{"id":38895,"date":"2022-08-16T09:35:56","date_gmt":"2022-08-16T19:35:56","guid":{"rendered":"https:\/\/www.service-public.pf\/dsp\/?page_id=38895"},"modified":"2023-01-20T11:54:36","modified_gmt":"2023-01-20T21:54:36","slug":"formulaire-apa","status":"publish","type":"page","link":"https:\/\/www.service-public.pf\/dsp\/formulaire-apa\/","title":{"rendered":"Formulaire APA"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><!-- ***************** CSS ***************** -->\n<style>\n\n    .custom-button {\n        font-size: 14px;\n        line-height: 17px;\n        padding: 13px 29px;\n        background: #3697c3;\n        color: #ffffff;\n        border-color: #105378;\n        font-family: PT Sans;\n        font-weight: 400;\n        font-style: normal;\n        letter-spacing: 0px;\n        border-width: 0px;\n        border-style: solid;\n        border-radius: 0px;\n        text-transform: uppercase;\n        transition: all .2s;\n        cursor: pointer;\n    }\n\n\n\n    fieldset:not(:first-of-type) {\n        display: none;\n    }\n\n    \/*progressbar*\/\n    #progressbar {\n        margin: 24px 20px 42px 20px;\n        overflow: hidden;\n        \/*CSS counters to number the steps*\/\n        counter-reset: step;\n    }\n\n    #progressbar li {\n        list-style-type: none;\n        color: rgb(0, 0, 0);\n        text-transform: uppercase;\n        font-size: 11px;\n        width: 33.33%;\n        float: left;\n        position: relative;\n        text-align: center;\n    }\n\n    #progressbar li:before {\n        content: counter(step) \" \u00e9tape\";\n        counter-increment: step;\n        width: 50px;\n        line-height: 20px;\n        display: block;\n        font-size: 13px;\n        color: #333;\n        background: white;\n        border-radius: 3px;\n        margin: 0 auto 5px auto;\n    }\n\n    \/*progressbar connectors*\/\n    #progressbar li:after {\n        content: '';\n        width: 100%;\n        height: 2px;\n        background: white;\n        position: absolute;\n        left: -50%;\n        top: 9px;\n        z-index: -1;\n        \/*put it behind the numbers*\/\n    }\n\n    #progressbar li:first-child:after {\n        \/*connector not needed before the first step*\/\n        content: none;\n    }\n\n    \/*marking active\/completed steps green*\/\n    \/*The number of the step and the connector before it = green*\/\n    #progressbar li.active:before,\n    #progressbar li.active:after {\n        background: #3697C3;\n        color: white;\n    }\n    #progressbar li.current {\n        font-size: 21px;\n        font-weight: bold;\n    }\n    \/* Titres *\/\n    h2.titre-2{\n        border-style: solid;\n        border-width: thin;\n        text-align: center;\n        padding-left: 20px;\n    }\n    h3.titre-3{\n        font-weight: 500;\n        padding-left: 20px;\n    }\n    div.titre-under {\n        font-size: 1.7rem;\n        text-decoration: underline;\n        padding:20px 20px 20px 20px;\n\n    }\n    span.titre-under {\n        font-size: 1.7rem;\n        text-decoration: underline;\n    }\n    \/* Petites \u00e9critures *\/\n    .mini-font{\n        font-size: 14px;\n        margin-bottom: 10px;\n    }\n    \/* checkbox r\u00e9agencement *\/\n    .wpcf7-list-item{\n        display: block;\n    }\n    span#section-sport .wpcf7-list-item {\n        padding: 20px 0 0 0;\n    }\n    span#section-sport .wpcf7-list-item:nth-child(1) {\n        padding: 0px;\n    }\n    \/* ************ APA-SS ********************\/\n    #APA-SS{\n        content: \"\\a\";\n        white-space: pre;\n    }\n    span#apa-ss-id > span:first-child{\n        padding-bottom: 20px;\n    }\n    p.intervenant{\n        font-size: 1.8rem;\n    }\n    .indented{\n        padding-left: 20px;\n    }\n    .titre-under.indented{\n        padding-left: 20px;\n    }\n   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sizeInOctets = sizeInMo * 1024 * 1024;\n\n        let _log = function(print_msg, optional_param, error){\n            parameters['logs'] && (!error ? console.log(print_msg, optional_param !== undefined ? optional_param : ' ') : console.error(print_msg, optional_param || \"\"));\n        }\n        \/*** Next function ***\/\n        $(\".next\").click(function () {\n            var IDs = getAllIdsOfRequiredFields();\n            var IDsCheckboxes = getAllIdsOfRequiredCheckboxes();\n            var tabIDsSize = getAllIdsOfTypeFile();\n\n            removeWarnings([IDs,IDsCheckboxes,tabIDsSize]);\n            if(currentIsValid(IDs, IDsCheckboxes, tabIDsSize) ){\n\n                if (animating) return false;\n                animating = true;\n                warned = false;\n                current_fs = $(this).closest(\".fs-formulaire\");\n                _log(current_fs);\n                next_fs = $(this).closest(\".fs-formulaire\").next();\n                \/\/activate next step on progressbar using the index of next_fs\n                $(\"#progressbar li\").eq($(\"fieldset\").index(next_fs)).addClass(\"active\");\n                $(\"#progressbar li\").eq($(\"fieldset\").index(next_fs)).addClass(\"current\");\n                $(\"#progressbar li\").eq($(\"fieldset\").index(current_fs)).removeClass(\"current\");\n                \/\/show the next fieldset\n                next_fs.show();\n                \/\/hide the current fieldset with style\n                current_fs.animate({ opacity: 0 }, {\n                    step: function (now, mx) {\n                        \/\/as the opacity of current_fs reduces to 0 - stored in \"now\"\n                        \/\/1. scale current_fs down to 80%\n                        scale = 1 - (1 - now) * 0.2;\n                        \/\/2. bring next_fs from the right(50%)\n                        left = (now * 50) + \"%\";\n                        \/\/3. increase opacity of next_fs to 1 as it moves in\n                     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$(this).closest(\".fs-formulaire\");\n            previous_fs = $(this).closest(\".fs-formulaire\").prev();\n            _log(current_fs);\n            \/\/de-activate current step on progressbar\n            $(\"#progressbar li\").eq($(\"fieldset\").index(current_fs)).removeClass(\"active\");\n            $(\"#progressbar li\").eq($(\"fieldset\").index(current_fs)).removeClass(\"current\");\n            $(\"#progressbar li\").eq($(\"fieldset\").index(previous_fs)).addClass(\"current\");\n            \/\/show the previous fieldset\n            previous_fs.show();\n            \/\/hide the current fieldset with style\n            current_fs.animate({ opacity: 0 }, {\n                step: function (now, mx) {\n                    \/\/as the opacity of current_fs reduces to 0 - stored in \"now\"\n                    \/\/1. scale previous_fs from 80% to 100%\n                    scale = 0.8 + (1 - now) * 0.2;\n                    \/\/2. take current_fs to the right(50%) - from 0%\n                    left = ((1 - now) * 50) + \"%\";\n                    \/\/3. increase opacity of previous_fs to 1 as it moves in\n                    opacity = 1 - now;\n                    current_fs.css({ 'left': left });\n                    previous_fs.css({ 'transform': 'scale(' + scale + ')', 'opacity': opacity });\n                },\n                duration: 200,\n                complete: function () {\n                    current_fs.hide();\n                    animating = false;\n                },\n                \/\/this comes from the custom easing plugin\n                easing: 'easeInOutBack'\n            });\n            var delayInMilliseconds = 1000; \/\/1 second\n            setTimeout(function () {\n                \/\/your code to be executed after 1 second\n            }, delayInMilliseconds);\n            document.querySelector('.fusion-page-title-wrapper').scrollIntoView();\n            var IDs = getAllIdsOfRequiredFields();\n            var IDsCheckboxes = getAllIdsOfRequiredCheckboxes();\n            removeWarnings([IDs,IDsCheckboxes]);\n        });\n\n        \/***** Modification des labels pour int\u00e9grer l'HTML ******\/\n        $(\"#professionel-APS > span > label > span\").html(\"Enseignant en Activit\u00e9 Physique Adapt\u00e9e (les personnes titulaires d\u2019une <b>Licence STAPS<\/b> (Sciences et Techniques des Activit\u00e9s Physiques et Sportives) <b>APA <\/b>(Activit\u00e9 Physique Adapt\u00e9e) \/ <b>APA-S<\/b> (Activit\u00e9 Physique Adapt\u00e9e et Sant\u00e9) d\u00e9livr\u00e9 conform\u00e9ment aux dispositions de <b>l\u2019article L. 613-1 du code de l\u2019\u00e9ducation (dans sa version applicable en Polyn\u00e9sie fran\u00e7aise)<\/b>.