{"id":2513,"date":"2020-08-13T17:18:27","date_gmt":"2020-08-13T16:18:27","guid":{"rendered":"http:\/\/grizzlysduhainaut.fr\/?page_id=2513"},"modified":"2024-08-27T09:20:55","modified_gmt":"2024-08-27T08:20:55","slug":"formulaire-inscription-mineurs","status":"publish","type":"page","link":"https:\/\/grizzlysduhainaut.fr\/index.php\/formulaire-inscription-mineurs\/","title":{"rendered":"Formulaire inscription mineurs"},"content":{"rendered":"<div id=\"pl-2513\"  class=\"panel-layout\" ><div id=\"pg-2513-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2513-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2513-0-0-0\" class=\"so-panel widget widget_erforms-form-widget erforms-form-widget panel-first-child panel-last-child\" data-index=\"0\" ><h3 class=\"widget-title\">Formulaire d&rsquo;inscription<\/h3><div id=\"erf_form_container_3033\" class=\"erf-container erf-contact erf-label-top erf-layout-one-column erf-style-rounded-corner\">\n        \n    \n         \n                    <div class=\"erf-content-above\">\n                            <\/div>\n            <form method=\"post\" enctype=\"multipart\/form-data\" class=\"erf-form erf-front-form\" data-parsley-validate=\"\" novalidate=\"true\" data-erf-submission-id=\"0\" data-erf-form-id=\"3033\">\n                <div class=\"erf-form-html\" id=\"erf_form_3033\">\n                    <div class=\"rendered-form\">\n                        <div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='ref-tetQFDKN' data-ref-id='ref-FLWBHyAs' class='' >ETAT CIVIL DU LICENCIE<\/h1><\/div><div class=\"erf-text form-group field-text-345872939 erf-element-width-6\"><label for=\"text-345872939\" class=\"erf-text-label\">Nom<span class=\"erf-required\">*<\/span><\/label><input type='text' required='required' class='form-control' maxlength='50' name='text-345872939' data-ref-label='Nom' id='text-345872939'  \/><\/div><div class=\"erf-text form-group field-text-491022395 erf-element-width-6\"><label for=\"text-491022395\" class=\"erf-text-label\">Pr\u00e9nom<span class=\"erf-required\">*<\/span><\/label><input type='text' required='required' class='form-control' maxlength='50' name='text-491022395' data-ref-label='Prnom' id='text-491022395'  \/><\/div><div class=\"erf-text form-group field-date-1565703958436 erf-element-width-6\"><label for=\"date-1565703958436\" class=\"erf-text-label\">Date de naissance<span class=\"erf-required\">*<\/span><\/label><input type='text' required='required' data-date-format='dd\/mm\/yy' class='form-control erf-date-field' name='date-1565703958436' data-ref-label='Date_de_naissance' id='date-1565703958436'  \/><\/div><div class=\"erf-text form-group field-text-1565703986696 erf-element-width-6\"><label for=\"text-1565703986696\" class=\"erf-text-label\">Lieu de naissance<span class=\"erf-required\">*<\/span><\/label><input type='text' required='required' class='form-control' name='text-1565703986696' data-ref-label='Lieu_de_naissance' id='text-1565703986696'  \/><\/div><div class=\"erf-select form-group field-select-1565704108036 erf-element-width-6\"><label for=\"select-1565704108036\" class=\"erf-country-label\">Pays de naissance<span class=\"erf-required\">*<\/span><\/label><select required='required' name='select-1565704108036' class='form-control' data-ref-label='Pays_de_naissance' id='select-1565704108036'  ><option