--srfm-multi-choice-vertical-svg-size: 32px;--srfm-multi-choice-horizontal-image-size: 20px;--srfm-multi-choice-vertical-image-size: 100px;--srfm-multi-choice-outer-padding: 0;\t\t\t\t}\n\t\t\t<\/style>\n\t\t\t\t\t\t\t<form method=\"post\" enctype=\"multipart\/form-data\" id=\"srfm-form-2648\" class=\"srfm-form \"\n\t\t\t\tform-id=\"2648\" after-submission=\"hide form\" message-type=\"same page\" success-url=\"\" ajaxurl=\"https:\/\/bronhandball.fr\/bronhb.fr\/wp-admin\/admin-ajax.php\" data-submit-token=\"a5738546f572d72c7c369d7df5d87f165a90bd1d1d35bab634fcde91082587e4\"\n\t\t\t\t>\n\t\t\t\t\n\t\t\t\t<input type=\"hidden\" value=\"2648\" name=\"form-id\">\n\t\t\t\t<input type=\"hidden\" value=\"\" name=\"srfm-sender-email-field\" id=\"srfm-sender-email\">\n\t\t\t\t<input type=\"hidden\" value=\"\" id=\"srfm-page-break\">\n\t\t\t\t\t\t<p id=\"srfm-error-message\" class=\"srfm-common-error-message srfm-error-message srfm-head-error\" hidden>\t\t<span class=\"srfm-icon\" aria-hidden=\"true\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" fill=\"none\"><path d=\"M9.99935 18.3327C14.6017 18.3327 18.3327 14.6017 18.3327 9.99935C18.3327 5.39698 14.6017 1.66602 9.99935 1.66602C5.39698 1.66602 1.66602 5.39698 1.66602 9.99935C1.66602 14.6017 5.39698 18.3327 9.99935 18.3327Z\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M10 6.66602V9.99935\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M10 13.334H10.0083\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<span class=\"srfm-error-content\">There was an error trying to submit your form. Please try again.<\/span><\/p>\n\t\t\t\t\t\t<div data-block-id=\"422151a7\" class=\"wp-block-uagb-advanced-heading uagb-block uagb-block-422151a7 2648 \" >\n\t\t\t\t\t<h2 class=\"uagb-heading-text\">Formulaire de pr\u00e9-inscription 2026-2027<\/h2>\t\t\t\t<\/div>\n\t\t\t\n\n\t\t\t<div data-block-id=\"d2c819d1\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-d2c819d1-block  srfm-block-width-100 srfm-slug-votre-nom-et-prenom 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-d2c819d1-lbl-Vm90cmUgTm9tIGV0IFByw6lub20\" for=\"srfm-input-d2c819d1-lbl-Vm90cmUgTm9tIGV0IFByw6lub20\" class=\"srfm-block-label\">\n\t\t\t\t\t\tVotre Nom et Pr\u00e9nom\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-d2c819d1-lbl-Vm90cmUgTm9tIGV0IFByw6lub20-votre-nom-et-prenom\" id=\"srfm-input-d2c819d1-lbl-Vm90cmUgTm9tIGV0IFByw6lub20\"\n\t\t\t\t\taria-describedby='srfm-error-d2c819d1'\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-d2c819d1\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"d03f130e\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-d03f130e-block  srfm-block-width-100 srfm-slug-sexe 2648 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"true\" aria-required=\"true\"  name=\"srfm-input-multi-choice-d03f130e-lbl-U2V4ZQ-sexe\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\tSexe\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50 \">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-d03f130e-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-d03f130e\"\t\t\t\t\t\t\t\t\t\taria-required=\"true\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-d03f130e-0\" data-option-text=\"Femme \">Femme <\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-d03f130e-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-d03f130e-1\" data-option-text=\"Homme\">Homme<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\">\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-d03f130e\" data-error-msg=\"This field is required.