\");\n        $(\"#educateur-id > span > label > span\").html(\"Educateur sportif titulaire du certificat compl\u00e9mentaire \u201csport-sant\u00e9\u201d <u>(les personnes titulaires d\u2019une <b>qualification professionnelle d\u2019\u00e9ducateur sportif de niveau IV ou sup\u00e9rieur<\/b> et du certificat compl\u00e9mentaire \u00ab sport-sant\u00e9 \u00bb institu\u00e9 par <b>l\u2019arr\u00eat\u00e9 n\u00b0 508 CM du 4 avril 2019<\/b> ).<\/u>\");\n        $(\"#kine-masseur > span > label > span\").html(\"Masseur-Kin\u00e9sith\u00e9rapeute <u>(encadrement de la pratique de la <b>gymnastique hygi\u00e9nique d\u2019entretien ou pr\u00e9ventive).<\/b><\/u>\");\n        let textApaSs = \"<b>J\u2019accepte que mon adresse mail soit utilis\u00e9e par la Direction de la sant\u00e9 pour recevoir des informations relatives \u00e0 l\u2019APA et au sport-sant\u00e9.<\/b>\";\n        let textCharteStep1 = \"<b>J'ai lu et j'accepte les conditions de r\u00e9f\u00e9rencement.<\/b>\";\n        let textprosante1 = \"Enseignant en Activit\u00e9 Physique Adapt\u00e9e (les personnes titulaires d\u2019une <b>Licence STAPS<\/b> (Sciences et Techniques des Activit\u00e9s Physiques et Sportives) <b>APA<\/b> (Activit\u00e9 Physique Adapt\u00e9e) \/ <b>APA-S<\/b> (Activit\u00e9 Physique Adapt\u00e9e et Sant\u00e9) d\u00e9livr\u00e9 conform\u00e9ment aux dispositions de <b>l\u2019article L. 613-1 du code de l\u2019\u00e9ducation (dans sa version applicable en Polyn\u00e9sie fran\u00e7aise)<\/b>.\\n\";\n        let textprosante2 = \"\u00c9ducateur sportif titulaire du certificat compl\u00e9mentaire \u201csport-sant\u00e9\u201d (les personnes titulaires d\u2019une <b>qualification professionnelle d\u2019\u00e9ducateur sportif de niveau IV ou sup\u00e9rieur<\/b> et du certificat compl\u00e9mentaire \u00ab sport-sant\u00e9 \u00bb institu\u00e9 par <b>l\u2019arr\u00eat\u00e9 n\u00b0 508 CM du 4 avril 2019 ).<\/b>\";\n        $(\"#charte-id-APA > span > label > span\").html(textApaSs);\n        $(\"#charte-id-SS > span > label > span\").html(textApaSs);\n        $(\"#charte-step-1 > span > label > span\").html(textCharteStep1);\n        $(\"span#section-sport.wpcf7-form-control.wpcf7-radio .wpcf7-list-item:nth-child(2) label 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files upload *************\/\n        let getAllIdsOfTypeFile = () => {\n            \/\/ return document.querySelectorAll(\"input[type=file]\");\n            let IDs = [];\n            $('input[type=file]').each(function(){\n\n                if($(`#${this.id}`).is(\":visible\") && $(`#${this.id}`).hasClass(\"wpcf7-validates-as-required\"))\n                    IDs.push(this.id);\n            });\n            return IDs;\n        }\n\n\n        let isFieldsValid = (tabIDs) => {\n            for(let i = 0; i< tabIDs.length; i++){\n                if($(`#${tabIDs[i]}`).val() && isValidEmailOrNotAnEmail(tabIDs[i]) && isValidPhoneOrNotPhone(tabIDs[i]) && isValidDateOrNotADate(tabIDs[i])){\n                }\n                else{\n                    return false;\n                }\n            }\n            return true;\n        }\n\n        let isValidCheckboxes = (tabIDs) => {\n            for(let i = 0; i< tabIDs.length; i++){\n                if(jQuery(`#${tabIDs[i]} input[type=checkbox]:checked`).length){}\n                else{\n                    return false;\n                }\n            }\n            return true;\n        }\n\n        \/****** Check if current form is valid *****\/\n        function currentIsValid(tabIDs, tabIDsCheckboxes, tabIDsSize){\n            return (isFieldsValid(tabIDs) && isValidCheckboxes(tabIDsCheckboxes) && isValidSize(tabIDsSize));\n        }\n        \/****** Check if all file fields are valid *****\/\n        let isValidSize = (tabIDs) => {\n            let i = 0;\n            while( i < tabIDs.length){\n                if (document.querySelector(`#${tabIDs[i]}`).files[0].size > sizeInOctets){\n                    return false;\n                }\n                i++;\n            }\n            return true;\n        }\n        \/*********** RemoveAllshownWarnings *************\/\n        let removeWarning = (id) => {\n            $(`#${id} + .warning`).hide();\n        }\n        \/************ Only for the 1st 2 steps ******************\/\n        let showWarnings = (tabIDs, tabIDsCheckboxes, tabIDsSize) => {\n\n            tabIDs.forEach((e) => {\n                removeWarning(e);\n                if(!$(`#${e}`).val() && isValidEmailOrNotAnEmail(e) && isValidPhoneOrNotPhone(e) && isValidDateOrNotADate(e)){\n                    $(`#${e}`).after(\"<span class=\\\"warning\\\" style=\\\"color:red\\\">Ce champ est obligatoire. <\/span>\")\n                }\n                else if(!isValidEmailOrNotAnEmail(e)){\n                    $(`#${e}`).after(\"<span class=\\\"warning\\\" style=\\\"color:red\\\">Champ email non valide. <\/span>\")\n                }\n                else if(!isValidPhoneOrNotPhone(e)){\n                    $(`#${e}`).after(\"<span class=\\\"warning\\\" style=\\\"color:red\\\">Champ t\u00e9l\u00e9phone non valide. <\/span>\")\n                }\n                else if(!isValidDateOrNotADate(e)){\n                    $(`#${e}`).after(\"<span class=\\\"warning\\\" style=\\\"color:red\\\">Votre carte professionnelle a expir\u00e9.<\/span>\")\n                }\n            })\n\n            tabIDsCheckboxes.forEach((e) => {\n                removeWarning(e);\n                if(!$(`#${e} input[type=checkbox]:checked`).length){\n                    $(`#${e}`).after(\"<span class=\\\"warning\\\" style=\\\"color:red\\\">Ce champ est obligatoire. <\/span>\")\n                }\n            })\n\n            tabIDsSize.forEach((e) => {\n                removeWarning(e);\n                if($(`#${e}`).val() == ''){\n                    $(`#${e}`).after(\"<span class=\\\"warning\\\" style=\\\"color:red\\\">Ce champ est obligatoire<\/span>\");\n                }\n                else if (document.querySelector(`#${e}`).files[0].size > sizeInOctets){\n                    $(`#${e}`).after(\"<span class=\\\"warning\\\" style=\\\"color:red\\\">Ce fichier est trop volumineux. <\/span>\");\n                }\n\n            })\n        }\n        let removeWarnings = (containerOfTabs) =>{\n            containerOfTabs.forEach((tabId) =>{\n                tabId.forEach((e) => {\n                    removeWarning(e);\n                })\n            })\n        }\n\n        let validatePhone = (str) => {\n            const regexPhoneNumber = \/^\\+?\\d{1,4}?