value=\"\"><\/option><\/select><\/div><div class=\"erf-street1 form-group field-text-1565703047278 erf-element-width-12\"><label for=\"text-1565703047278\" class=\"erf-street1-label\">Adresse<span class=\"erf-required\">*<\/span><\/label><input type='street1' required='required' class='form-control' name='text-1565703047278' data-ref-label='Adresse' id='text-1565703047278'  \/><\/div><div class=\"erf-zip form-group field-text-1565703047431 erf-element-width-4\"><label for=\"text-1565703047431\" class=\"erf-zip-label\">Code postal<span class=\"erf-required\">*<\/span><\/label><input type='zip' required='required' class='form-control' name='text-1565703047431' data-ref-label='Code_postal' id='text-1565703047431'  \/><\/div><div class=\"erf-city form-group field-text-1565703047190 erf-element-width-4\"><label for=\"text-1565703047190\" class=\"erf-city-label\">Commune<span class=\"erf-required\">*<\/span><\/label><input type='city' required='required' class='form-control' name='text-1565703047190' data-ref-label='Commune' id='text-1565703047190'  \/><\/div><div class=\"erf-select form-group field-select-1565703046959 erf-element-width-4\"><label for=\"select-1565703046959\" class=\"erf-country-label\">Pays<span class=\"erf-required\">*<\/span><\/label><select required='required' name='select-1565703046959' class='form-control' data-ref-label='Pays' id='select-1565703046959'  ><option value=\"\"><\/option><\/select><\/div><div class=\"erf-text form-group field-field-FSxKs9ULvO7MNCH erf-element-width-12\"><label for=\"field-FSxKs9ULvO7MNCH\" class=\"erf-text-label\">Nom et Pr\u00e9nom parent 1<\/label><input type='text' class='form-control' name='field-FSxKs9ULvO7MNCH' data-ref-label='Nom_et_Prnom_parent_1' id='field-FSxKs9ULvO7MNCH'  \/><\/div><div class=\"erf-text form-group field-field-CQ8oYISOKiFkCVp erf-element-width-12\"><label for=\"field-CQ8oYISOKiFkCVp\" class=\"erf-text-label\">Nom et Pr\u00e9nom parent 2<\/label><input type='text' class='form-control' name='field-CQ8oYISOKiFkCVp' data-ref-label='Nom_et_Prnom_parent_2' id='field-CQ8oYISOKiFkCVp'  \/><\/div><div class=\"erf-separator erf-element-width-12\"><div data-non-input='1' custom-type='spacer' data-ref-id='ref-1oaijfpile6' data-ref-label='ref-hm53gf' class='spacer' >Separator<\/div><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='ref-JMLUwa3L' data-ref-id='ref-lDsWDMCs' class='' >CONTACTS<\/h1><\/div><div class=\"erf-number form-group field-field-UD7vyJAXPiP6gDR erf-element-width-6\"><label for=\"field-UD7vyJAXPiP6gDR\" class=\"erf-number-label\">Tel domicile<\/label><input type='number' class='form-control' name='field-UD7vyJAXPiP6gDR' data-ref-label='Tel_domicile' id='field-UD7vyJAXPiP6gDR'  \/><\/div><div class=\"erf-number form-group field-field-v4tjC2LnUp03D8C erf-element-width-6\"><label for=\"field-v4tjC2LnUp03D8C\" class=\"erf-number-label\">Tel mobile du licenci\u00e9<\/label><input type='number' class='form-control' name='field-v4tjC2LnUp03D8C' data-ref-label='Tel_mobile_du_licenci' id='field-v4tjC2LnUp03D8C'  \/><\/div><div class=\"erf-number form-group field-field-mYVmAwuADOqYERu erf-element-width-6\"><label for=\"field-mYVmAwuADOqYERu\" class=\"erf-number-label\">Tel mobile Parent 1<span class=\"erf-required\">*<\/span><\/label><input type='number' class='form-control' name='field-mYVmAwuADOqYERu' required='required' data-ref-label='Tel_mobile_Parent_1' id='field-mYVmAwuADOqYERu'  \/><\/div><div class=\"erf-number form-group field-field-u9fDTKgY7R8ZRav erf-element-width-6\"><label for=\"field-u9fDTKgY7R8ZRav\" class=\"erf-number-label\">Tel mobile Parent 2<\/label><input type='number' class='form-control' name='field-u9fDTKgY7R8ZRav' data-ref-label='Tel_mobile_Parent_2' id='field-u9fDTKgY7R8ZRav'  \/><\/div><div class=\"erf-text form-group field-field-PqSh68t8DG2WMtc erf-element-width-12\"><label for=\"field-PqSh68t8DG2WMtc\" class=\"erf-text-label\">Personne \u00e0 joindre en cas d'urgence (nom, pr\u00e9nom, n\u00b0 tel)<span class=\"erf-required\">*<\/span><\/label><input type='text' class='form-control' name='field-PqSh68t8DG2WMtc' required='required' data-ref-label='Personne__joindre_en_cas_durgence_nom_pr' id='field-PqSh68t8DG2WMtc'  \/><\/div><div class=\"erf-email form-group field-text-38207731 erf-element-width-12\"><label for=\"text-38207731\" class=\"erf-email-label\">Email(s) de contact (les informations seront envoy\u00e9es \u00e0 cette adresse)<span class=\"erf-required\">*<\/span><\/label><input type='email' required='required' class='form-control' name='text-38207731' data-ref-label='Emails_de_contact_les_informations_seron' id='text-38207731'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='ref-3Szy3ETr' data-ref-id='ref-njwuOLRV' class='' >PI\u00c8CES A FOURNIR<\/h1><\/div><div class=\"erf-richtext erf-element-width-12\"><div data-non-input='1' data-ref-label='ref-w6c014zV' data-ref-id='ref-GAFKfyRZ' class='erf-rich-text' ><ul>\n<li>1 photo d\u2019identit\u00e9 en format papier (nom, pr\u00e9nom au dos) \u00e0 remettre en m\u00eame temps que le paiement de la cotisation OU scann\u00e9e \u00e0 ins\u00e9rer dans le champs pr\u00e9vu ci-dessous ;<\/li>\n<li>1 certificat m\u00e9dical de moins 3 mois, avec N\u00b0 au conseil de l\u2019ordre du m\u00e9decin, et mentionnant <span style=\"text-decoration: underline\">LA NON CONTRE INDICATION A LA PRATIQUE DU FLOORBALL EN COMPETITION, <\/span>le cas \u00e9ch\u00e9ant. A transmettre en m\u00eame temps que la cotisation OU \u00e0 ins\u00e9rer dans le champs pr\u00e9vu plus bas.<\/li>\n<li><strong>Si<\/strong> votre enfant poss\u00e8de un certificat m\u00e9dical pour le floorball datant de moins de 3 ans, possibilit\u00e9 de fournir uniquement le formulaire CERFA 15699*1, <strong>rempli, dat\u00e9 et sign\u00e9 par le responsable l\u00e9gal, \u00e0 la place du certificat<\/strong> m\u00e9dical. Dans ce cas, merci de remplir quand m\u00eame les champs ci-dessous avec les donn\u00e9es de l'ancien certificat m\u00e9dical. Formulaire CERFA 15699*1 t\u00e9l\u00e9chargeable ici : https:\/\/www.service-public.fr\/particuliers\/vosdroits\/R47821<\/li>\n<\/ul>\n<ul>\n<li>Signature des formulaire joints en fin de page, \u00e0 remettre en m\u00eame temps que la cotisation ;<\/li>\n<li>Votre r\u00e8glement de la cotisation (ch\u00e8que \u00e0 l\u2019ordre de Grizzlys du Hainaut, ou esp\u00e8ces \u00e0 remettre au tr\u00e9sorier, ou carte bleu aupr\u00e8s du tr\u00e9sorier).