{"id":4638,"date":"2025-07-26T17:01:26","date_gmt":"2025-07-26T15:01:26","guid":{"rendered":"http:\/\/www.avdanse.net\/?p=4638"},"modified":"2026-08-16T16:05:54","modified_gmt":"2026-08-16T14:05:54","slug":"formulaire-adhesion","status":"publish","type":"post","link":"https:\/\/www.avdanse.net\/?p=4638","title":{"rendered":"Formulaire Adh\u00e9sion Adultes"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7161 size-large\" src=\"https:\/\/www.avdanse.net\/wp-content\/uploads\/2024\/08\/phopto-vlaides-1-1024x424.png\" alt=\"\" width=\"520\" height=\"215\" srcset=\"https:\/\/www.avdanse.net\/wp-content\/uploads\/2024\/08\/phopto-vlaides-1-1024x424.png 1024w, https:\/\/www.avdanse.net\/wp-content\/uploads\/2024\/08\/phopto-vlaides-1-600x248.png 600w, https:\/\/www.avdanse.net\/wp-content\/uploads\/2024\/08\/phopto-vlaides-1-300x124.png 300w, https:\/\/www.avdanse.net\/wp-content\/uploads\/2024\/08\/phopto-vlaides-1-768x318.png 768w, https:\/\/www.avdanse.net\/wp-content\/uploads\/2024\/08\/phopto-vlaides-1-400x166.png 400w, https:\/\/www.avdanse.net\/wp-content\/uploads\/2024\/08\/phopto-vlaides-1-800x331.png 800w, https:\/\/www.avdanse.net\/wp-content\/uploads\/2024\/08\/phopto-vlaides-1.png 1133w\" sizes=\"auto, (max-width: 520px) 100vw, 520px\" \/><strong>Avant de compl\u00e9ter ce formulaire, merci de vous assurer que vous avez une photo sur l&rsquo;appareil utilis\u00e9 (m\u00eame un selfie). La photo doit \u00eatre en mode portrait, centr\u00e9 sur le visage comme l&rsquo;exemple ci-contre.<\/strong><br \/>\nLes informations recueillies sont n\u00e9cessaires pour votre adh\u00e9sion. Elles font l\u2019objet d\u2019un traitement informatique et sont destin\u00e9es au secr\u00e9tariat de l\u2019association. En application de l\u2019article 34 de la loi du 6 janvier 1978, vous b\u00e9n\u00e9ficiez d\u2019un droit d\u2019acc\u00e8s et de rectification aux informations qui vous concernent. Si vous souhaitez exercer ce droit et obtenir la communication des informations vous concernant, veuillez-vous adresser au secr\u00e9tariat de l\u2019association.<\/p>\n<p>Avant de compl\u00e9ter ce formulaire d&rsquo;adh\u00e9sion, nous vous invitons \u00e0 <a href=\"https:\/\/www.avdanse.net\/?p=4702\" target=\"_blank\" rel=\"noopener\">consulter le r\u00e8glement int\u00e9rieur<\/a>.<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4637-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"4637\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fposts%2F4638#wpcf7-f4637-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4637\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4637-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"redirect_nonce\" value=\"eb1bc18179\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_name\" value=\"document-pdf\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_reference\" value=\"d7dbb84e\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_date\" value=\"17ao\u00fbt2026\" \/>\n<\/fieldset>\n<p><label> 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\" placeholder=\"\" value=\"\" type=\"text\" name=\"Nom\" \/><\/span> <\/label>\n<\/p>\n<p><label> 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\" placeholder=\"\" value=\"\" type=\"text\" name=\"Prenom\" \/><\/span> <\/label>\n<\/p>\n<p><label>Sexe<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Sexe\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Sexe\" value=\"F\u00e9minin\" \/><span class=\"wpcf7-list-item-label\">F\u00e9minin<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Sexe\" value=\"Masculin\" \/><span class=\"wpcf7-list-item-label\">Masculin<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<h3>Partie 1 : Inscription\n<\/h3>\n<p><label>Photo d'identit\u00e9 \/ portrait (\u00e0 t\u00e9l\u00e9charger)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Photo\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.jpeg,.png\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"Photo\" \/><\/span>\n<\/p>\n<p><label> Date de naissance<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Datedenaissance\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" max=\"2007-10-01\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"Datedenaissance\" \/><\/span> <\/label>\n<\/p>\n<p><label> Lieu de naissance<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Lieu\"><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=\"Lieu\" \/><\/span> <\/label>\n<\/p>\n<p><label> e-mail<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"mail\" \/><\/span> <\/label>\n<\/p>\n<p><label> Adresse postale<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><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=\"adresse\" \/><\/span> <\/label>\n<\/p>\n<p><label> Compl\u00e9ment