[-.\\s]?\\(?\\d{1,3}?\\)?[-.\\s]?\\d{1,4}[-.\\s]?\\d{1,4}[-.\\s]?\\d{1,9}$\/;\n            if (str.match(regexPhoneNumber)) {\n                return true;\n            } else {\n                return false;\n            }\n        }\n\n        let validateDate = (d1) => {\n            if (d1 > formatDate(new Date())) {\n                return true\n            } else  {\n                return false\n            }\n        }\n        function formatDate(date) {\n            var d = new Date(date),\n                month = '' + (d.getMonth() + 1),\n                day = '' + d.getDate(),\n                year = d.getFullYear();\n\n            if (month.length < 2)\n                month = '0' + month;\n            if (day.length < 2)\n                day = '0' + day;\n\n            return [year, month, day].join('-');\n        }\n\n        let isValidDateOrNotADate = (e) => {\n            if($(`#${e}`).is(\"input[type=\\\"date\\\"]\")){\n                _log(\"It is a date but is it valid ?\");\n                return validateDate($(`#${e}`).val());\n            }\n            return true;\n        }\n        let isValidPhoneOrNotPhone = (e) => {\n            if($(`#${e}`).is(\"input[type=\\\"tel\\\"]\")){\n                _log(\"It is a phone field but is it valid ?\");\n                return validatePhone($(`#${e}`).val());\n            }\n            return true;\n        }\n        let isValidEmailOrNotAnEmail = (e) => {\n            if($(`#${e}`).is(\"input[type=\\\"email\\\"]\")){\n                _log(\"It is an email but is it valid ?\");\n                return validateEmail($(`#${e}`).val());\n            }\n            return true;\n        }\n        \/*************************************************************\/\n        function validateEmail(email){\n            return email.match(\n                \/^(([^<>()[\\]\\\\.,;:\\s@\\\"]+(\\.[^<>()[\\]\\\\.,;:\\s@\\\"]+)*)|(\\\".+\\\"))@((\\[[0-9]{1,3}\\.[0-9]{1,3}\\.[0-9]{1,3}\\.[0-9]{1,3}\\])|(([a-zA-Z\\-0-9]+\\.)+[a-zA-Z]{2,}))$\/\n            );\n        }\n    });\n<\/script>\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f34253-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"34253\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/dsp\/wp-json\/wp\/v2\/pages\/38895\/#wpcf7-f34253-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"34253\" \/>\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-f34253-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:34253,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;kine&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;kine-mass&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;struct&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;label-struct&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Je repr\\u00e9sente une structure&quot;}]},{&quot;then_field&quot;:&quot;inde&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;label-struct&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Je suis ind\\u00e9pendant(e)&quot;}]},{&quot;then_field&quot;:&quot;aps-pro&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;label-section-sport&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;APA&quot;}]},{&quot;then_field&quot;:&quot;educateur-pro&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;label-section-sport&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;SS&quot;}]},{&quot;then_field&quot;:&quot;infos-carte&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;label-section-sport&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;Je ne suis pas professionnel du sport&quot;}]},{&quot;then_field&quot;:&quot;h-etp&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;label-h-ETP&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Oui&quot;}]},{&quot;then_field&quot;:&quot;group-apa&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;radio-apa-ss&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;APA - Activit\\u00e9 Physique Adapt\\u00e9e \\u00e0 but th\\u00e9rapeutique, sous prescription m\\u00e9dicale, pour un public qui pr\\u00e9sente des besoins sp\\u00e9cifiques de sant\\u00e9, de participation sociale ou d\\u2019inclusion du fait d\\u2019une maladie, d\\u2019une limitation fonctionnelle mod\\u00e9r\\u00e9e \\u00e0 s\\u00e9v\\u00e8re (adapt\\u00e9e \\u00e0 la personne dans sa globalit\\u00e9, et s\\u00e9curis\\u00e9e au maximum).&quot;}]},{&quot;then_field&quot;:&quot;group-ss&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;radio-apa-ss&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Sport-Sant\\u00e9 - Offres Sport-Sant\\u00e9, hors pr\\u00e9tention th\\u00e9rapeutique : pratique d&#039;Activit\\u00e9s Physiques et Sportives accessible aux patients avec des limitations fonctionnelles minimes voire aucune, suffisamment autonomes et capables de s&#039;adapter au niveau g\\u00e9n\\u00e9ral d&#039;un groupe, le plus souvent dans le cadre de pratiques de type \\u00ab douces \\u00bb ou \\u00ab de remise en forme \\u00bb.&quot;}]},{&quot;then_field&quot;:&quot;more-struct&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;type-struct&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Autre, pr\\u00e9ciser : ...&quot;}]},{&quot;then_field&quot;:&quot;commun&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;label-struct&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;\\&quot;\\&quot;&quot;}]},{&quot;then_field&quot;:&quot;more-struct2&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;fonction-struct-referent&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Autre, pr\\u00e9ciser : ...&quot;}]},{&quot;then_field&quot;:&quot;intervenant&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;intervenant-chkbx&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;Le r\\u00e9f\\u00e9rent APA et\\\/ou sport-sant\\u00e9 de la structure est aussi l&#039;intervenant de la structure&quot;}]},{&quot;then_field&quot;:&quot;empty&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;intervenant-chkbx&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Le r\\u00e9f\\u00e9rent APA et\\\/ou sport-sant\\u00e9 de la structure est aussi l&#039;intervenant de la structure&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/>\n<\/div>\n<ul id=\"progressbar\">\n\t<li class=\"active current\">\n\t\t<p>Consentement\n\t\t<\/p>\n\t<\/li>\n\t<li class=\"\">\n\t\t<p>Informations g\u00e9n\u00e9rales\n\t\t<\/p>\n\t<\/li>\n\t<li class=\"\">\n\t\t<p>Informations sur l'offre\n\t\t<\/p>\n\t<\/li>\n<\/ul>\n<fieldset class=\"fs-formulaire\">\n\t<div class=\"lastDiv\">\n\t\t<p><i>Ce traitement est fond\u00e9 sur notre mission d\u2019int\u00e9r\u00eat public de pr\u00e9vention en sant\u00e9 publique. Il permet le recensement des professionnels du sport form\u00e9s \u00e0 l\u2019Activit\u00e9 Physique Adapt\u00e9e (APA) et\/ou au sport-sant\u00e9 et permettra l\u2019\u00e9tablissement d\u2019une cartographie dynamique accessible sur notre site internet. Les usagers souhaitant b\u00e9n\u00e9ficier d\u2019une prise en charge sp\u00e9cifique pourront s\u2019informer et les m\u00e9decins prescripteurs pourront orienter leurs patients vers de professionnels du sport qualifi\u00e9s.<\/i>\n\t\t<\/p>\n\t\t<p>Une fois r\u00e9f\u00e9renc\u00e9(e), nous publierons sur notre site internet les donn\u00e9es suivantes : votre nom ou celui de votre structure, vos coordonn\u00e9es professionnelles et l\u2019offre APA et\/ou sport-sant\u00e9 propos\u00e9e.