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"c4451c71\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-c4451c71-block  srfm-block-width-100 srfm-slug-date-de-naissance 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-c4451c71-lbl-RGF0ZSBkZSBOYWlzc2FuY2U\" for=\"srfm-input-c4451c71-lbl-RGF0ZSBkZSBOYWlzc2FuY2U\" class=\"srfm-block-label\">\n\t\t\t\t\t\tDate de Naissance\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-c4451c71-lbl-RGF0ZSBkZSBOYWlzc2FuY2U-date-de-naissance\" id=\"srfm-input-c4451c71-lbl-RGF0ZSBkZSBOYWlzc2FuY2U\"\n\t\t\t\t\taria-describedby='srfm-error-c4451c71'\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-c4451c71\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"0315f2e6\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-0315f2e6-block  srfm-block-width-100 srfm-slug-lieu-de-naissance-departement-de-naissance 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-0315f2e6-lbl-TGlldSBkZSBuYWlzc2FuY2UgKETDqXBhcnRlbWVudCBkZSBuYWlzc2FuY2Up\" for=\"srfm-input-0315f2e6-lbl-TGlldSBkZSBuYWlzc2FuY2UgKETDqXBhcnRlbWVudCBkZSBuYWlzc2FuY2Up\" class=\"srfm-block-label\">\n\t\t\t\t\t\tLieu de naissance (D\u00e9partement de naissance)\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-0315f2e6-lbl-TGlldSBkZSBuYWlzc2FuY2UgKETDqXBhcnRlbWVudCBkZSBuYWlzc2FuY2Up-lieu-de-naissance-departement-de-naissance\" id=\"srfm-input-0315f2e6-lbl-TGlldSBkZSBuYWlzc2FuY2UgKETDqXBhcnRlbWVudCBkZSBuYWlzc2FuY2Up\"\n\t\t\t\t\taria-describedby='srfm-error-0315f2e6'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-0315f2e6\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"07a40678\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-07a40678-block  srfm-block-width-100 srfm-slug-adresse 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-07a40678-lbl-QWRyZXNzZQ\" for=\"srfm-input-07a40678-lbl-QWRyZXNzZQ\" class=\"srfm-block-label\">\n\t\t\t\t\t\tAdresse\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-07a40678-lbl-QWRyZXNzZQ-adresse\" id=\"srfm-input-07a40678-lbl-QWRyZXNzZQ\"\n\t\t\t\t\taria-describedby='srfm-error-07a40678'\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-07a40678\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"509d2175\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-509d2175-block  srfm-block-width-100 srfm-slug-code-postal 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-509d2175-lbl-Q29kZSBQb3N0YWw\" for=\"srfm-input-509d2175-lbl-Q29kZSBQb3N0YWw\" class=\"srfm-block-label\">\n\t\t\t\t\t\tCode Postal\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-509d2175-lbl-Q29kZSBQb3N0YWw-code-postal\" id=\"srfm-input-509d2175-lbl-Q29kZSBQb3N0YWw\"\n\t\t\t\t\taria-describedby='srfm-error-509d2175'\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-509d2175\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"06010b42\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-06010b42-block  srfm-block-width-100 srfm-slug-ville 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-06010b42-lbl-VmlsbGU\" for=\"srfm-input-06010b42-lbl-VmlsbGU\" class=\"srfm-block-label\">\n\t\t\t\t\t\tVille\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-06010b42-lbl-VmlsbGU-ville\" id=\"srfm-input-06010b42-lbl-VmlsbGU\"\n\t\t\t\t\taria-describedby='srfm-error-06010b42'\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-06010b42\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"a4299eb3\" class=\"srfm-block-single srfm-block srfm-email-block srf-email-a4299eb3-block  srfm-block-width-100 srfm-slug-email 2648 srfm-email-block-wrap\">\n\t\t\t\t<div class=\"srfm-email-block srf-email-a4299eb3-block\">\n\t\t\t\t\t\t\t\t\t\t<label id=\"srfm-label-a4299eb3-lbl-RW1haWw\" for=\"srfm-email-a4299eb3-lbl-RW1haWw\" class=\"srfm-block-label\">\n\t\t\t\t\t\tEmail\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t\t\t<input class=\"srfm-input-common srfm-input-email\" type=\"email\" name=\"srfm-email-a4299eb3-lbl-RW1haWw-email\" id=\"srfm-email-a4299eb3-lbl-RW1haWw\"\n\t\t\t\t\t\taria-describedby='srfm-error-a4299eb3'\t\t\t\t\t\tdata-required=\"true\" aria-required=\"true\" data-unique=\"false\" value=\"\"   \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-a4299eb3\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"19796593\" class=\"srfm-block-single srfm-block srfm-phone-block srf-phone-19796593-block srfm-block-width-100 2648\">\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-19796593-lbl-TnVtw6lybyBkZSBUw6lsw6lwaG9uZQ\" for=\"srfm-phone-19796593-lbl-TnVtw6lybyBkZSBUw6lsw6lwaG9uZQ\" class=\"srfm-block-label\">\n\t\t\t\t\t\tNum\u00e9ro de