d'adresse<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"complement\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"complement\" \/><\/span> <\/label>\n<\/p>\n<p><label>Code postal<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"CP\"><input size=\"40\" maxlength=\"6\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"60870\" type=\"text\" name=\"CP\" \/><\/span><\/label>\n<\/p>\n<p><label>Ville<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Ville\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"Villers-Saint-Paul\" type=\"text\" name=\"Ville\" \/><\/span><\/label>\n<\/p>\n<p><label>T\u00e9l\u00e9phone (portable si possible)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><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=\"tel\" \/><\/span><\/label>\n<\/p>\n<p><label>Pouvons-nous vous ajouter aux groupes WhatsApp de vos cours ?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Whatapp\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Whatapp\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Whatapp\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Adh\u00e9sion : 15\u20ac<\/label>\n<\/p>\n<p><label>Licence<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Licence\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Licence\" value=\"Licence A Loisirs : 24\u20ac  \/ an\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Licence A Loisirs : 24\u20ac  \/ an<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"Licence\" value=\"Licence B Comp\u00e9tition : 26 \u20ac  \/ an\" \/><span class=\"wpcf7-list-item-label\">Licence B Comp\u00e9tition : 26 \u20ac  \/ an<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"Licence\" value=\"Licence C Comp\u00e9tition nationale : 43 \u20ac \/ an\" \/><span class=\"wpcf7-list-item-label\">Licence C Comp\u00e9tition nationale : 43 \u20ac \/ an<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Licence\" value=\"Licence D Comp\u00e9tition internationale : 55 \u20ac \/ an\" \/><span class=\"wpcf7-list-item-label\">Licence D Comp\u00e9tition internationale : 55 \u20ac \/ an<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Cours<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Kuduro\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"Kuduro[]\" value=\"War Dance Afro\" \/><span class=\"wpcf7-list-item-label\">War Dance Afro<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"RaggaJam\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"RaggaJam[]\" value=\"Dancehall Mercredi\" \/><span class=\"wpcf7-list-item-label\">Dancehall Mercredi<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"StreetAdultes\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"StreetAdultes[]\" value=\"Street-Dance\" \/><span class=\"wpcf7-list-item-label\">Street-Dance<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ModernJazzAdultes\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ModernJazzAdultes[]\" value=\"Adultes\" \/><span class=\"wpcf7-list-item-label\">Adultes<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Confirmes\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"Confirmes[]\" value=\"Daenerys Crew\" \/><span class=\"wpcf7-list-item-label\">Daenerys Crew<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>T-shirt offert avant le 3 octobre :<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"CouleurA\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"CouleurA\" value=\"Bleu cara\u00efbe\" \/><span class=\"wpcf7-list-item-label\">Bleu cara\u00efbe<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"CouleurA\" value=\"Rose orchid\u00e9e\" \/><span class=\"wpcf7-list-item-label\">Rose orchid\u00e9e<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"CouleurA\" value=\"Jaune citron\" \/><span class=\"wpcf7-list-item-label\">Jaune citron<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"CouleurA\" value=\"Rouge\" \/><span class=\"wpcf7-list-item-label\">Rouge<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tailleA\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"tailleA\" value=\"S\" \/><span class=\"wpcf7-list-item-label\">S<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"tailleA\" value=\"M\" \/><span class=\"wpcf7-list-item-label\">M<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"tailleA\" value=\"L\" \/><span class=\"wpcf7-list-item-label\">L<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"tailleA\" value=\"XL\" \/><span class=\"wpcf7-list-item-label\">XL<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"tailleA\" value=\"XXL\" \/><span class=\"wpcf7-list-item-label\">XXL<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"tailleA\" value=\"3XL (sauf Bleu caraibe et jaune citron)\" \/><span class=\"wpcf7-list-item-label\">3XL (sauf Bleu caraibe et jaune citron)<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"facture\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"facture[]\" value=\"Je d\u00e9sire une facture\" \/><span class=\"wpcf7-list-item-label\">Je d\u00e9sire une facture<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"RI2\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"RI2[]\" value=\"Je reconnais avoir pris connaissance et accepte les clauses du r\u00e8glement int\u00e9rieur, en particulier la partie 6 relative au droit \u00e0 l\u2019image et l&#039;autorisation donn\u00e9e aux membres du bureau de prendre les \u00e9l\u00e8ves en photos et de publier celles-ci sur l\u2019espace d\u00e9di\u00e9 du site de l\u2019AVD.\" \/><span class=\"wpcf7-list-item-label\">Je reconnais avoir pris connaissance et accepte les clauses du r\u00e8glement int\u00e9rieur, en particulier la partie 6 relative au droit \u00e0 l\u2019image et l&#039;autorisation donn\u00e9e aux membres du bureau de prendre les \u00e9l\u00e8ves en photos et de publier celles-ci sur l\u2019espace d\u00e9di\u00e9 du site de l\u2019AVD.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"\" type=\"hidden\" name=\"today_date\" \/>\n<h3>Partie 2 : Questionnaire relatif \u00e0 l'\u00e9tat de sant\u00e9 du licenci\u00e9\n<\/h3>\n<p><b>Ce questionnaire de sant\u00e9 permet de savoir si vous devez fournir un certificat m\u00e9dical pour renouveler votre licence sportive.<\/b>\n<\/p>\n<p><b>Durant les douze derniers mois :<\/b><br \/>\n1. Un membre de votre famille est-il d\u00e9c\u00e9d\u00e9 subitement d'une cause cardiaque ou inexpliqu\u00e9e ?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"qa1\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"qa1\" value=\"oui\" \/><span class=\"wpcf7-list-item-label\">oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"qa1\" value=\"non\" \/><span class=\"wpcf7-list-item-label\">non<\/span><\/label><\/span><\/span><\/span><br \/>\n2. Avez-vous ressenti une douleur dans la poitrine, des palpitations, un essoufflement inhabituel ou un malaise ?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"qa2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"qa2\" value=\"oui\" \/><span class=\"wpcf7-list-item-label\">oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"qa2\" value=\"non\" \/><span class=\"wpcf7-list-item-label\">non<\/span><\/label><\/span><\/span><\/span><br \/>\n3. Avez-vous eu un \u00e9pisode de respiration sifflante (asthme) ?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"qa3\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"qa3\" value=\"oui\" \/><span class=\"wpcf7-list-item-label\">oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"qa3\" value=\"non\" \/><span class=\"wpcf7-list-item-label\">non<\/span><\/label><\/span><\/span><\/span><br \/>\n4. Avez-vous eu une perte de connaissance ?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"qa4\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"qa4\" value=\"oui\" \/><span class=\"wpcf7-list-item-label\">oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"qa4\" value=\"non\" \/><span class=\"wpcf7-list-item-label\">non<\/span><\/label><\/span><\/span><\/span><br \/>\n5. Avez-vous arr\u00eat\u00e9 le sport pendant 30 jours ou plus pour des raisons de sant\u00e9, avez-vous repris sans l'accord d'un m\u00e9decin ?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"qa5\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"qa5\" value=\"oui\" \/><span class=\"wpcf7-list-item-label\">oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"qa5\" value=\"non\" \/><span class=\"wpcf7-list-item-label\">non<\/span><\/label><\/span><\/span><\/span><br \/>\n6. Avez-vous d\u00e9but\u00e9 un traitement m\u00e9dical de longue dur\u00e9e (hors contraception et d\u00e9sensibilisation aux allergies) ?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"qa6\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"qa6\" value=\"oui\" \/><span class=\"wpcf7-list-item-label\">oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"qa6\" value=\"non\" \/><span class=\"wpcf7-list-item-label\">non<\/span><\/label><\/span><\/span><\/span><br \/>\n<b>A ce jour :<\/b><br \/>\n7. Ressentez-vous une douleur, un manque de force ou une raideur suite \u00e0 un probl\u00e8me osseux, articulaire ou musculaire (fracture, entorse, luxation, d\u00e9chirure, tendinite, etc.) survenu durant les 12 derniers mois ?