\n\t\t<\/p>\n\t\t<p><i>Votre r\u00e9f\u00e9rencement est une d\u00e9marche bas\u00e9e sur le volontariat. Vos donn\u00e9es sont conserv\u00e9es tout au long de ce dernier. Vous pouvez demander \u00e0 ne plus faire partie de notre r\u00e9f\u00e9rencement ou exercer vos droits d\u2019acc\u00e8s, de rectification, de limitation et de suppression de vos donn\u00e9es en vous adressant \u00e0 l\u2019adresse<br \/>\n<a href=\"mailto:communication@sante.gov.fr\">communication@sante.gov.pf<\/a>.<\/i>\n\t\t<\/p>\n\t\t<p><i>Vous pouvez contacter notre d\u00e9l\u00e9gu\u00e9e \u00e0 la protection des donn\u00e9es \u00e0 l\u2019adresse <a href=\"mailto:dpo@administration.gov.pf\">dpo@administration.gov.pf<\/a> ou saisir a CNIL d\u2019une r\u00e9clamation, si vous estimez que vos droits ne sont pas respect\u00e9s.<\/i>\n\t\t<\/p>\n\t\t<p><i>Si vous le souhaitez, vous pouvez recevoir de la Direction de la sant\u00e9, des informations relatives \u00e0 l\u2019APA et au sport-sant\u00e9. L\u2019utilisation de votre adresse mail \u00e0 cette fin est soumise \u00e0 votre consentement. Vous pourrez la retirer \u00e0 tout moment en vous adressant \u00e0 l\u2019adresse<br \/>\n<a href=\"mailto:communication@sante.gov.pf\">communication@sante.gov.pf<\/a>.<\/i>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"charte-step-1\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\" id=\"charte-step-1\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"charte-step-1[]\" value=\"a\" \/><span class=\"wpcf7-list-item-label\">a<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"charte-SS\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"charte-id-SS\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"charte-SS[]\" value=\"a\" \/><span class=\"wpcf7-list-item-label\">a<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><input type=\"button\" name=\"next\" class=\"next action-button custom-button\" value=\"Suivant\" data-step=\"1\" \/>\n\t<\/p>\n\t<p> *: Champ obligatoire\n\t<\/p>\n<\/fieldset>\n<fieldset class=\"fs-formulaire\">\n\t<p>Veuillez cocher la case qui vous concerne:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"label-struct\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"struct-id\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"label-struct\" value=\"Je suis ind\u00e9pendant(e)\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Je suis ind\u00e9pendant(e)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"label-struct\" value=\"Je repr\u00e9sente une structure\" \/><span class=\"wpcf7-list-item-label\">Je repr\u00e9sente une structure<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<div data-id=\"struct\" data-orig_data_id=\"struct\"  data-class=\"wpcf7cf_group\"><!--  partie structure-->\n\t\t<h3 class=\"titre-3\">I. Informations sur la structure\n\t\t<\/h3>\n\t\t<p><label> Nom de la structure* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"name-struct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"name-struct-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer le nom de la structure\" value=\"\" type=\"text\" name=\"name-struct\" \/><\/span><\/label><br \/>\n<label><br \/>\nType de structure* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"type-struct\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"type-struct-id\" aria-required=\"true\" aria-invalid=\"false\" name=\"type-struct\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"Structure hospitali\u00e8re ou m\u00e9dico-sociale\">Structure hospitali\u00e8re ou m\u00e9dico-sociale<\/option><option value=\"Masseur-kin\u00e9sith\u00e9rapeute ind\u00e9pendant\n        (patent\u00e9)\">Masseur-kin\u00e9sith\u00e9rapeute ind\u00e9pendant\n        (patent\u00e9)<\/option><option value=\"Collectivit\u00e9 territoriale\">Collectivit\u00e9 territoriale<\/option><option value=\"F\u00e9d\u00e9ration, association ou club\">F\u00e9d\u00e9ration, association ou club<\/option><option value=\"Salle de sport\">Salle de sport<\/option><option value=\"Professionnel\n        ind\u00e9pendant (patent\u00e9)\">Professionnel\n        ind\u00e9pendant (patent\u00e9)<\/option><option value=\"Autre, pr\u00e9ciser : ...\">Autre, pr\u00e9ciser : ...<\/option><\/select><\/span><\/label>\n\t\t<\/p>\n\t\t<div data-id=\"more-struct\" data-orig_data_id=\"more-struct\"  data-class=\"wpcf7cf_group\"><!-- Type sous forme de menu d\u00e9roulant -->\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"struct-complementaire\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"struct-complementaire-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer le type de la structure\" value=\"\" type=\"text\" name=\"struct-complementaire\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label><br \/>\nN\u00b0 T.A.H.I.T.I. ou SIREN* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"siren-struct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"siren-struct-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer votre num\u00e9ro de T.A.H.I.T.I ou SIREN\" value=\"\" type=\"text\" name=\"siren-struct\" \/><\/span><\/label><br \/>\n<label><br \/>\nAdresse postale* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse-struct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"adresse-struct-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer votre adresse postale\" value=\"\" type=\"text\" name=\"adresse-struct\" \/><\/span><\/label><br \/>\n<label><br \/>\nNum\u00e9ro de t\u00e9l\u00e9phone* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telephone-struct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"telephone-struct-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer votre num\u00e9ro de t\u00e9l\u00e9phone\" value=\"\" type=\"tel\" name=\"telephone-struct\" \/><\/span><br \/>\n<\/label><br \/>\n<label> Adresse mail*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mail-struct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"mail-struct-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer votre adresse email\" value=\"\" type=\"email\" name=\"mail-struct\" \/><\/span><br \/>\n<\/label><br \/>\n<label><br \/>\nSite internet :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"site-struct-internet\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"site-struct-internet-id\" aria-invalid=\"false\" placeholder=\"Veuillez entrer l&#039;adresse de votre site internet\" value=\"\" type=\"text\" name=\"site-struct-internet\" \/><\/span><\/label><br \/>\n<label><br \/>\nPage Facebook :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"facebook-struct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"facebook-struct-id\" aria-invalid=\"false\" placeholder=\"Veuillez entrer votre page Facebook\" value=\"\" type=\"text\" name=\"facebook-struct\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<h3 class=\"titre-3\">II. Informations sur le r\u00e9f\u00e9rent APA et\/ou sport-sant\u00e9 de la structure\n\t\t<\/h3>\n\t\t<p><label><br \/>\nNom*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom-president-struct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"nom-president-struct-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer le nom du pr\u00e9sident de la structure\" value=\"\" type=\"text\" name=\"nom-president-struct\" \/><\/span><\/label><br \/>\n<label><br \/>\nPr\u00e9nom* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom-president-struct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"prenom-president-struct-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer le pr\u00e9nom du pr\u00e9sident de la structure\" value=\"\" type=\"text\" name=\"prenom-president-struct\" \/><\/span><\/label><br \/>\n<label><br \/>\nT\u00e9l\u00e9phone* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-president-struct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"tel-president-struct-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer le num\u00e9ro de t\u00e9l\u00e9phone du pr\u00e9sident de la structure\" value=\"\" type=\"tel\" name=\"tel-president-struct\" \/><\/span><\/label><br \/>\n<label><br \/>\nAdresse mail* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mail-president-struct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"mail-president-struct-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer l&#039;adresse email du pr\u00e9sident de la structure\" value=\"\" type=\"email\" name=\"mail-president-struct\" \/><\/span><\/label><br \/>\n<label><br \/>\nFonction du r\u00e9f\u00e9rent* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fonction-struct-referent\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"fonction-struct-referent-id\" aria-required=\"true\" aria-invalid=\"false\" name=\"fonction-struct-referent\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"Professionnel de sant\u00e9\">Professionnel de sant\u00e9<\/option><option value=\"Professionnel du sport\">Professionnel du sport<\/option><option value=\"Autre, pr\u00e9ciser : ...\">Autre, pr\u00e9ciser : ...<\/option><\/select><\/span><\/label>\n\t\t<\/p>\n\t\t<div data-id=\"more-struct2\" data-orig_data_id=\"more-struct2\"  data-class=\"wpcf7cf_group\"><!--  more-struct de la fonction du r\u00e9f\u00e9rent-->\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fonction-complementaire\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"fonction-complementaire-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer votre fonction\" value=\"\" type=\"text\" name=\"fonction-complementaire\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<h3 class=\"titre-3\">III. Informations sur l'intervenant APA et\/ou sport-sant\u00e9 de la structure\n\t\t<\/h3>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"intervenant-chkbx\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"id-intervenant-chkbx\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"intervenant-chkbx[]\" value=\"Le r\u00e9f\u00e9rent APA et\/ou sport-sant\u00e9 de la structure est aussi l&#039;intervenant de la structure\" \/><span class=\"wpcf7-list-item-label\">Le r\u00e9f\u00e9rent APA et\/ou sport-sant\u00e9 de la structure est aussi l&#039;intervenant de la structure<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div><!-- group fin de partie structure-->\n\t<div data-id=\"inde\" data-orig_data_id=\"inde\"  data-class=\"wpcf7cf_group\"><!--    debut group inde-->\n\t\t<h3 class=\"titre-3\">Informations personnelles\n\t\t<\/h3>\n\t<\/div><!--    Partie commune-->\n\t<div data-id=\"commun\" data-orig_data_id=\"commun\"  data-class=\"wpcf7cf_group\">\n\t\t<div data-id=\"empty\" data-orig_data_id=\"empty\"  data-class=\"wpcf7cf_group\">\n\t\t<\/div>\n\t\t<div data-id=\"intervenant\" data-orig_data_id=\"intervenant\"  data-class=\"wpcf7cf_group\">\n\t\t\t<p><label> Pr\u00e9nom et NOM*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"names-intervenant\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"lastname-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer votre pr\u00e9nom nom\" value=\"\" type=\"text\" name=\"names-intervenant\" \/><\/span> <\/label><br \/>\n<label> T\u00e9l\u00e9phone*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone-intervenant\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"phone-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer votre num\u00e9ro de t\u00e9l\u00e9phone\" value=\"\" type=\"text\" name=\"phone-intervenant\" \/><\/span><\/label><br \/>\n<label> Adresse mail*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mail-intervenant\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"mail-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer votre adresse email\" value=\"\" type=\"email\" name=\"mail-intervenant\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"section-sante\">\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>PROFESSIONNELS DE SANT\u00c9 :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"kine-mass\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"kine-masseur\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"kine-mass[]\" value=\"a\" \/><span class=\"wpcf7-list-item-label\">a<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div data-id=\"kine\" data-orig_data_id=\"kine\"  data-class=\"wpcf7cf_group\">\n\t\t\t\t<div class=\"kine-label mini-font\">\n\t\t\t\t\t<p>T\u00e9l\u00e9chargement du dipl\u00f4me ou de l\u2019attestation de masseur-kin\u00e9sith\u00e9rapeute*:\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"poids-label mini-font\">\n\t\t\t\t\t<p>(Poids maximum autoris\u00e9 pour le fichier : 2Mo) (Formats accept\u00e9s : png, pdf, jpeg)\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"kine-label\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" id=\"kine-id\" accept=\".png,.pdf,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"kine-label\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"titre-under\">\n\t\t\t<p>PROFESSIONNEL DU SPORT :\n\t\t\t<\/p>\n\t\t<\/div><!--    professionnels du sport-->\n\t\t<div class=\"section-sport\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"label-section-sport\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"section-sport\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"label-section-sport\" value=\"Je ne suis pas professionnel du sport\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Je ne suis pas professionnel du sport<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"label-section-sport\" value=\"APA\" \/><span class=\"wpcf7-list-item-label\">APA<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"label-section-sport\" value=\"SS\" \/><span class=\"wpcf7-list-item-label\">SS<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div data-id=\"aps-pro\" data-orig_data_id=\"aps-pro\"  data-class=\"wpcf7cf_group\">\n\t\t\t\t<div class=\"diplome-label mini-font\">\n\t\t\t\t\t<p>T\u00e9l\u00e9chargement du dipl\u00f4me ou de l\u2019attestation d\u2019obtention de la Licence STAPS APA-S* :\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"poids-label mini-font\">\n\t\t\t\t\t<p>(Poids maximum autoris\u00e9 pour le fichier : 2Mo) (Formats accept\u00e9s : png, pdf, jpeg)\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"APA-label\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" id=\"diplome-id\" accept=\".png,.pdf,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"APA-label\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div data-id=\"educateur-pro\" data-orig_data_id=\"educateur-pro\"  data-class=\"wpcf7cf_group\">\n\t\t\t\t<div class=\"p-certificat mini-font\">\n\t\t\t\t\t<p>T\u00e9l\u00e9chargement du certificat compl\u00e9mentaire \u201csport-sant\u00e9\u201d *:\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"poids-label mini-font\">\n\t\t\t\t\t<p>(Poids maximum autoris\u00e9 pour le fichier : 2Mo) (Formats accept\u00e9s : png, pdf, jpeg)\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"educateur-label\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" id=\"educateur-file-id\" accept=\".png,.pdf,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"educateur-label\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div data-id=\"infos-carte\" data-orig_data_id=\"infos-carte\"  data-class=\"wpcf7cf_group\">\n\t\t\t<p><label for=\"carte-pro-id\">Num\u00e9ro de carte*<\/label><!