<div class='fluentform ff-default fluentform_wrapper_14 ffs_default_wrap'><form data-form_id="14" id="fluentform_14" class="frm-fluent-form fluent_form_14 ff-el-form-top ff_form_instance_14_1 ff-form-loading ffs_default" data-form_instance="ff_form_instance_14_1" method="POST" ><fieldset style="border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;">
<legend class="ff_screen_reader_title" style="display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;">Inscription ateliers 2023</legend> <div class="ff-el-group ff-hpsf-container">
<div class="ff-el-input--label asterisk-right">
<label for="ff_14_item_sf" aria-label="Subscribe">
Subscribe </label>
</div>
<div class="ff-el-input--content">
<input type="text"
name="item_14__fluent_sf"
class="ff-el-form-control"
id="ff_14_item_sf"
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<input type="hidden" id="__fluent_protection_token_14" class="fluent-form-token-field" name="__fluent_protection_token_14">
<input type='hidden' name='__fluent_form_embded_post_id' value='7594' /><input type="hidden" id="_fluentform_14_fluentformnonce" name="_fluentform_14_fluentformnonce" value="3accf6d23b" /><input type="hidden" name="_wp_http_referer" value="/inscription-aux-ateliers-et-a-lassemblee-generale-2023/" /><div data-type="name-element" data-name="names" class=" ff-field_container ff-name-field-wrapper" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_14_names_first_name_' >Prénom</label></div><div class='ff-el-input--content'><input type="text" name="names[first_name]" id="ff_14_names_first_name_" class="ff-el-form-control" placeholder="Votre Prénom" aria-invalid="false" aria-required=true></div></div></div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_14_names_last_name_' >Nom</label></div><div class='ff-el-input--content'><input type="text" name="names[last_name]" id="ff_14_names_last_name_" class="ff-el-form-control" placeholder="Votre Nom" aria-invalid="false" aria-required=true></div></div></div></div></div><div class='ff-el-group'><div class="ff-el-input--label asterisk-right"><label for='ff_14_input_text' aria-label="Organisme">Organisme</label></div><div class='ff-el-input--content'><input type="text" name="input_text" class="ff-el-form-control" placeholder="Votre structure" data-name="input_text" id="ff_14_input_text" aria-invalid="false" aria-required=false></div></div><div class='ff-el-group'><div class="ff-el-input--label asterisk-right"><label for='ff_14_input_text_1' aria-label="Fonction">Fonction</label></div><div class='ff-el-input--content'><input type="text" name="input_text_1" class="ff-el-form-control" placeholder="Votre fonction" data-name="input_text_1" id="ff_14_input_text_1" aria-invalid="false" aria-required=false></div></div><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label for='ff_14_email' aria-label="E-mail">E-mail</label></div><div class='ff-el-input--content'><input type="email" name="email" id="ff_14_email" class="ff-el-form-control" placeholder="Votre e-mail" data-name="email" aria-invalid="false" aria-required=true></div></div><div class='ff-el-group'><div class="ff-el-input--label asterisk-right"><label for='ff_14_phone' aria-label="Téléphone">Téléphone</label></div><div class='ff-el-input--content'><input name="phone" class="ff-el-form-control ff-el-phone ff_el_with_extended_validation" type="tel" placeholder="Votre téléphone" data-name="phone" id="ff_14_phone" inputmode="tel" aria-invalid='false' aria-required=false></div></div><div class='ff-el-group ff-el-form-top'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label aria-label="Participerez-vous à la visite de site du 29 novembre (9h15 - 12h15) ? Circuit à pied d’environ 5 km">Participerez-vous à la visite de site du 29 novembre (9h15 - 12h15) ? Circuit à pied d’environ 5 km</label></div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_ffc9ab4d23e78fff909853ba114043fc><input type="radio" name="input_radio_1" data-name="input_radio_1" class="ff-el-form-check-input ff-el-form-check-radio" value="Oui" id='input_radio_1_ffc9ab4d23e78fff909853ba114043fc' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui</span></label></div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_6552e85d53903c6383c333c72a0c26bc><input type="radio" name="input_radio_1" data-name="input_radio_1" class="ff-el-form-check-input ff-el-form-check-radio" value="Non" id='input_radio_1_6552e85d53903c6383c333c72a0c26bc' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non</span></label></div></div></div><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label aria-label="Resterez-vous déjeuner ? (12h15-13h45) Repas offert">Resterez-vous déjeuner ? (12h15-13h45) Repas offert </label></div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_51e32b1f680b98bf021e2f37ad1d9217><input type="radio" name="input_radio" data-name="input_radio" class="ff-el-form-check-input ff-el-form-check-radio" value="Oui" id='input_radio_51e32b1f680b98bf021e2f37ad1d9217' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui</span></label></div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_d5a3557ab2d96ca9565bc954b80486f0><input type="radio" name="input_radio" data-name="input_radio" class="ff-el-form-check-input ff-el-form-check-radio" value="Non" id='input_radio_d5a3557ab2d96ca9565bc954b80486f0' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non</span></label></div></div></div><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label aria-label="Assisterez-vous aux ateliers (14h-16h30) ?">Assisterez-vous aux ateliers (14h-16h30) ? </label></div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_a45f4ea6a308ca84eba5a65071dd3d5f><input type="radio" name="input_radio_3" data-name="input_radio_3" class="ff-el-form-check-input ff-el-form-check-radio" value="Oui" id='input_radio_3_a45f4ea6a308ca84eba5a65071dd3d5f' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui</span></label></div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_4c3dd3725ded6ef4d048f075dd46f400><input type="radio" name="input_radio_3" data-name="input_radio_3" class="ff-el-form-check-input ff-el-form-check-radio" value="Non" id='input_radio_3_4c3dd3725ded6ef4d048f075dd46f400' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non</span></label></div></div></div><div class='ff-el-group'><div class="ff-el-input--label ff-el-is-required asterisk-right"><label aria-label="Assisterez-vous à l’assemblée générale (17h-18h30) ? Réservée aux membres">Assisterez-vous à l’assemblée générale (17h-18h30) ? 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