{"id":136,"date":"2017-06-14T21:57:06","date_gmt":"2017-06-14T19:57:06","guid":{"rendered":"http:\/\/eglise-catholique-valdorge.fr\/?page_id=136"},"modified":"2017-10-06T18:19:43","modified_gmt":"2017-10-06T16:19:43","slug":"formulaire-demande-de-bapteme","status":"publish","type":"page","link":"https:\/\/eglise-catholique-valdorge.fr\/?page_id=136","title":{"rendered":"Formulaire demande de bapt\u00eame b\u00e9b\u00e9"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f122-o1\" lang=\"fr-FR\" dir=\"ltr\">\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%2Fpages%2F136#wpcf7-f122-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=\"122\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.7\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f122-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><label> Votre nom (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Votre e-mail (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Votre paroisse (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-483\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-483\"><option value=\"Fleury-M\u00e9rogis\">Fleury-M\u00e9rogis<\/option><option value=\"Morsang sur Orge\">Morsang sur Orge<\/option><option value=\"Sainte Genevi\u00e8ve des Bois\">Sainte Genevi\u00e8ve des Bois<\/option><option value=\"Saint Michel sur Orge)\">Saint Michel sur Orge)<\/option><option value=\"Villemoisson sur Orge\">Villemoisson sur Orge<\/option><\/select><\/span><br \/>\n<label> Nom futur(e) baptis\u00e9(e) (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-nomenfant\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-nomenfant\" \/><\/span><br \/>\n<label> Pr\u00e9nom futur(e) baptis\u00e9(e) (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-prenomenfant\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-prenomenfant\" \/><\/span><br \/>\n<label> Date de naissance futur(e) baptis\u00e9(e) (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-838\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-838\" \/><\/span><br \/>\n<label> Lieu de naissance futur(e) baptis\u00e9(e) (ville + pays) (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-lieunaissance\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-lieunaissance\" \/><\/span><br \/>\n<label> Nom du p\u00e8re (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-fathername\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-fathername\" \/><\/span><br \/>\n<label> Pr\u00e9nom du p\u00e8re (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-fatherfirstname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-fatherfirstname\" \/><\/span><br \/>\n<label> T\u00e9l\u00e9phone du p\u00e8re<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-fatherphone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-fatherphone\" \/><\/span><br \/>\n<label> Adresse mail du p\u00e8re<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-fatheremail\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-fatheremail\" \/><\/span><br \/>\n<label> Nom de la m\u00e8re (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-mothername\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-mothername\" \/><\/span><br \/>\n<label> Pr\u00e9nom de la m\u00e8re (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-motherfirstname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-motherfirstname\" \/><\/span><br \/>\n<label> T\u00e9l\u00e9phone de la m\u00e8re<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-motherphone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-motherphone\" \/><\/span><br \/>\n<label> Adresse mail de la m\u00e8re<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-motheremail\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-motheremail\" \/><\/span><br \/>\n<label> Adresse futur(e) baptis\u00e9(e) (obligatoire)<br \/>\n* N\u00b0 et rue : <span class=\"wpcf7-form-control-wrap\" data-name=\"your-street-adress\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-street-adress\"><\/textarea><\/span><br \/>\n* Code Postal : <span class=\"wpcf7-form-control-wrap\" data-name=\"your-zipcode-adress\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-zipcode-adress\" \/><\/span><br \/>\n* Ville : <span class=\"wpcf7-form-control-wrap\" data-name=\"your-town-adress\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-town-adress\" \/><\/span><br \/>\nMerci de nous indiquer 3 possibilit\u00e9s de date de bapt\u00eame<br \/>\nnous veillerons \u00e0 satisfaire votre premi\u00e8re demande en tenant compte des possibilit\u00e9s de la paroisse<br \/>\n<label> 1er Souhait de date de bapt\u00eame (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datebaptemesouhaite\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"datebaptemesouhaite\" \/><\/span><br \/>\n<label> 2\u00e8me Souhait de date de bapt\u00eame (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datebaptemesouhaite2\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"datebaptemesouhaite2\" \/><\/span><br \/>\n<label> 3\u00e8me Souhait de date de bapt\u00eame (obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datebaptemesouhaite3\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"datebaptemesouhaite3\" \/><\/span><br \/>\n<label> Remarques, demandes... :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"request\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"request\"><\/textarea><\/span><br \/>\n<label><br \/>\n<input class=\"wpcf7-form-control has-spinner wpcf7-submit\" type=\"submit\" value=\"Envoyer\" \/><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label><\/label>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"kt_blocks_editor_width":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/eglise-catholique-valdorge.fr\/index.php?rest_route=\/wp\/v2\/pages\/136"}],"collection":[{"href":"https:\/\/eglise-catholique-valdorge.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eglise-catholique-valdorge.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eglise-catholique-valdorge.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eglise-catholique-valdorge.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=136"}],"version-history":[{"count":3,"href":"https:\/\/eglise-catholique-valdorge.fr\/index.php?rest_route=\/wp\/v2\/pages\/136\/revisions"}],"predecessor-version":[{"id":456,"href":"https:\/\/eglise-catholique-valdorge.fr\/index.php?rest_route=\/wp\/v2\/pages\/136\/revisions\/456"}],"wp:attachment":[{"href":"https:\/\/eglise-catholique-valdorge.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=136"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}