{"id":18474,"date":"2021-08-01T19:44:34","date_gmt":"2021-08-01T17:44:34","guid":{"rendered":"https:\/\/www.judokwailausanne.ch\/?page_id=18474"},"modified":"2026-01-19T16:39:38","modified_gmt":"2026-01-19T15:39:38","slug":"formulaires-dinscription","status":"publish","type":"page","link":"https:\/\/www.judokwailausanne.ch\/?page_id=18474","title":{"rendered":"Formulaires d&rsquo;inscription"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_accordion _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bbRGBA(0,0,0,0)\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][et_pb_accordion_item title=\u00a0\u00bbInscription\u00a0\u00bb open=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb border_style_all=\u00a0\u00bbnone\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset2&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Cette inscription est d\u00e9finitive. nous invitons d\u00e8s lors \u00e0 faire un ou deux cours d&rsquo;essai sans engagement pr\u00e9alablement.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\u00a0\u00bbInscription en ligne\u00a0\u00bb _builder_version=\u00a0\u00bb4.18.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset2&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f23422-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"23422\">\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%2F18474#wpcf7-f23422-o1\" method=\"post\" class=\"wpcf7-form init cf7-style\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"23422\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f23422-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p><b>Inscription \u00e0: <\/b>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"TypeInscription\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"TypeInscription[]\" value=\"Baby-Judo Lausanne\" \/><span class=\"wpcf7-list-item-label\">Baby-Judo Lausanne<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"TypeInscription[]\" value=\"Judo Lausanne\" \/><span class=\"wpcf7-list-item-label\">Judo Lausanne<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"TypeInscription[]\" value=\"Judo Epalinges\" \/><span class=\"wpcf7-list-item-label\">Judo Epalinges<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"TypeInscription[]\" value=\"Judo Mont-sur-Lausanne\" \/><span class=\"wpcf7-list-item-label\">Judo Mont-sur-Lausanne<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"TypeInscription[]\" value=\"Ju-jitsu Epalinges\" \/><span class=\"wpcf7-list-item-label\">Ju-jitsu Epalinges<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><LABEL>Nom : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrNom\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"NOM\" value=\"\" type=\"text\" name=\"MbrNom\" \/><\/span><\/label>\n<\/p>\n<p>Pr\u00e9nom : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrPrenom\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Pr\u00e9nom\" value=\"\" type=\"text\" name=\"MbrPrenom\" \/><\/span>\n<\/p>\n<p>Sexe : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrSexe\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"MbrSexe\"><option value=\"F\u00e9minin\">F\u00e9minin<\/option><option value=\"Masculin\">Masculin<\/option><\/select><\/span>\n<\/p>\n<p>Date de naissance : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrDN\"><input size=\"12\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"jj.mm.aaaa\" value=\"\" type=\"text\" name=\"MbrDN\" \/><\/span>\n<\/p>\n<p>Nationalit\u00e9 : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrNationalite\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"suisse\" value=\"\" type=\"text\" name=\"MbrNationalite\" \/><\/span>\n<\/p>\n<p>N\u00b0 AVS : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrAVS\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"756.nnnn.nnnn.nn\" value=\"\" type=\"text\" name=\"MbrAVS\" \/><\/span>\n<\/p>\n<p>Rue et Num\u00e9ro : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrAdr\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"MbrAdr\"><\/textarea><\/span>\n<\/p>\n<p>Code postal : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrCP\"><input size=\"5\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MbrCP\" \/><\/span>\n<\/p>\n<p>Ville : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrVille\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MbrVille\" \/><\/span>\n<\/p>\n<p>T\u00e9l\u00e9phone : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrTel\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MbrTel\" \/><\/span>\n<\/p>\n<p>Natel : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrNatel\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MbrNatel\" \/><\/span>\n<\/p>\n<p>Email : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrEmail\"><input size=\"20\" 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=\"MbrEmail\" \/><\/span>\n<\/p>\n<p>Profession: <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrProfession\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MbrProfession\" \/><\/span>\n<\/p>\n<p><B>Si l\u2019\u00e9l\u00e8ve est mineur, \u00e0 remplir<\/b>\n<\/p>\n<p>Nom pr\u00e9nom du responsable l\u00e9gal : <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentName\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentName\" \/><\/span>\n<\/p>\n<p>Profession