--    Carte pro--><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"carte-pro\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"carte-pro-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer le num\u00e9ro de carte professionnelle\" value=\"\" type=\"text\" name=\"carte-pro\" \/><\/span><br \/>\n<label for=\"date-expiration-id\">Date d'expiration*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-expiration\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-expiration-id\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-expiration\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"p-carte-pro mini-font\">\n\t\t\t\t<p>T\u00e9l\u00e9chargement de la carte professionnelle* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"poids-label mini-font\">\n\t\t\t\t<p>(Poids maximum autoris\u00e9 pour le fichier : 2Mo) (Formats accept\u00e9s : png, pdf, jpeg)\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"carte-label\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" id=\"carte-label-id\" accept=\".png,.pdf,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"carte-label\" \/><\/span><br \/>\n<label><br \/>\nN\u00b0 T.A.H.I.T.I. ou SIREN* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"siren\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"siren-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer votre num\u00e9ro de T.A.H.I.T.I ou SIREN\" value=\"\" type=\"text\" name=\"siren\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"titre-under\">\n\t\t\t<p>COMP\u00c9TENCES ET EXP\u00c9RIENCES D'ENCADREMENT :\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p class=\"mini-font\"><u>(Acquises dans le cadre d\u2019une formations initiale, compl\u00e9mentaire ou exp\u00e9riences terrain). Plusieurs choix possibles.<\/u>\n\t\t<\/p>\n\t\t<p>Des personnes atteintes de* :\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"competences-experiences\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\" id=\"competences-id\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"competences-experiences[]\" value=\"Maladies cardiovasculaires\" \/><span class=\"wpcf7-list-item-label\">Maladies cardiovasculaires<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"competences-experiences[]\" value=\"Accident Vasculaire C\u00e9r\u00e9bral\n    (AVC)\" \/><span class=\"wpcf7-list-item-label\">Accident Vasculaire C\u00e9r\u00e9bral\n    (AVC)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"competences-experiences[]\" value=\"Diab\u00e8te et maladies m\u00e9taboliques\" \/><span class=\"wpcf7-list-item-label\">Diab\u00e8te et maladies m\u00e9taboliques<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"competences-experiences[]\" value=\"Surpoids et ob\u00e9sit\u00e9\" \/><span class=\"wpcf7-list-item-label\">Surpoids et ob\u00e9sit\u00e9<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"competences-experiences[]\" value=\"Cancers et leuc\u00e9mies\" \/><span class=\"wpcf7-list-item-label\">Cancers et leuc\u00e9mies<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"competences-experiences[]\" value=\"Maladies psychiatriques\" \/><span class=\"wpcf7-list-item-label\">Maladies psychiatriques<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"competences-experiences[]\" value=\"Maladies respiratoires\" \/><span class=\"wpcf7-list-item-label\">Maladies respiratoires<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"competences-experiences[]\" value=\"Maladies neurologiques\" \/><span class=\"wpcf7-list-item-label\">Maladies neurologiques<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"competences-experiences[]\" value=\"Maladies locomotrices et rhumatismales\" \/><span class=\"wpcf7-list-item-label\">Maladies locomotrices et rhumatismales<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div class=\"div-formation-40h\">\n\t\t\t<p class=\"formation-40h\">Disposez-vous de la formation 40 heures en Education Th\u00e9rapeutique du Patient (E.T.P) ?*:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"label-h-ETP\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\" id=\"etp-id\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"label-h-ETP\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"label-h-ETP\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div data-id=\"h-etp\" data-orig_data_id=\"h-etp\"  data-class=\"wpcf7cf_group\">\n\t\t\t<div class=\"p-carte-pro mini-font\">\n\t\t\t\t<p>T\u00e9l\u00e9chargement du certificat de formation aux 40 heures* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"poids-label mini-font\">\n\t\t\t\t<p>(Poids maximum autoris\u00e9 pour le fichier : 2Mo) (Formats accept\u00e9s : png,pdf,jpeg)\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ETP-label\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" id=\"etp-download-id\" accept=\".png,.pdf,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"ETP-label\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p> *: Champ obligatoire\n\t\t<\/p>\n <!--  fin carte pro--><!--  fin de la partie commune--><!--  fin de Partie 2-->\n\t\t<p><input type=\"button\" name=\"previous\" class=\"previous action-button custom-button\" value=\"Pr\u00e9c\u00e9dent\" \/><input type=\"button\" name=\"next\" class=\"next action-button custom-button\" value=\"Suivant\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/fieldset>\n<fieldset class=\"fs-formulaire\">\n\t<div class=\"titre-under\">\n\t\t<p>NATURE DE L'OFFRE PROPOS\u00c9E :\n\t\t<\/p>\n\t<\/div>\n\t<p class=\"mini-font\"><i>Un seul choix possible - Retrouvez le d\u00e9tail de ces deux cat\u00e9gories sous la rubrique \u00ab Activit\u00e9 Physique Adapt\u00e9e et sport-sant\u00e9 \u00bb disponible sur le site de la Direction de la sant\u00e9<\/i>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-apa-ss\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"apa-ss-id\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-apa-ss\" value=\"APA - Activit\u00e9 Physique Adapt\u00e9e \u00e0 but th\u00e9rapeutique, sous prescription m\u00e9dicale, pour un public qui pr\u00e9sente des besoins sp\u00e9cifiques de sant\u00e9, de participation sociale ou d\u2019inclusion du fait d\u2019une maladie, d\u2019une limitation fonctionnelle mod\u00e9r\u00e9e \u00e0 s\u00e9v\u00e8re (adapt\u00e9e \u00e0 la personne dans sa globalit\u00e9, et s\u00e9curis\u00e9e au maximum).\" \/><span class=\"wpcf7-list-item-label\">APA - Activit\u00e9 Physique Adapt\u00e9e \u00e0 but th\u00e9rapeutique, sous prescription m\u00e9dicale, pour un public qui pr\u00e9sente des besoins sp\u00e9cifiques de sant\u00e9, de participation sociale ou d\u2019inclusion du fait d\u2019une maladie, d\u2019une limitation fonctionnelle mod\u00e9r\u00e9e \u00e0 s\u00e9v\u00e8re (adapt\u00e9e \u00e0 la personne dans sa globalit\u00e9, et s\u00e9curis\u00e9e au maximum).<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-apa-ss\" value=\"Sport-Sant\u00e9 - Offres Sport-Sant\u00e9, hors pr\u00e9tention th\u00e9rapeutique : pratique d&#039;Activit\u00e9s Physiques et Sportives accessible aux patients avec des limitations fonctionnelles minimes voire aucune, suffisamment autonomes et capables de s&#039;adapter au niveau g\u00e9n\u00e9ral d&#039;un groupe, le plus souvent dans le cadre de pratiques de type \u00ab douces \u00bb ou \u00ab de remise en forme \u00bb.\" \/><span class=\"wpcf7-list-item-label\">Sport-Sant\u00e9 - Offres Sport-Sant\u00e9, hors pr\u00e9tention th\u00e9rapeutique : pratique d&#039;Activit\u00e9s Physiques et Sportives accessible aux patients avec des limitations fonctionnelles minimes voire aucune, suffisamment autonomes et capables de s&#039;adapter au niveau g\u00e9n\u00e9ral d&#039;un groupe, le plus souvent dans le cadre de pratiques de type \u00ab douces \u00bb ou \u00ab de remise en forme \u00bb.