{"id":137,"date":"2022-11-15T16:47:40","date_gmt":"2022-11-15T15:47:40","guid":{"rendered":"https:\/\/linselles-cyclisme.fr\/?page_id=137"},"modified":"2023-04-06T10:33:28","modified_gmt":"2023-04-06T08:33:28","slug":"inscription","status":"publish","type":"page","link":"https:\/\/linselles-cyclisme.fr\/?page_id=137","title":{"rendered":"ADH\u00c9SION CLUB"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-141\"><form id=\"wpforms-form-141\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"141\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F137\" data-token=\"0dcd8f0e3c8470c47f35bcb2b1ac55af\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-141-field_67-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"67\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_67\">Pr\u00e9nom <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-141-field_67\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][67]\" placeholder=\"Pr\u00e9nom\" required><\/div><div id=\"wpforms-141-field_14-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"14\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_14\">adh\u00e9sion <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-141-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-141-field_14_1\" name=\"wpforms[fields][14][]\" value=\"J&#039;adh\u00e8re \u00e0 LINSELLES CYCLISME pour la saison 2026\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-141-field_14_1\">J&rsquo;adh\u00e8re \u00e0 LINSELLES CYCLISME pour la saison 2026<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Inscriptions ouvertes du 15\/11\/25 au 01\/03\/26<\/div><\/div><div id=\"wpforms-141-field_46-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"46\"><div id=\"wpforms-141-field_46\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][46]\"><p>____________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-141-field_44-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"44\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_44\">Genre <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-141-field_44\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-141-field_44_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Madame\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-141-field_44_1\">Madame<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-141-field_44_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][44][]\" value=\"Monsieur\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-141-field_44_2\">Monsieur<\/label><\/li><\/ul><\/div><div id=\"wpforms-141-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_24\">Option : <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-141-field_24\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-141-field_24_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][24][]\" value=\"Cyclotourisme\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-141-field_24_1\">Cyclotourisme<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-141-field_24_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][24][]\" value=\"Comp\u00e9tition\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-141-field_24_2\">Comp\u00e9tition<\/label><\/li><\/ul><\/div><div id=\"wpforms-141-field_68-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"68\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_68\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-141-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_2\">Nom <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-141-field_2\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][2]\" placeholder=\"Nom\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><\/div><\/div><\/div><div id=\"wpforms-141-field_79-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"79\"><div id=\"wpforms-141-field_79\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][79]\"><p>____________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-141-field_66-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_66\">Date de naissance <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-small\"><select name=\"wpforms[fields][66][date][d]\" id=\"wpforms-141-field_66-day\" class=\"wpforms-field-date-time-date-day wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>JJ<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][66][date][m]\" id=\"wpforms-141-field_66-month\" class=\"wpforms-field-date-time-date-month wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][66][date][y]\" id=\"wpforms-141-field_66-year\" class=\"wpforms-field-date-time-date-year wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" selected disabled>AAAA<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/div><div id=\"wpforms-141-field_80-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"80\"><div id=\"wpforms-141-field_80\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][80]\"><p>____________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-141-field_75-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"75\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_75\">Adresse <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-141-field_75\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][75]\" placeholder=\"Adresse\" required><\/div><div id=\"wpforms-141-field_76-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"76\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_76\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-141-field_77-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"77\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_77\">Code