T\u00e9l\u00e9phone\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input type=\"tel\"\n\t\t\t\t\tclass=\"srfm-input-common srfm-input-phone\"\n\t\t\t\t\tname=\"srfm-phone-19796593-lbl-TnVtw6lybyBkZSBUw6lsw6lwaG9uZQ-numero-de-telephone\"\n\t\t\t\t\tid=\"srfm-phone-19796593-lbl-TnVtw6lybyBkZSBUw6lsw6lwaG9uZQ\"\n\t\t\t\t\taria-describedby='srfm-error-19796593'\t\t\t\t\tdata-required=\"true\"\n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\tdefault-country=\"us\"\n\t\t\t\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\t\t\t\tdata-unique=\"false\">\n\t\t\t<\/div>\n\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-19796593\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"0ae4a067\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-0ae4a067-block  srfm-block-width-100 srfm-slug-lateralite 2648 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"true\" aria-required=\"true\"  name=\"srfm-input-multi-choice-0ae4a067-lbl-TGF0w6lyYWxpdMOp-lateralite\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\tLat\u00e9ralit\u00e9\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50 \">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-0ae4a067-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-0ae4a067\"\t\t\t\t\t\t\t\t\t\taria-required=\"true\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-0ae4a067-0\" data-option-text=\"Droitier(e)\">Droitier(e)<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-0ae4a067-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-0ae4a067-1\" data-option-text=\"Gaucher(e)\">Gaucher(e)<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-0ae4a067-2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-0ae4a067-2\" data-option-text=\"Ambidextre\">Ambidextre<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\">\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-0ae4a067\" data-error-msg=\"This field is required.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"a018ba8b\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-a018ba8b-block  srfm-block-width-100 srfm-slug-type-de-licence 2648 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"true\" aria-required=\"true\"  name=\"srfm-input-multi-choice-a018ba8b-lbl-VHlwZSBkZSBsaWNlbmNl-type-de-licence\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\tType de licence\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50 \">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-a018ba8b-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-a018ba8b\"\t\t\t\t\t\t\t\t\t\taria-required=\"true\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-a018ba8b-0\" data-option-text=\"BabyHand\/MiniHand\">BabyHand\/MiniHand<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-a018ba8b-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-a018ba8b-1\" data-option-text=\"Joueur \">Joueur <\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-a018ba8b-2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-a018ba8b-2\" data-option-text=\"Dirigeant\">Dirigeant<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-a018ba8b-3\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-a018ba8b-3\" data-option-text=\"Loisirs Adulte\">Loisirs Adulte<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-a018ba8b-4\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-a018ba8b-4\" data-option-text=\"Handfit\">Handfit<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\">\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-a018ba8b\" data-error-msg=\"This field is required.