m\u00e8re (facultatif): <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentProfm\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentProfm\" \/><\/span>\n<\/p>\n<p>Natel : <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentNatelm\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentNatelm\" \/><\/span>\n<\/p>\n<p>Email : <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentEmailm\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentEmailm\" \/><\/span>\n<\/p>\n<p>Profession p\u00e8re (facultatif): <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentProfp\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentProfp\" \/><\/span>\n<\/p>\n<p>Natel : <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentNatelp\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentNatelp\" \/><\/span>\n<\/p>\n<p>Email : <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentEmailp\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentEmailp\" \/><\/span>\n<\/p>\n<p><B>Si l\u2019\u00e9l\u00e8ve vient d\u2019un autre club, \u00e0 remplir<\/b>\n<\/p>\n<p>Club ou \u00e9cole : <span class=\"wpcf7-form-control-wrap\" data-name=\"PrvClub\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PrvClub\" \/><\/span>\n<\/p>\n<p>Grades pr\u00e9c\u00e9dents (Judo et\/ou ju-jitsu) : <span class=\"wpcf7-form-control-wrap\" data-name=\"PrvGrade\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PrvGrade\" \/><\/span>\n<\/p>\n<p>N\u00b0 Passeport FSJ : <span class=\"wpcf7-form-control-wrap\" data-name=\"FSJNumber\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"FSJNumber\" \/><\/span>\n<\/p>\n<p><B>Signature<\/b>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-932\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-932\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> J'ai bien pris note que :\n<\/p>\n<UL>\n\t<LI>\n\t\t<p>pour les cours de Baby Judo : l'enfant doit \u00eatre \u00e2g\u00e9 de 4 \u00e0 6 ans\n\t\t<\/p>\n\t<\/li>\n\t<LI>\n\t\t<p>pour les cours de Judo l'enfant doit \u00eatre \u00e2g\u00e9 d'au moins 6 ans - minimum 3\u00e8me Harmos (classe de 3\u00e8me primaire) - au d\u00e9but du cours.\n\t\t<\/p>\n\t<\/li>\n\t<LI>\n\t\t<p>Cette inscription est d\u00e9finitive. Le r\u00e8glement et les dates exactes du cours vous seront transmis par mail \u00e0 r\u00e9ception de votre inscription.\n\t\t<\/p>\n\t<\/li>\n\t<LI>\n\t\t<p>Le num\u00e9ro AVS nous est demand\u00e9 par le programme d'encouragement du sport de la Conf\u00e9d\u00e9ration : voir <a target=\"_blank\" HREF=\"https:\/\/www.jeunesseetsport.ch\/\">Jeunesse+Sport (https:\/\/www.jeunesseetsport.ch\/)<\/a> \u00e0 ce sujet.\n\t\t<\/p>\n\t<\/li>\n\t<LI>\n\t\t<p>Le judo se pratiquant en kimono, vous pouvez en achetez un au club (prix indicatif : entre CHF 50.00 et 100.00 d\u00e9pendant de la taille) - voir <A target=\"_blank\" HREF=\"https:\/\/www.judokwailausanne.ch\/boutique\">notre boutique<\/a>.\n\t\t<\/p>\n\t<\/li>\n<\/ul>\n<p>Remarque \/ Question :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"5\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\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=\"141\"\/><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n\/* ]]> *\/\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/et_pb_accordion_item][et_pb_accordion_item title=\u00a0\u00bbInscription depuis les formulaires\u00a0\u00bb _builder_version=\u00a0\u00bb4.18.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset2&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb open=\u00a0\u00bboff\u00a0\u00bb]<\/p>\n<h3>Lausanne:<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/11\/01c.-Lausanne-Formulaire-dinscription-pour-adultes-v5-logo70ans.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d&rsquo;inscription pour les adultes (d\u00e8s 25 ans)<\/a><\/li>\n<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/11\/01d.-Lausanne-Formulaire-dinscription-pour-Jeunes-v5-logo70ans.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d&rsquo;inscription pour jeunes (6 &#8211; 24 ans)<\/a><\/li>\n<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/11\/01d.-Lausanne-Formulaire-dinscription-pour-BabyJudo-v5-logo70ans.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d&rsquo;inscription pour le baby judo (jusqu&rsquo;\u00e0 5ans)<\/a><\/li>\n<\/ul>\n<h3>Epalinges:<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/11\/Formulaire-dinscription-au-Judo-juniors-v5-logo-70ans.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d&rsquo;inscription au Judo<\/a><\/li>\n<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/09\/Formulaire-dinscription-au-Ju-jitsu-v5.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d&rsquo;inscription au Ju-jitsu<\/a><\/li>\n<\/ul>\n<h3>Mont sur Lausanne:<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/09\/Formulaire-dinscription-au-Judo-juniors-Le-Mont-v5.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d&rsquo;inscription au Judo<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cette inscription est d\u00e9finitive. nous invitons d\u00e8s lors \u00e0 faire un ou deux cours d&rsquo;essai sans engagement pr\u00e9alablement.