postal <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-141-field_77\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][77]\" placeholder=\"Code Postal\" required><\/div><div id=\"wpforms-141-field_5-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"5\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_5\">T\u00e9l\u00e9phone<\/label><input type=\"tel\" id=\"wpforms-141-field_5\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][5]\" placeholder=\"T\u00e9l\u00e9phone\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-141-field_78-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"78\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_78\">Ville <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-141-field_78\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][78]\" placeholder=\"Ville\" required><\/div><div id=\"wpforms-141-field_87-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"87\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_87\">Mobile <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-141-field_87\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][87]\" placeholder=\"Mobile\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-141-field_81-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"81\"><div id=\"wpforms-141-field_81\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][81]\"><p>____________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-141-field_6-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"6\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_6\">E-mail <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-141-field_6\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][6][primary]\" placeholder=\"E-mail\" spellcheck=\"false\" required><label for=\"wpforms-141-field_6\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">E-mail<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-141-field_6-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-141-field_6\" name=\"wpforms[fields][6][secondary]\" placeholder=\"Confirmer votre E-mail\" spellcheck=\"false\" required><label for=\"wpforms-141-field_6-secondary\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Confirmez l\u2019e-mail<\/label><\/div><\/div><\/div><div id=\"wpforms-141-field_82-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"82\"><div id=\"wpforms-141-field_82\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][82]\"><p>____________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-141-field_12-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"12\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_12\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-141-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_10\">En cas d&#039;urgence, pr\u00e9venir :<\/label><input type=\"text\" id=\"wpforms-141-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" placeholder=\"Nom\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-141-field_11-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_11\">T\u00e9l\u00e9phone :<\/label><input type=\"tel\" id=\"wpforms-141-field_11\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][11]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-141-field_74-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"74\"><div id=\"wpforms-141-field_74\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][74]\"><p>____________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-141-field_49-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_49\">Je m&#039;engage \u00e0 me rendre disponible et \u00e0 aider sur les manifestations organis\u00e9es par le club <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-141-field_49\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-141-field_49_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][49][]\" value=\"Oui\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-141-field_49_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-141-field_49_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][49][]\" value=\"Non\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-141-field_49_2\">Non<\/label><\/li><\/ul><\/div><div id=\"wpforms-141-field_69-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"69\"><div id=\"wpforms-141-field_69\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][69]\"><p>____________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-141-field_42-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"42\"><div id=\"wpforms-141-field_42\">Je t\u00e9l\u00e9charge :<span style=\"text-decoration: underline;\"><br><a href=\"https:\/\/linselles-cyclisme.fr\/wp-content\/uploads\/2022\/11\/certificat.pdf\"target=\"_blank\">Certificat d&rsquo;aptitude \u00e0 la pratique sportive du cyclotourisme en club<\/span><\/a><br><\/div><\/div><div id=\"wpforms-141-field_16-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"16\"><div id=\"wpforms-141-field_16\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][16]\"><p>____________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-141-field_20-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-field-select-style-modern\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_20\">Choisissez votre formule d&#039;adh\u00e9sion ou de renouvellement d&#039;adh\u00e9sion Cyclotouriste ou Comp\u00e9tition. <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-141-field_20\" class=\"wpforms-payment-price