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"9da11f97\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-9da11f97-block  srfm-block-width-100 srfm-slug-frere-ou-soeur-au-club 2648 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"false\" aria-required=\"false\"  name=\"srfm-input-multi-choice-9da11f97-lbl-RnLDqHJlIG91IFNvZXVyIGF1IGNsdWI-frere-ou-soeur-au-club\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\tFr\u00e8re ou Soeur au club\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50 \">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-9da11f97-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-9da11f97\"\t\t\t\t\t\t\t\t\t\taria-required=\"false\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-9da11f97-0\" data-option-text=\"0\">0<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-9da11f97-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-9da11f97-1\" data-option-text=\"1\">1<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-9da11f97-2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-9da11f97-2\" data-option-text=\"2 ou plus\">2 ou plus<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width=\"17\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M6.5 7.33366L8.5 9.33366L15.1667 2.66699\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667\" stroke=\"#111C44\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z\" stroke=\"#1E1E1E\" stroke-opacity=\"0.7\" stroke-width=\"1.25\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\"><\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"3b53ba3e\" class=\"srfm-block-single srfm-block srfm-textarea-block srf-textarea-3b53ba3e-block  srfm-block-width-100 2648\">\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-3b53ba3e-lbl-QXZlei12b3VzIGRlcyBpbmZvcm1hdGlvbnMgc3VwcGzDqW1lbnRhaXJlcyA\/IChkaXBsw7RtZXMsYXJiaXRyYWdlLGNvYWNoaW5nKQ-5060\" for=\"srfm-textarea-3b53ba3e-lbl-QXZlei12b3VzIGRlcyBpbmZvcm1hdGlvbnMgc3VwcGzDqW1lbnRhaXJlcyA\/IChkaXBsw7RtZXMsYXJiaXRyYWdlLGNvYWNoaW5nKQ-5060\" class=\"srfm-block-label\">\n\t\t\t\t\t\tAvez-vous des informations suppl\u00e9mentaires ? (dipl\u00f4mes,arbitrage,coaching)\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<textarea\n\t\t\t\t\tclass=\"srfm-input-common srfm-input-textarea\"\n\t\t\t\t\tname=\"srfm-textarea-3b53ba3e-lbl-QXZlei12b3VzIGRlcyBpbmZvcm1hdGlvbnMgc3VwcGzDqW1lbnRhaXJlcyA\/IChkaXBsw7RtZXMsYXJiaXRyYWdlLGNvYWNoaW5nKQ-avez-vous-des-informations-supplementaires-diplomesarbitragecoaching\"\n\t\t\t\t\tid=\"srfm-textarea-3b53ba3e-lbl-QXZlei12b3VzIGRlcyBpbmZvcm1hdGlvbnMgc3VwcGzDqW1lbnRhaXJlcyA\/IChkaXBsw7RtZXMsYXJiaXRyYWdlLGNvYWNoaW5nKQ-5060\"\n\t\t\t\t\taria-describedby='srfm-error-3b53ba3e'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\"  rows=\"4\"  \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t><\/textarea>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\n\t\t\t\t<div data-block-id=\"67ebedb4\" class=\"wp-block-uagb-advanced-heading uagb-block uagb-block-67ebedb4 2648 \" >\n\t\t\t\t\t<h4 class=\"uagb-heading-text\">Renseignements des parents (Enfants mineurs)<\/h4>\t\t\t\t<\/div>\n\t\t\t\n\n\t\t\t<div data-block-id=\"b5c25be8\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-b5c25be8-block  srfm-block-width-100 srfm-slug-nom-et-prenom-du-parent-1 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-b5c25be8-lbl-Tm9tIGV0IFByw6lub20gZHUgUGFyZW50IDE\" for=\"srfm-input-b5c25be8-lbl-Tm9tIGV0IFByw6lub20gZHUgUGFyZW50IDE\" class=\"srfm-block-label\">\n\t\t\t\t\t\tNom et Pr\u00e9nom du Parent 1\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-b5c25be8-lbl-Tm9tIGV0IFByw6lub20gZHUgUGFyZW50IDE-nom-et-prenom-du-parent-1\" id=\"srfm-input-b5c25be8-lbl-Tm9tIGV0IFByw6lub20gZHUgUGFyZW50IDE\"\n\t\t\t\t\taria-describedby='srfm-error-b5c25be8'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-b5c25be8\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"987f7cd6\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-987f7cd6-block  srfm-block-width-100 srfm-slug-profession 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-987f7cd6-lbl-UHJvZmVzc2lvbg\" for=\"srfm-input-987f7cd6-lbl-UHJvZmVzc2lvbg\" class=\"srfm-block-label\">\n\t\t\t\t\t\tProfession \t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-987f7cd6-lbl-UHJvZmVzc2lvbg-profession\" id=\"srfm-input-987f7cd6-lbl-UHJvZmVzc2lvbg\"\n\t\t\t\t\taria-describedby='srfm-error-987f7cd6'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-987f7cd6\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"eddb9e8f\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-eddb9e8f-block  srfm-block-width-100 srfm-slug-email-1 