\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f23422-o2\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"23422\">\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%2F18474#wpcf7-f23422-o2\" method=\"post\" class=\"wpcf7-form init cf7-style\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"23422\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f23422-o2\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p><b>Inscription \u00e0: <\/b>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"TypeInscription\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"TypeInscription[]\" value=\"Baby-Judo Lausanne\" \/><span class=\"wpcf7-list-item-label\">Baby-Judo Lausanne<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"TypeInscription[]\" value=\"Judo Lausanne\" \/><span class=\"wpcf7-list-item-label\">Judo Lausanne<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"TypeInscription[]\" value=\"Judo Epalinges\" \/><span class=\"wpcf7-list-item-label\">Judo Epalinges<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"TypeInscription[]\" value=\"Judo Mont-sur-Lausanne\" \/><span class=\"wpcf7-list-item-label\">Judo Mont-sur-Lausanne<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"TypeInscription[]\" value=\"Ju-jitsu Epalinges\" \/><span class=\"wpcf7-list-item-label\">Ju-jitsu Epalinges<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><LABEL>Nom : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrNom\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"NOM\" value=\"\" type=\"text\" name=\"MbrNom\" \/><\/span><\/label>\n<\/p>\n<p>Pr\u00e9nom : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrPrenom\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Pr\u00e9nom\" value=\"\" type=\"text\" name=\"MbrPrenom\" \/><\/span>\n<\/p>\n<p>Sexe : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrSexe\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"MbrSexe\"><option value=\"F\u00e9minin\">F\u00e9minin<\/option><option value=\"Masculin\">Masculin<\/option><\/select><\/span>\n<\/p>\n<p>Date de naissance : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrDN\"><input size=\"12\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"jj.mm.aaaa\" value=\"\" type=\"text\" name=\"MbrDN\" \/><\/span>\n<\/p>\n<p>Nationalit\u00e9 : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrNationalite\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"suisse\" value=\"\" type=\"text\" name=\"MbrNationalite\" \/><\/span>\n<\/p>\n<p>N\u00b0 AVS : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrAVS\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"756.nnnn.nnnn.nn\" value=\"\" type=\"text\" name=\"MbrAVS\" \/><\/span>\n<\/p>\n<p>Rue et Num\u00e9ro : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrAdr\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"MbrAdr\"><\/textarea><\/span>\n<\/p>\n<p>Code postal : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrCP\"><input size=\"5\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MbrCP\" \/><\/span>\n<\/p>\n<p>Ville : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrVille\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MbrVille\" \/><\/span>\n<\/p>\n<p>T\u00e9l\u00e9phone : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrTel\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MbrTel\" \/><\/span>\n<\/p>\n<p>Natel : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrNatel\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MbrNatel\" \/><\/span>\n<\/p>\n<p>Email : <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrEmail\"><input size=\"20\" 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=\"MbrEmail\" \/><\/span>\n<\/p>\n<p>Profession: <span class=\"wpcf7-form-control-wrap\" data-name=\"MbrProfession\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MbrProfession\" \/><\/span>\n<\/p>\n<p><B>Si l\u2019\u00e9l\u00e8ve est mineur, \u00e0 remplir<\/b>\n<\/p>\n<p>Nom pr\u00e9nom du responsable l\u00e9gal : <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentName\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentName\" \/><\/span>\n<\/p>\n<p>Profession m\u00e8re (facultatif): <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentProfm\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentProfm\" \/><\/span>\n<\/p>\n<p>Natel : <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentNatelm\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentNatelm\" \/><\/span>\n<\/p>\n<p>Email : <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentEmailm\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentEmailm\" \/><\/span>\n<\/p>\n<p>Profession p\u00e8re (facultatif): <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentProfp\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentProfp\" \/><\/span>\n<\/p>\n<p>Natel : <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentNatelp\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentNatelp\" \/><\/span>\n<\/p>\n<p>Email : <span class=\"wpcf7-form-control-wrap\" data-name=\"ParentEmailp\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ParentEmailp\" \/><\/span>\n<\/p>\n<p><B>Si l\u2019\u00e9l\u00e8ve vient d\u2019un autre club, \u00e0 remplir<\/b>\n<\/p>\n<p>Club ou \u00e9cole : <span class=\"wpcf7-form-control-wrap\" data-name=\"PrvClub\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PrvClub\" \/><\/span>\n<\/p>\n<p>Grades