<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<div data-id=\"group-apa\" data-orig_data_id=\"group-apa\"  data-class=\"wpcf7cf_group\">\n\t\t<div class=\"group-apa\">\n\t\t\t<h2>I. Menu APA :\n\t\t\t<\/h2>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>LIMITATIONS FONCTIONNELLES CONCERN\u00c9ES PAR CETTE OFFRE* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"subtitles mini-font\">\n\t\t\t\t<p>Plusieurs choix possibles \u2013 Renseignez toutes les limitations fonctionnelles prises en charge dans le cadre de cette offre.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"limitation-apa\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required apa-require-1\" id=\"limitation-apa-id\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"limitation-apa[]\" value=\"Aucune\" \/><span class=\"wpcf7-list-item-label\">Aucune<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"limitation-apa[]\" value=\"Minime\" \/><span class=\"wpcf7-list-item-label\">Minime<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"limitation-apa[]\" value=\"Mod\u00e9r\u00e9e\" \/><span class=\"wpcf7-list-item-label\">Mod\u00e9r\u00e9e<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"limitation-apa[]\" value=\"S\u00e9v\u00e8re\" \/><span class=\"wpcf7-list-item-label\">S\u00e9v\u00e8re<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>NOM DE L'OFFRE* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nom-offre-apa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required apa-require-1\" id=\"nom-offre-apa-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer le nom de l&#039;offre APA\" value=\"\" type=\"text\" name=\"nom-offre-apa\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>NOM DE L'ACTIVIT\u00c9 OU DES ACTIVIT\u00c9S* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nom-activite-apa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required apa-require-1\" id=\"nom-activite-apa-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer le nom de l&#039;activit\u00e9 ou des activit\u00e9s\" value=\"\" type=\"text\" name=\"nom-activite-apa\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>TYPE D'ACTIVIT\u00c9S PROPOS\u00c9(E)S* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"subtitles mini-font indented\">\n\t\t\t\t<p>Plusieurs choix possibles\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"type-activite-apa\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required apa-require-1\" id=\"type-activite-apa-id\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"type-activite-apa[]\" value=\"Int\u00e9rieur\" \/><span class=\"wpcf7-list-item-label\">Int\u00e9rieur<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"type-activite-apa[]\" value=\"Ext\u00e9rieur\" \/><span class=\"wpcf7-list-item-label\">Ext\u00e9rieur<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"type-activite-apa[]\" value=\"Aquatique\" \/><span class=\"wpcf7-list-item-label\">Aquatique<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>TRANCHE D\u2019\u00c2GE DU PUBLIC ACCUEILLI DANS LE CADRE DE CE PROGRAMME* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"subtitles mini-font indented\">\n\t\t\t\t<p>Plusieurs choix possibles\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"age-adherents-apa\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required apa-require-1\" id=\"age-adherents-apa-id\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"age-adherents-apa[]\" value=\"Enfants &#060; 12 ans\" \/><span class=\"wpcf7-list-item-label\">Enfants &#060; 12 ans<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"age-adherents-apa[]\" value=\"Adolescents 12-18 ans\" \/><span class=\"wpcf7-list-item-label\">Adolescents 12-18 ans<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"age-adherents-apa[]\" value=\"Adultes 18-65 ans\" \/><span class=\"wpcf7-list-item-label\">Adultes 18-65 ans<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"age-adherents-apa[]\" value=\"Seniors &#062; 65 ans\" \/><span class=\"wpcf7-list-item-label\">Seniors &#062; 65 ans<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div>\n\t\t\t\t<p><span class=\"titre-under indented\">DUR\u00c9E DU PROGRAMME*<\/span><span>: (en mois)<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"duree-programme-apa\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number apa-require-1\" id=\"duree-programme-apa-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer la dur\u00e9e du programme\" value=\"\" type=\"number\" name=\"duree-programme-apa\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>LIEU PRINCIPAL DE PRATIQUE* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"lieu-pratique-apa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required apa-require-1\" id=\"lieu-pratique-apa-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez entrer le lieu de pratique\" value=\"\" type=\"text\" name=\"lieu-pratique-apa\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"subtitles mini-font\">\n\t\t\t\t<p>Renseignez une seule adresse valide. C'est gr\u00e2ce \u00e0 cette adresse que votre offre appara\u00eetra sur la cartographie.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div>\n\t\t\t\t<p><span class=\"titre-under indented\">CR\u00c9NEAUX HORAIRES*<\/span><span>: (jours et heures)<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"custom-creneau\">\n\t\t\t\t<p>Cr\u00e9neau 1*\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"creneau-1-apa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required apa-require-1\" id=\"creneau-1-apa-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le cr\u00e9neau horaire\" value=\"\" type=\"text\" name=\"creneau-1-apa\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"custom-creneau\">\n\t\t\t\t<p>Cr\u00e9neau 2\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"creneau-2-apa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"creneau-2-apa-id\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le cr\u00e9neau horaire\" value=\"\" type=\"text\" name=\"creneau-2-apa\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"custom-creneau\">\n\t\t\t\t<p>Cr\u00e9neau 3\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"creneau-3-apa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"creneau-3-apa-id\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le cr\u00e9neau horaire\" value=\"\" type=\"text\" name=\"creneau-3-apa\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"custom-creneau\">\n\t\t\t\t<p>Cr\u00e9neau 4\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"creneau-4-apa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"creneau-4-apa-id\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le cr\u00e9neau horaire\" value=\"\" type=\"text\" name=\"creneau-4-apa\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>INFORMATIONS COMPL\u00c9MENTAIRES :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"informations-complementaires-apa\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea apa-require-1\" id=\"informations-complementaires-apa-id\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner les informations compl\u00e9mentaires\" name=\"informations-complementaires-apa\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div data-id=\"group-ss\" data-orig_data_id=\"group-ss\"  data-class=\"wpcf7cf_group\">\n\t\t<div class=\"group-ss\">\n\t\t\t<h2>II. Menu Sport Sant\u00e9 :\n\t\t\t<\/h2>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>LIMITATIONS FONCTIONNELLES CONCERN\u00c9ES PAR CETTE OFFRE* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"subtitles mini-font\">\n\t\t\t\t<p>Plusieurs choix possibles \u2013 Renseignez toutes les limitations fonctionnelles prises en charge dans le cadre de cette offre.