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"qa7\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"qa7\" value=\"oui\" \/><span class=\"wpcf7-list-item-label\">oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"qa7\" value=\"non\" \/><span class=\"wpcf7-list-item-label\">non<\/span><\/label><\/span><\/span><\/span><br \/>\n8. Votre pratique sportive est-elle interrompue pour des raisons de sant\u00e9 ?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"qa8\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"qa8\" value=\"oui\" \/><span class=\"wpcf7-list-item-label\">oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"qa8\" value=\"non\" \/><span class=\"wpcf7-list-item-label\">non<\/span><\/label><\/span><\/span><\/span><br \/>\n9. Pensez-vous avoir besoin d'un avis m\u00e9dical pour poursuivre votre pratique sportive ?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"qa9\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"qa9\" value=\"oui\" \/><span class=\"wpcf7-list-item-label\">oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"qa9\" value=\"non\" \/><span class=\"wpcf7-list-item-label\">non<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>NB : Les r\u00e9ponses formul\u00e9es rel\u00e8vent de la seule responsabilit\u00e9 du licenci\u00e9 .<br \/>\nSi vous avez r\u00e9pondu \u00ab NON \u00bb \u00e0 toutes les questions : Pas de certificat m\u00e9dical \u00e0 fournir. Cependant, il faudra signer une d\u00e9claration sur l\u2019honneur \u00e0 votre structure mentionnant que vous n\u2019avez aucune contre-indication \u00e0 la pratique de la danse.<br \/>\nSi vous avez r\u00e9pondu \u00ab OUI \u00bb \u00e0 une ou plusieurs questions : Certificat m\u00e9dical \u00e0 fournir \u00e0 la structure. Consultez votre m\u00e9decin et pr\u00e9sentez-lui ce questionnaire renseign\u00e9.\n<\/p>\n<p><p><span class=\"wpcf7-form-control-wrap\"><input type=\"hidden\" name=\"f12_t\" value=\"1786918477.998ba2a1f3e9.923070617863facebc9d7aaa07397fcf\" \/><input type=\"hidden\" name=\"f12_c4f9f53ebf786934\" value=\"1786918477.5677\" \/><input type=\"hidden\" name=\"f12_690c92a87bb28eaa\" class=\"js_end_time\" value=\"\" \/><input type=\"hidden\" name=\"f12_069113f705407d50\" class=\"js_start_time\" value=\"\" \/><input id=\"f12_573f05ffc4725e2f\" type=\"text\" name=\"f12_573f05ffc4725e2f\" value=\"\" tabindex=\"-1\" aria-hidden=\"true\" autocomplete=\"off\" style=\"position:absolute!important; left:-9999px!important; top:auto!important; height:1px!important; width:1px!important; overflow:hidden!important;\"\/><input type=\"hidden\" name=\"behavior_nonce\" value=\"\" \/><script>\n(function(){\n\tvar el = document.currentScript;\n\tif (!el) return;\n\tvar form = el.closest(\"form\");\n\tif (!form || form.dataset.ssInit === \"1\") return;\n\tform.dataset.ssInit = \"1\";\n\tform.dataset.ssMode = \"protect\";\n\tform.dataset.ssSource = \"rule\";\n})();\n<\/script><\/span><\/p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Valider la demande d&#039;inscription\" \/>\n<\/p><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=\"12\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Avant de compl\u00e9ter ce formulaire, merci de vous assurer que vous avez une photo sur l&rsquo;appareil utilis\u00e9 (m\u00eame un selfie). La photo doit \u00eatre en mode portrait, centr\u00e9 sur le visage comme l&rsquo;exemple ci-contre. Les informations recueillies sont n\u00e9cessaires pour votre adh\u00e9sion. Elles font l\u2019objet d\u2019un traitement informatique et sont destin\u00e9es au secr\u00e9tariat de l\u2019association. [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":4684,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4638","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classe","has-thumbnail"],"_links":{"self":[{"href":"https:\/\/www.avdanse.net\/index.php?rest_route=\/wp\/v2\/posts\/4638","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.avdanse.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.avdanse.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.avdanse.net\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.avdanse.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4638"}],"version-history":[{"count":11,"href":"https:\/\/www.avdanse.net\/index.php?rest_route=\/wp\/v2\/posts\/4638\/revisions"}],"predecessor-version":[{"id":12111,"href":"https:\/\/www.avdanse.net\/index.php?rest_route=\/wp\/v2\/posts\/4638\/revisions\/12111"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.avdanse.net\/index.php?rest_route=\/wp\/v2\/media\/4684"}],"wp:attachment":[{"href":"https:\/\/www.avdanse.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4638"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.avdanse.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4638"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.avdanse.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}