<\/li>\n<\/ul><\/div><\/div><div class=\"erf-file form-group field-file-1565704979069 erf-element-width-12\"><label for=\"file-1565704979069\" class=\"erf-file-label\">Photo d'identit\u00e9<span class=\"tooltip-element\" tooltip=\"Si nouvel inscrit ou changement de t\u00eate\"><i class=\"fa fa-info\" aria-hidden=\"true\"><\/i><\/span><\/label><input type='file' class='form-control' name='file-1565704979069' data-ref-label='Photo_didentit' id='file-1565704979069'  \/><\/div><div class=\"erf-text form-group field-date-1565704149094 erf-element-width-12\"><label for=\"date-1565704149094\" class=\"erf-text-label\">Date Certificat m\u00e9dical<\/label><input type='text' data-date-format='mm\/dd\/yy' class='form-control erf-date-field' name='date-1565704149094' data-ref-label='Date_Certificat_mdical' id='date-1565704149094'  \/><\/div><div class=\"erf-text form-group field-field-7sgB7Tyo85OdGVe erf-element-width-12\"><label for=\"field-7sgB7Tyo85OdGVe\" class=\"erf-text-label\">Nom du m\u00e9decin<\/label><input type='text' class='form-control' name='field-7sgB7Tyo85OdGVe' data-ref-label='Nom_du_mdecin' id='field-7sgB7Tyo85OdGVe'  \/><\/div><div class=\"erf-text form-group field-text-1565704218358 erf-element-width-12\"><label for=\"text-1565704218358\" class=\"erf-text-label\">Num\u00e9ro au conseil de l'ordre du m\u00e9decin<span class=\"tooltip-element\" tooltip=\"pr\u00e9sent sur le tampon du m\u00e9decin ou sur l\u2019ent\u00eate du certificat\"><i class=\"fa fa-info\" aria-hidden=\"true\"><\/i><\/span><\/label><input type='text' class='form-control' name='text-1565704218358' data-ref-label='Numro_au_conseil_de_lordre_du_mdecin' id='text-1565704218358'  \/><\/div><div class=\"erf-file form-group field-file-1570455383042 erf-element-width-12\"><label for=\"file-1570455383042\" class=\"erf-file-label\">Certificat m\u00e9dical ou formulaire CERFA 15699*1<\/label><input type='file' class='form-control' name='file-1570455383042' data-ref-label='Certificat_medical' id='file-1570455383042'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='ref-FSLyIzS3' data-ref-id='ref-b8j5LdEI' class='' >TARIF DES COTISATIONS<\/h1><\/div><div class=\"erf-richtext erf-element-width-12\"><div data-non-input='1' data-ref-label='ref-tBqDOe1k' data-ref-id='ref-1bWT19kx' class='erf-rich-text' ><p><strong>La cotisation comprend :\u00a0<\/strong><br \/>- La licence f\u00e9d\u00e9ration<br \/>- L\u2019acc\u00e8s au mat\u00e9riel du club <em>(1)<\/em> et aux infrastructures<br \/>- L\u2019assurance<br \/><em>(1) Le club pr\u00eate aux joueurs des crosses d\u2019initiation et des tenues de gardien pour les entra\u00eenements, des <\/em><em>maillots de match pour les comp\u00e9titions et tournois, la cotisation ne comprend pas l\u2019achat de mat\u00e9riel <\/em><em>personnel, ni de maillots de match personnels.<\/em><\/p>\n<p><strong>Pour les moins de 15 ans (inclus) :<\/strong><br \/>- 40\u20ac<\/p>\n<p><strong>Pour les 16 ans et plus :<\/strong><br \/>- tarif comp\u00e9tition : 100\u20ac<br \/>- tarif loisir : 80\u20ac<br \/>- \u00e9tudiants et demandeurs d'emploi : 50\u20ac<\/p>\n<p><strong>Paiement \u00e0 effectuer au club soit :<\/strong><\/p>\n<ul>\n<li>Par ch\u00e8que (ordre : Unihockey Club Les Grizzlys du Hainaut),<\/li>\n<li>en liquide,<\/li>\n<li>par carte bancaire (terminal de paiement disponible au club),<\/li>\n<li>par virement (IBAN : FR45 2004 1010 0513 4145 4X02 672 \/ BIC : PSSTFRPPLIL) . <strong>MENTIONNER LORS DU VIREMENT \"inscr. floorball + nom de(s) l'inscrit(s)\"<\/strong><\/li>\n<\/ul><\/div><\/div><div class=\"erf-separator erf-element-width-12\"><div