{"id":110,"date":"2023-05-24T16:53:58","date_gmt":"2023-05-24T15:53:58","guid":{"rendered":"https:\/\/mes-formulaires.cpamcentre.fr\/?page_id=110"},"modified":"2023-09-06T09:52:46","modified_gmt":"2023-09-06T08:52:46","slug":"inscription-js","status":"publish","type":"page","link":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/inscription-js\/","title":{"rendered":"Inscription aux Journ\u00e9es Sant\u00e9 de Romorantin 4 et 5 octobre 2023"},"content":{"rendered":"<p><a href=\"https:\/\/mes-formulaires.cpamcentre.fr\/wp-content\/uploads\/2023\/08\/image-JS.gif\"><img decoding=\"async\" class=\"wp-image-635 alignleft\" src=\"https:\/\/mes-formulaires.cpamcentre.fr\/wp-content\/uploads\/2023\/08\/image-JS.gif\" alt=\"\" width=\"166\" height=\"204\" \/><\/a><\/p>\n<p><strong>Parce que la sant\u00e9 est essentielle venez b\u00e9n\u00e9ficier gratuitement de rendez-vous sant\u00e9 mercredi 4 et jeudi 5 octobre, <\/strong>\u00e0 la Fabrique Normant, 2 avenue Fran\u00e7ois Mitterrand.<\/p>\n<p>Nous comptons sur votre pr\u00e9sence !<\/p>\n<p><a href=\"https:\/\/mes-formulaires.cpamcentre.fr\/wp-content\/uploads\/2023\/09\/flyer_js_romo_vf.pdf\" target=\"_blank\" rel=\"noopener\">T\u00e9l\u00e9chargez le programme d\u00e9taill\u00e9 des \u00ab\u00a0journ\u00e9es sant\u00e9 de Romorantin\u00a0\u00bb.<\/a><\/p>\n<h3 style=\"text-align: center;\">&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/h3>\n<p style=\"text-align: center;\"><strong>Pour vous inscrire, compl\u00e9tez le formulaire ci-dessous. Nous vous recontacterons ensuite.<\/strong><\/p>\n<hr \/>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f620-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"620\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/110#wpcf7-f620-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"620\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f620-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<table border=0>\n\t<tr>\n\t\t<td>\n\t\t\t<p>Nom*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Nom\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td style=\"padding-left:30px;\">\n\t\t\t<p>Pr\u00e9nom*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Prenom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Prenom\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p> T\u00e9l\u00e9phone*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Telephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"Telephone\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td style=\"padding-left:30px;\">\n\t\t\t<p>Adresse mail<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-258\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-258\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<table>\n\t<tr>\n\t\t<div class=\"rang-form\">\n\t\t\t<div class=\"demi-colonne\">\n\t\t\t\t<p>Rendez-vous souhait\u00e9s* :\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-942\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Audition (4 octobre)\" \/><span class=\"wpcf7-list-item-label\">Audition (4 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"D\u00e9pistage des cancers (4 et 5 octobre)\" \/><span class=\"wpcf7-list-item-label\">D\u00e9pistage des cancers (4 et 5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Frottis de d\u00e9pistage (4 et 5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Frottis de d\u00e9pistage (4 et 5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Parentalit\u00e9 (4 et 5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Parentalit\u00e9 (4 et 5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Conseil conjugal et familial (4 octobre)\" \/><span class=\"wpcf7-list-item-label\">Conseil conjugal et familial (4 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Bilan de sant\u00e9 (4 et 5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Bilan de sant\u00e9 (4 et 5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Nutrition (4 et 5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Nutrition (4 et 5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Autonomie (4 et 5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Autonomie (4 et 5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Sant\u00e9 du coeur (4 octobre)\" \/><span class=\"wpcf7-list-item-label\">Sant\u00e9 du coeur (4 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Acc\u00e8s aux droits CAF (4 octobre)\" \/><span class=\"wpcf7-list-item-label\">Acc\u00e8s aux droits CAF (4 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Pr\u00e9vention bucco-dentaire - r\u00e9serv\u00e9 aux 3 - 24 ans (4 et 5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Pr\u00e9vention bucco-dentaire - r\u00e9serv\u00e9 aux 3 - 24 ans (4 et 5 octobre)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"demi-colonne\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-942\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Prot\u00e8ge ton dos - r\u00e9serv\u00e9 aux enfants de 8 \u00e0 12 ans (4 octobre)\" \/><span class=\"wpcf7-list-item-label\">Prot\u00e8ge ton dos - r\u00e9serv\u00e9 aux enfants de 8 \u00e0 12 ans (4 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Social (5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Social (5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Addictions (5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Addictions (5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Parcours sant\u00e9 60 ans et + (5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Parcours sant\u00e9 60 ans et + (5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Fond d&#039;oeil - r\u00e9serv\u00e9 aux personnes diab\u00e9tiques &lt;70 ans (5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Fond d&#039;oeil - r\u00e9serv\u00e9 aux personnes diab\u00e9tiques &lt;70 ans (5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Association fran\u00e7aise des diab\u00e9tiques (5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Association fran\u00e7aise des diab\u00e9tiques (5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Podologie (5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Podologie (5 octobre)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-942[]\" value=\"Accompagnement num\u00e9rique CPAM (5 octobre)\" \/><span class=\"wpcf7-list-item-label\">Accompagnement num\u00e9rique CPAM (5 octobre)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/tr>\n<\/table>\n<table>\n\t<tr>\n\t\t<td>\n\t\t\t<p><b>Merci de saisir le code affich\u00e9 ci-dessous pour valider votre envoi : <\/b><br \/>\n<input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha-170\" value=\"758136215\" \/><img decoding=\"async\" class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha-170\" width=\"72\" height=\"24\" alt=\"captcha\" src=\"https:\/\/mes-formulaires.cpamcentre.fr\/wp-content\/uploads\/wpcf7_captcha\/758136215.png\" \/><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"captcha-170\"><input size=\"4\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-captchar\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"captcha-170\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<table>\n\t<tr>\n\t\t<td style=\"padding:0;margin:0;\">\n\t\t\t<p align=center><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"206\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Parce que la sant\u00e9 est essentielle venez b\u00e9n\u00e9ficier gratuitement de rendez-vous sant\u00e9 mercredi 4 et jeudi 5 octobre, \u00e0 la Fabrique Normant, 2 avenue Fran\u00e7ois Mitterrand. Nous comptons sur votre pr\u00e9sence ! T\u00e9l\u00e9chargez le programme d\u00e9taill\u00e9 des \u00ab\u00a0journ\u00e9es sant\u00e9 de Romorantin\u00a0\u00bb. &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;. Pour vous inscrire, compl\u00e9tez le formulaire ci-dessous. Nous vous recontacterons ensuite.<\/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-110","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/pages\/110"}],"collection":[{"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/comments?post=110"}],"version-history":[{"count":24,"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/pages\/110\/revisions"}],"predecessor-version":[{"id":649,"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/pages\/110\/revisions\/649"}],"wp:attachment":[{"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/media?parent=110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}