wpforms-field-large wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"\" name=\"wpforms[fields][20]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Nouvelle adh\u00e9sion cyclotouriste C (1 saison + caution encaiss\u00e9e 2 saisons \u00e0 60\u20ac\/an) &#8211; 180,00 &euro;<\/option><option value=\"1\" data-amount=\"180,00\" data-custom-properties=\"180,00\" >Nouvelle adh\u00e9sion cyclotouriste C (1 saison + caution encaiss\u00e9e 2 saisons \u00e0 60\u20ac\/an) &#8211; 180,00 &euro;<\/option><option value=\"5\" data-amount=\"210,00\" data-custom-properties=\"210,00\" >Nouvelle adh\u00e9sion comp\u00e9tition (1 saison+caution encaiss\u00e9e 2 saisons \u00e0 70\u20ac\/an) &#8211; 210,00 &euro;<\/option><option value=\"4\" data-amount=\"60,00\" data-custom-properties=\"60,00\" >Renouvellement adh\u00e9rent cyclotouriste &#8211; 60,00 &euro;<\/option><option value=\"6\" data-amount=\"70,00\" data-custom-properties=\"70,00\" >Renouvellement adh\u00e9rent comp\u00e9tition &#8211; 70,00 &euro;<\/option><\/select><div class=\"wpforms-field-description\">Votre adh\u00e9sion comprend donc lors de votre 1 \u00e8re inscription le r\u00e8glement de celle-ci et une caution repr\u00e9sentant votre adh\u00e9sion pour les deux ann\u00e9es suivantes, que vous n&rsquo;aurez donc plus \u00e0 r\u00e9gler,\r\nce qui vous permet d&rsquo;obtenir \u00e9galement, la tenue mi-saison ainsi que la tenue d&rsquo;hiver au tarif club de 50% de leur valeur r\u00e9gl\u00e9e par le club aupr\u00e8s du fabricant.<\/div><\/div><div id=\"wpforms-141-field_70-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"70\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_70\">Paiement <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-141-field_70\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-141-field_70_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][70][]\" value=\"Ch\u00e8que\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-141-field_70_1\">Ch\u00e8que<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-141-field_70_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][70][]\" value=\"Virement\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-141-field_70_2\">Virement<\/label><\/li><\/ul><\/div><div id=\"wpforms-141-field_83-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"83\"><div id=\"wpforms-141-field_83\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][83]\"><p>____________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-141-field_71-container\" class=\"wpforms-field wpforms-field-html wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"71\" style=\"display:none;\"><div id=\"wpforms-141-field_71\"><br>Ch\u00e8que \u00e0 l&rsquo;ordre de <strong>ASSOCIATION LINSELLES CYCLISME <\/strong><br><br> \u00e0 envoyer :<br><br>\r\nRobert Lecluse<br>\r\n12 rue de l&rsquo;Epi d&rsquo;Or<br>\r\n59126 LINSELLES<\/div><\/div><div id=\"wpforms-141-field_72-container\" class=\"wpforms-field wpforms-field-html wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"72\" style=\"display:none;\"><div id=\"wpforms-141-field_72\"><br><strong>IBAN :<\/strong><br>FR76 1670 6050 4153 9352 4539 329<br><br><strong>BIC :<\/strong><br>AGRIFRPP867<br><br>ASSOC. ASS LINSELLES CYCLISME<br>12 RUE EPI D&rsquo;OR<br>59126 LINSELLES<\/div><\/div><div id=\"wpforms-141-field_62-container\" class=\"wpforms-field wpforms-field-rating wpforms-conditional-trigger\" data-field-id=\"62\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_62\">TENUES CLUB<\/label><div class=\"wpforms-field-rating-items\"><label class=\"wpforms-field-rating-item choice-1\" for=\"wpforms-141-field_62_1\"><span class=\"wpforms-screen-reader-element\">Note de 1 sur 6<\/span><input type=\"radio\" id=\"wpforms-141-field_62_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][62]\" value=\"1\" ><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#ffffff\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-2\" for=\"wpforms-141-field_62_2\"><span class=\"wpforms-screen-reader-element\">Note de 2 sur 6<\/span><input type=\"radio\" id=\"wpforms-141-field_62_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][62]\" value=\"2\" ><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#ffffff\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-3\" for=\"wpforms-141-field_62_3\"><span class=\"wpforms-screen-reader-element\">Note de 3 sur 6<\/span><input type=\"radio\" id=\"wpforms-141-field_62_3\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][62]\" value=\"3\" ><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#ffffff\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-4\" for=\"wpforms-141-field_62_4\"><span class=\"wpforms-screen-reader-element\">Note de 4 sur 6<\/span><input type=\"radio\" id=\"wpforms-141-field_62_4\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][62]\" value=\"4\" ><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#ffffff\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-5\" for=\"wpforms-141-field_62_5\"><span class=\"wpforms-screen-reader-element\">Note de 5 sur 6<\/span><input type=\"radio\" id=\"wpforms-141-field_62_5\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][62]\" value=\"5\" ><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#ffffff\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-6\" for=\"wpforms-141-field_62_6\"><span class=\"wpforms-screen-reader-element\">Note de 6 sur 6<\/span><input type=\"radio\" id=\"wpforms-141-field_62_6\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][62]\" value=\"6\" ><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#ffffff\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><\/div><div class=\"wpforms-field-description\">Lors de la 1 \u00e8re inscription, le nouvel adh\u00e9rent est tenu de prendre au minima la Tenue d&rsquo;\u00e9t\u00e9 au Tarif actuel de 70\u20ac, ce tarif repr\u00e9sente 50% de la valeur r\u00e9elle de celle-ci, le club prenant en charge les 50% restant, il en est de m\u00eame pour la tenue mi-saison ainsi que la tenue d&rsquo;hiver.