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"limitation-ss\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required sport-require-1\" id=\"limitation-ss-id\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"limitation-ss[]\" value=\"Aucune\" \/><span class=\"wpcf7-list-item-label\">Aucune<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"limitation-ss[]\" value=\"Minime\" \/><span class=\"wpcf7-list-item-label\">Minime<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"limitation-ss[]\" value=\"Mod\u00e9r\u00e9e\" \/><span class=\"wpcf7-list-item-label\">Mod\u00e9r\u00e9e<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"limitation-ss[]\" value=\"S\u00e9v\u00e8re\" \/><span class=\"wpcf7-list-item-label\">S\u00e9v\u00e8re<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>NOM DE L'OFFRE* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nom-offre-ss\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required sport-require-1\" id=\"nom-offre-ss-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le nom de l&#039;offre\" value=\"\" type=\"text\" name=\"nom-offre-ss\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>NOM DE L'ACTIVIT\u00c9 OU DES ACTIVIT\u00c9S* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nom-activite-ss\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"nom-activite-ss-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le nom de l&#039;activit\u00e9 ou des activit\u00e9s\" value=\"\" type=\"text\" name=\"nom-activite-ss\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>TYPE D'ACTIVIT\u00c9S PROPOS\u00c9(E)S* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"subtitles mini-font indented\">\n\t\t\t\t<p>Plusieurs choix possibles\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"type-activite-ss\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\" id=\"type-activite-ss-id\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"type-activite-ss[]\" value=\"Int\u00e9rieur\" \/><span class=\"wpcf7-list-item-label\">Int\u00e9rieur<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"type-activite-ss[]\" value=\"Ext\u00e9rieur\" \/><span class=\"wpcf7-list-item-label\">Ext\u00e9rieur<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"type-activite-ss[]\" value=\"Aquatique\" \/><span class=\"wpcf7-list-item-label\">Aquatique<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>TRANCHE D\u2019\u00c2GE DU PUBLIC ACCUEILLI DANS LE CADRE DE CE PROGRAMME* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"subtitles mini-font\">\n\t\t\t\t<p>Plusieurs choix possibles\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"age-adherents-ss\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\" id=\"age-adherents-ss-id\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"age-adherents-ss[]\" value=\"Enfants &#060; 12 ans\" \/><span class=\"wpcf7-list-item-label\">Enfants &#060; 12 ans<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"age-adherents-ss[]\" value=\"Adolescents 12-18 ans\" \/><span class=\"wpcf7-list-item-label\">Adolescents 12-18 ans<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"age-adherents-ss[]\" value=\"Adultes 18-65 ans\" \/><span class=\"wpcf7-list-item-label\">Adultes 18-65 ans<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"age-adherents-ss[]\" value=\"Seniors\n        &#062; 65 ans\" \/><span class=\"wpcf7-list-item-label\">Seniors\n        &#062; 65 ans<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>LIEU PRINCIPAL DE PRATIQUE* :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"lieu-pratique-ss\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"lieu-pratique-ss-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le lieu de pratique\" value=\"\" type=\"text\" name=\"lieu-pratique-ss\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"subtitles mini-font\">\n\t\t\t\t<p>Renseignez une seule adresse valide. C'est gr\u00e2ce \u00e0 cette adresse que votre offre appara\u00eetra sur la cartographie.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div>\n\t\t\t\t<p><span class=\"titre-under indented\">CR\u00c9NEAUX HORAIRES*<\/span><span>: (jours et heures)<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"custom-creneau\">\n\t\t\t\t<p>Cr\u00e9neau 1\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"creneau-1-ss\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"creneau-1-ss-id\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le cr\u00e9neau horaire\" value=\"\" type=\"text\" name=\"creneau-1-ss\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"custom-creneau\">\n\t\t\t\t<p>Cr\u00e9neau 2\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"creneau-2-ss\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"creneau-2-ss-id\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le cr\u00e9neau horaire\" value=\"\" type=\"text\" name=\"creneau-2-ss\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"custom-creneau\">\n\t\t\t\t<p>Cr\u00e9neau 3\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"creneau-3-ss\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"creneau-3-ss-id\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le cr\u00e9neau horaire\" value=\"\" type=\"text\" name=\"creneau-3-ss\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"custom-creneau\">\n\t\t\t\t<p>Cr\u00e9neau 4\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"creneau-4-ss\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"creneau-4-ss-id\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner le cr\u00e9neau horaire\" value=\"\" type=\"text\" name=\"creneau-4-ss\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"titre-under\">\n\t\t\t\t<p>INFORMATIONS COMPL\u00c9MENTAIRES :\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"informations-complementaires-ss\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"informations-complementaires-ss-id\" aria-invalid=\"false\" placeholder=\"Veuillez renseigner les informations compl\u00e9mentaires\" name=\"informations-complementaires-ss\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<p><input type=\"button\" name=\"previous\" class=\"previous action-button custom-button\" value=\"Pr\u00e9c\u00e9dent\" \/><input type=\"submit\" name=\"submit\" id=\"submit-id\" class=\"submit action-button custom-button\" value=\"Terminer l'inscription\" \/>\n\t<\/p>\n\t<p> *: Champ obligatoire\n\t<\/p>\n<\/fieldset><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" style=\"--awb-border-size:1px;--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n\n\n<\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":262,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"class_list":["post-38895","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.service-public.pf\/dsp\/wp-json\/wp\/v2\/pages\/38895","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.service-public.pf\/dsp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.service-public.pf\/dsp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.service-public.pf\/dsp\/wp-json\/wp\/v2\/users\/262"}],"replies":[{"embeddable":true,"href":"https:\/\/www.service-public.pf\/dsp\/wp-json\/wp\/v2\/comments?post=38895"}],"version-history":[{"count":0,"href":"https:\/\/www.service-public.pf\/dsp\/wp-json\/wp\/v2\/pages\/38895\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.service-public.pf\/dsp\/wp-json\/wp\/v2\/media?parent=38895"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}