pr\u00e9c\u00e9dents (Judo et\/ou ju-jitsu) : <span class=\"wpcf7-form-control-wrap\" data-name=\"PrvGrade\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PrvGrade\" \/><\/span>\n<\/p>\n<p>N\u00b0 Passeport FSJ : <span class=\"wpcf7-form-control-wrap\" data-name=\"FSJNumber\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"FSJNumber\" \/><\/span>\n<\/p>\n<p><B>Signature<\/b>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-932\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-932\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> J'ai bien pris note que :\n<\/p>\n<UL>\n\t<LI>\n\t\t<p>pour les cours de Baby Judo : l'enfant doit \u00eatre \u00e2g\u00e9 de 4 \u00e0 6 ans\n\t\t<\/p>\n\t<\/li>\n\t<LI>\n\t\t<p>pour les cours de Judo l'enfant doit \u00eatre \u00e2g\u00e9 d'au moins 6 ans - minimum 3\u00e8me Harmos (classe de 3\u00e8me primaire) - au d\u00e9but du cours.\n\t\t<\/p>\n\t<\/li>\n\t<LI>\n\t\t<p>Cette inscription est d\u00e9finitive. Le r\u00e8glement et les dates exactes du cours vous seront transmis par mail \u00e0 r\u00e9ception de votre inscription.\n\t\t<\/p>\n\t<\/li>\n\t<LI>\n\t\t<p>Le num\u00e9ro AVS nous est demand\u00e9 par le programme d'encouragement du sport de la Conf\u00e9d\u00e9ration : voir <a target=\"_blank\" HREF=\"https:\/\/www.jeunesseetsport.ch\/\">Jeunesse+Sport (https:\/\/www.jeunesseetsport.ch\/)<\/a> \u00e0 ce sujet.\n\t\t<\/p>\n\t<\/li>\n\t<LI>\n\t\t<p>Le judo se pratiquant en kimono, vous pouvez en achetez un au club (prix indicatif : entre CHF 50.00 et 100.00 d\u00e9pendant de la taille) - voir <A target=\"_blank\" HREF=\"https:\/\/www.judokwailausanne.ch\/boutique\">notre boutique<\/a>.\n\t\t<\/p>\n\t<\/li>\n<\/ul>\n<p>Remarque \/ Question :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"5\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\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_2\" name=\"_wpcf7_ak_js\" value=\"100\"\/><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_2\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n\/* ]]> *\/\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\nLausanne: Formulaire d&rsquo;inscription pour les adultes (d\u00e8s 25 ans) Formulaire d&rsquo;inscription pour jeunes (6 &#8211; 24 ans) Formulaire d&rsquo;inscription pour le baby judo (jusqu&rsquo;\u00e0 5ans) Epalinges: Formulaire d&rsquo;inscription au Judo Formulaire d&rsquo;inscription au Ju-jitsu Mont [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":4112,"menu_order":90,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<h3>Lausanne:<\/h3>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/11\/01c.-Lausanne-Formulaire-dinscription-pour-adultes-v5-logo70ans.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d'inscription pour les adultes (d\u00e8s 25 ans)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/11\/01d.-Lausanne-Formulaire-dinscription-pour-Jeunes-v5-logo70ans.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d'inscription pour jeunes (6 - 24 ans)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/11\/01d.-Lausanne-Formulaire-dinscription-pour-BabyJudo-v5-logo70ans.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d'inscription pour le baby judo (jusqu'\u00e0 5ans)<\/a><\/li>\r\n<\/ul>\r\n<h3>Epalinges:<\/h3>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/11\/Formulaire-dinscription-au-Judo-juniors-v5-logo-70ans.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d'inscription au Judo<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/09\/Formulaire-dinscription-au-Ju-jitsu-v5.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d'inscription au Ju-jitsu<\/a><\/li>\r\n<\/ul>\r\n<h3>Mont sur Lausanne:<\/h3>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.judokwailausanne.ch\/cmsv3\/wp-content\/uploads\/2022\/09\/Formulaire-dinscription-au-Judo-juniors-Le-Mont-v5.pdf\" target=\"_blank\" rel=\"noopener\">Formulaire d'inscription au Judo<\/a><\/li>\r\n<\/ul>\r\nCette inscription est d\u00e9finitive. nous invitons d\u00e8s lors \u00e0 faire un ou deux cours d'essai sans engagement pr\u00e9alablement.\r\n\r\n<iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/vV7g3ppTA_Q\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe>","_et_gb_content_width":"","footnotes":""},"class_list":["post-18474","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.judokwailausanne.ch\/index.php?rest_route=\/wp\/v2\/pages\/18474","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.judokwailausanne.ch\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.judokwailausanne.ch\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.judokwailausanne.ch\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.judokwailausanne.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18474"}],"version-history":[{"count":17,"href":"https:\/\/www.judokwailausanne.ch\/index.php?rest_route=\/wp\/v2\/pages\/18474\/revisions"}],"predecessor-version":[{"id":29039,"href":"https:\/\/www.judokwailausanne.ch\/index.php?rest_route=\/wp\/v2\/pages\/18474\/revisions\/29039"}],"up":[{"embeddable":true,"href":"https:\/\/www.judokwailausanne.ch\/index.php?rest_route=\/wp\/v2\/pages\/4112"}],"wp:attachment":[{"href":"https:\/\/www.judokwailausanne.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}