<\/div><\/div><div id=\"wpforms-141-field_63-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"63\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_63\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-141-field_85-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"85\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_85\">Licence<\/label><input type=\"text\" id=\"wpforms-141-field_85\" class=\"wpforms-field-medium\" name=\"wpforms[fields][85]\" value=\"059_\" ><\/div><div id=\"wpforms-141-field_64-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"64\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_64\">Ch\u00e8que<\/label><input type=\"text\" id=\"wpforms-141-field_64\" class=\"wpforms-field-medium\" name=\"wpforms[fields][64]\" placeholder=\"Num\u00e9ro ch\u00e8que\" ><\/div><div id=\"wpforms-141-field_73-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"73\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_73\">Validit\u00e9 adh\u00e9sion<\/label><input type=\"text\" id=\"wpforms-141-field_73\" class=\"wpforms-field-medium\" name=\"wpforms[fields][73]\" placeholder=\"MM\/AAAA\" ><\/div><div id=\"wpforms-141-field_84-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"84\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_84\">Facture acquitt\u00e9e le<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-141-field_84\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][84][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-141-field_56-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"56\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_56\">Adh\u00e9rent<\/label><input type=\"text\" id=\"wpforms-141-field_56\" class=\"wpforms-field-medium\" name=\"wpforms[fields][56]\" placeholder=\"N\u00b0 adh\u00e9rent\" ><\/div><div id=\"wpforms-141-field_65-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"65\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-141-field_65\">Montant<\/label><input type=\"text\" id=\"wpforms-141-field_65\" class=\"wpforms-field-medium\" name=\"wpforms[fields][65]\" placeholder=\"Montant ch\u00e8que\" ><\/div><div id=\"wpforms-141-field_89-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"89\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_89\">Groupe sanguin<\/label><select id=\"wpforms-141-field_89\" class=\"wpforms-field-medium\" name=\"wpforms[fields][89]\"><option value=\"A+\" >A+<\/option><option value=\"A-\" >A-<\/option><option value=\"B+\" >B+<\/option><option value=\"B-\" >B-<\/option><option value=\"AB+\" >AB+<\/option><option value=\"AB-\" >AB-<\/option><option value=\"O+\" >O+<\/option><option value=\"O-\" >O-<\/option><\/select><\/div><\/div><\/div><\/div><div id=\"wpforms-141-field_105-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"105\"><label class=\"wpforms-field-label\" for=\"wpforms-141-field_105\">Infos sorties<\/label><textarea id=\"wpforms-141-field_105\" class=\"wpforms-field-medium\" name=\"wpforms[fields][105]\" ><\/textarea><div class=\"wpforms-field-description\">Des sorties club ont lieu la semaine, le mardi et\r\njeudi ainsi que le dimanche 9 h, de la mi-octobre jusqu&rsquo;au changement d&rsquo;heure d&rsquo;\u00e9t\u00e9 l&rsquo;ann\u00e9e suivante, sauf sur brevets ou rallyes l\u00e0 d\u00e9part 8  h .\r\nConcernant les comp\u00e9titeurs, \u00e0 la belle saison les sorties d&rsquo;entra\u00eenements sont pr\u00e9vues le mercredi apr\u00e8s-midi 17 h 30&prime; le dimanche idem que les cyclos sauf lors de comp\u00e9titions.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"141\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-141\" class=\"wpforms-submit\" data-alt-text=\"Demande d&#039;adh\u00e9sion\" data-submit-text=\"Demande d&#039;adh\u00e9sion\" aria-live=\"assertive\" value=\"wpforms-submit\">Demande d&#039;adh\u00e9sion<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/linselles-cyclisme.fr\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-137","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/linselles-cyclisme.fr\/index.php?rest_route=\/wp\/v2\/pages\/137","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/linselles-cyclisme.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/linselles-cyclisme.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/linselles-cyclisme.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/linselles-cyclisme.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=137"}],"version-history":[{"count":6,"href":"https:\/\/linselles-cyclisme.fr\/index.php?rest_route=\/wp\/v2\/pages\/137\/revisions"}],"predecessor-version":[{"id":694,"href":"https:\/\/linselles-cyclisme.fr\/index.php?rest_route=\/wp\/v2\/pages\/137\/revisions\/694"}],"wp:attachment":[{"href":"https:\/\/linselles-cyclisme.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=137"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}