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-eddb9e8f-lbl-RW1haWw\" for=\"srfm-input-eddb9e8f-lbl-RW1haWw\" class=\"srfm-block-label\">\n\t\t\t\t\t\tEmail\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-eddb9e8f-lbl-RW1haWw-email-1\" id=\"srfm-input-eddb9e8f-lbl-RW1haWw\"\n\t\t\t\t\taria-describedby='srfm-error-eddb9e8f'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-eddb9e8f\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"73efda43\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-73efda43-block  srfm-block-width-100 srfm-slug-numero-de-telephone-1 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-73efda43-lbl-TnVtw6lybyBkZSB0w6lsw6lwaG9uZQ\" for=\"srfm-input-73efda43-lbl-TnVtw6lybyBkZSB0w6lsw6lwaG9uZQ\" class=\"srfm-block-label\">\n\t\t\t\t\t\tNum\u00e9ro de t\u00e9l\u00e9phone\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-73efda43-lbl-TnVtw6lybyBkZSB0w6lsw6lwaG9uZQ-numero-de-telephone-1\" id=\"srfm-input-73efda43-lbl-TnVtw6lybyBkZSB0w6lsw6lwaG9uZQ\"\n\t\t\t\t\taria-describedby='srfm-error-73efda43'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-73efda43\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"042ffa81\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-042ffa81-block  srfm-block-width-100 srfm-slug-nom-et-prenom-du-parent-2 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-042ffa81-lbl-Tm9tIGV0IFByw6lub20gZHUgUGFyZW50IDI\" for=\"srfm-input-042ffa81-lbl-Tm9tIGV0IFByw6lub20gZHUgUGFyZW50IDI\" class=\"srfm-block-label\">\n\t\t\t\t\t\tNom et Pr\u00e9nom du Parent 2\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-042ffa81-lbl-Tm9tIGV0IFByw6lub20gZHUgUGFyZW50IDI-nom-et-prenom-du-parent-2\" id=\"srfm-input-042ffa81-lbl-Tm9tIGV0IFByw6lub20gZHUgUGFyZW50IDI\"\n\t\t\t\t\taria-describedby='srfm-error-042ffa81'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-042ffa81\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"33290def\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-33290def-block  srfm-block-width-100 srfm-slug-profession-1 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-33290def-lbl-UHJvZmVzc2lvbg\" for=\"srfm-input-33290def-lbl-UHJvZmVzc2lvbg\" class=\"srfm-block-label\">\n\t\t\t\t\t\tProfession \t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-33290def-lbl-UHJvZmVzc2lvbg-profession-1\" id=\"srfm-input-33290def-lbl-UHJvZmVzc2lvbg\"\n\t\t\t\t\taria-describedby='srfm-error-33290def'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-33290def\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"2529c7bc\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-2529c7bc-block  srfm-block-width-100 srfm-slug-email-2 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-2529c7bc-lbl-RW1haWw\" for=\"srfm-input-2529c7bc-lbl-RW1haWw\" class=\"srfm-block-label\">\n\t\t\t\t\t\tEmail\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-2529c7bc-lbl-RW1haWw-email-2\" id=\"srfm-input-2529c7bc-lbl-RW1haWw\"\n\t\t\t\t\taria-describedby='srfm-error-2529c7bc'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-2529c7bc\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"1c3727ba\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-1c3727ba-block  srfm-block-width-100 srfm-slug-numero-de-telephone-2 2648\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-1c3727ba-lbl-TnVtw6lybyBkZSB0w6lsw6lwaG9uZQ\" for=\"srfm-input-1c3727ba-lbl-TnVtw6lybyBkZSB0w6lsw6lwaG9uZQ\" class=\"srfm-block-label\">\n\t\t\t\t\t\tNum\u00e9ro de t\u00e9l\u00e9phone\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-1c3727ba-lbl-TnVtw6lybyBkZSB0w6lsw6lwaG9uZQ-numero-de-telephone-2\" id=\"srfm-input-1c3727ba-lbl-TnVtw6lybyBkZSB0w6lsw6lwaG9uZQ\"\n\t\t\t\t\taria-describedby='srfm-error-1c3727ba'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-1c3727ba\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t\t\t\t\t\t\t\t<div data-block-id=\"03753115\" class=\" 2648 srf-inline-button-03753115-block srfm-block-width-25 srfm-block srfm-custom-button-ctn \">\n\t\t\t\t\t\t\t\t<button style=\" font-family: inherit; font-weight: var(--wp--custom--font-weight--medium); line-height: normal;width:100%;\" id=\"srfm-submit-btn\" class=\"srfm-button srfm-submit-button srfm-btn-frontend srfm-custom-button\" >\n\t\t\t\t\t<div class=\"srfm-submit-wrap\">\n\t\t\t\t\t\tEnvoyer\t\t\t\t\t\t<div class=\"srfm-loader\"><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/button>\n\t\t\t\t<div class=\"srfm-error-wrap\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"srfm-submit-container \" style=\"visibility:hidden;position:absolute;\">\n\t\t\t\t\t\t<div style=\"width: ; text-align: center\" class=\"wp-block-button\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<p id=\"srfm-error-message\" class=\"srfm-common-error-message srfm-error-message srfm-footer-error\" hidden>\t\t<span class=\"srfm-icon\" aria-hidden=\"true\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"20\" fill=\"none\"><path d=\"M9.99935 18.3327C14.6017 18.3327 18.3327 14.6017 18.3327 9.99935C18.3327 5.39698 14.6017 1.66602 9.99935 1.66602C5.39698 1.66602 1.66602 5.39698 1.66602 9.99935C1.66602 14.6017 5.39698 18.3327 9.99935 18.3327Z\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M10 6.66602V9.99935\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><path d=\"M10 13.334H10.0083\" stroke=\"currentColor\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/><\/svg>\t\t<\/span>\n\t\t<span class=\"srfm-error-content\">There was an error trying to submit your form. Please try again.<\/span><\/p>\n\t\t\t\t\t<\/form>\n\t\t\t<div class=\"srfm-single-form srfm-success-box in-page\">\n\t\t\t\t<div aria-live=\"polite\" aria-atomic=\"true\" role=\"alert\" id=\"srfm-success-message-page-2648\" class=\"srfm-success-box-description\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<style>.wp-block-uagb-advanced-heading .uagb-heading-text{margin:0;word-wrap:break-word}.wp-block-uagb-advanced-heading .uagb-desc-text{margin:0}.wp-block-uagb-advanced-heading .uagb-separator{font-size:0;border-top-style:solid;display:inline-block;margin:0 0 10px 0}.wp-block-uagb-advanced-heading .srfm-highlight{color:#f78a0c;border:0;transition:all 0.3s ease}.uag-highlight-toolbar{border-left:0;border-top:0;border-bottom:0;border-radius:0;border-right-color:#1e1e1e}.uag-highlight-toolbar .components-button{border-radius:0;outline:none}.uag-highlight-toolbar .components-button.is-primary{color:#fff}\n .uagb-block-422151a7.wp-block-uagb-advanced-heading .uagb-heading-text{color: #ffffff;} .uagb-block-422151a7.wp-block-uagb-advanced-heading .uagb-desc-text{color: #000;margin-bottom: 15px;} .uagb-block-422151a7.wp-block-uagb-advanced-heading .srfm-highlight{font-style: normal;font-weight: Default;background: #007cba;color: #fff;-webkit-text-fill-color: #fff;} .uagb-block-422151a7.wp-block-uagb-advanced-heading .srfm-highlight::-moz-selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;} .uagb-block-422151a7.wp-block-uagb-advanced-heading .srfm-highlight::selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;} .uagb-block-67ebedb4.wp-block-uagb-advanced-heading .uagb-heading-text{color: #ffffff;} .uagb-block-67ebedb4.wp-block-uagb-advanced-heading .uagb-desc-text{color: #000;margin-bottom: 15px;} .uagb-block-67ebedb4.wp-block-uagb-advanced-heading .srfm-highlight{font-style: normal;font-weight: Default;background: #007cba;color: #fff;-webkit-text-fill-color: #fff;} .uagb-block-67ebedb4.wp-block-uagb-advanced-heading .srfm-highlight::-moz-selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;} .uagb-block-67ebedb4.wp-block-uagb-advanced-heading .srfm-highlight::selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}<\/style>\n\t\t<script><\/script>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Adh\u00e9sion Une erreur s\u2019est produite lors de l\u2019envoi de votre formulaire. Veuillez r\u00e9essayer. Formulaire de pr\u00e9-inscription 2026-2027 Votre Nom et Pr\u00e9nom * Ce champ est n\u00e9cessaire. Sexe * Femme Homme Ce champ est n\u00e9cessaire. Date de Naissance * Ce champ est n\u00e9cessaire. Lieu de naissance (D\u00e9partement de naissance) Ce champ est n\u00e9cessaire. 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