data-non-input='1' custom-type='spacer' data-ref-id='ref-6EoJvYxy' data-ref-label='ref-wEtlYe88' class='spacer' >Separator<\/div><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='ref-3ky3HB2y' data-ref-id='ref-VwoQ1v9k' class='' >DROIT A L'IMAGE + TRANSPORTS + LETTRE DE D\u00c9CHARGE<\/h1><\/div><div class=\"erf-richtext erf-element-width-12\"><div data-non-input='1' data-ref-label='ref-CrNPSood' data-ref-id='ref-EbjRnpJG' class='erf-rich-text' ><p>Merci de remplir et signer les documents ci-dessous (\u00e0 imprimer ou \u00e0 recopier sur papier libre), et de les transmettre au club en m\u00eame temps que le versement de la cotisation.<\/p>\n<p><a href=\"http:\/\/grizzlysduhainaut.fr\/wp-content\/uploads\/2020\/08\/dossier-inscription-partie-2.pdf\">Formulaire Droit \u00e0 l'image + transports + d\u00e9charge<\/a><\/p><\/div><\/div><div class=\"erf-file form-group field-field-1UBdNtCtdt20Xp3 erf-element-width-12\"><label for=\"field-1UBdNtCtdt20Xp3\" class=\"erf-file-label\">Formulaire rempli sign\u00e9 scann\u00e9<\/label><input type='file' class='form-control' name='field-1UBdNtCtdt20Xp3' data-ref-label='Formulaire_rempli_sign_scann' id='field-1UBdNtCtdt20Xp3'  \/><\/div><div class=\"erf-button form-group field-button-1308105220 erf-element-width-12\"><button type='submit'class='btn btn-default'name='button-1308105220'data-erf-btn-pos='left'data-ref-label='Send'id='button-1308105220'>Send<\/button><\/div>                    <\/div> \n                <\/div>    \n\n                <div class=\"erf-external-form-elements\">\n                    \n                    \n                    \n\n                    \n                                        <div class=\"erf-errors\" style=\"display:none\">\n                        <span class=\"erf-errors-head erf-error-row\">Error occured. Please confirm your data and submit again:<\/span>\n                        <div class=\"erf-errors-body\">\n                                                    <\/div> \n                    <\/div>\n\n                <\/div>\n                <!-- Contains multipage Next,Previous buttons -->\n                <div class=\"erf-form-nav clearfix\"><\/div> \n\n                <!-- Single page form button -->\n                <div class=\"erf-submit-button clearfix\"><\/div>\n\n\n                <input type=\"hidden\" name=\"erform_id\" value=\"3033\" \/>\n                <input type=\"hidden\" id=\"erform_submission_nonce\" name=\"erform_submission_nonce\" value=\"dd571b207b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/2513\" \/>                <input type=\"hidden\" name=\"action\" value=\"erf_submit_form\" \/>\n\n            <\/form>\n            \n<\/div>\n<\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Formulaire d&rsquo;inscription ETAT CIVIL DU LICENCIENom*Pr\u00e9nom*Date de naissance*Lieu de naissance*Pays de naissance*Adresse*Code postal*Commune*Pays*Nom et Pr\u00e9nom parent 1Nom et Pr\u00e9nom parent 2SeparatorCONTACTSTel domicileTel mobile du licenci\u00e9Tel mobile Parent 1*Tel mobile Parent 2Personne \u00e0 joindre en cas d&rsquo;urgence (nom, pr\u00e9nom, n\u00b0 tel)*Email(s) de contact (les informations seront envoy\u00e9es \u00e0 cette adresse)*PI\u00c8CES A FOURNIR 1 photo d\u2019identit\u00e9 en [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2513","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - 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