{"id":143390,"date":"2025-09-23T09:52:24","date_gmt":"2025-09-23T07:52:24","guid":{"rendered":"https:\/\/www.ccs-lj.ch\/wp\/?p=143390"},"modified":"2026-03-04T13:40:49","modified_gmt":"2026-03-04T12:40:49","slug":"inscription-formations26","status":"publish","type":"post","link":"https:\/\/www.ccs-lj.ch\/wp\/inscription-formations26\/","title":{"rendered":"Inscription Formations 2026"},"content":{"rendered":"[vc_row][vc_column][vc_column_text css=\u00a0\u00bb.vc_custom_1758635235258{margin-bottom: 0px !important;}\u00a0\u00bb]<b>Places disponibles pour les cours \u00e0 venir :<\/b><\/p>\nMatelotage \u2013 31 octobre 2026 :  1 place(s) disponible(s)<br>M\u00e9decine en haute mer \u2013 24 et 25 octobre 2026 :  0 place(s) disponible(s)<br>Premiers secours en mer \u2013 21 novembre 2026 :  16 place(s) disponible(s)<br>S\u00e9curit\u00e9 et survie en mer \u2013 7 et 8 novembre 2026 :  18 place(s) disponible(s)<br>Astro \u2013 13 et 14 mars 2026 :  0 place(s) disponible(s)<br>    <script>\r\n    var data = {\n    \"F0826\": {\n        \"dispo\": \"1\",\n        \"price\": \"90\"\n    },\n    \"F0926\": {\n        \"dispo\": \"0\",\n        \"price\": \"510\"\n    },\n    \"F1326\": {\n        \"dispo\": \"16\",\n        \"price\": \"260\"\n    },\n    \"F1426\": {\n        \"dispo\": \"18\",\n        \"price\": \"550\"\n    },\n    \"F0526\": {\n        \"dispo\": \"0\",\n        \"price\": \"270\"\n    }\n};\r\n\r\n    document.addEventListener(\"DOMContentLoaded\", function() {\r\n\t\t\r\n        var radios = document.querySelectorAll('input[name=\"radio-1\"]');\r\n        var dispoField = document.querySelector('input[name=\"number-14\"]');\r\n\t\tvar priceField = document.querySelector('input[name=\"number-15\"]');\r\n\r\n        function updateField(selectedKey) {\r\n            if (!dispoField || !priceField) return;\r\n            if (data[selectedKey] !== undefined) {\r\n                dispoField.value = data[selectedKey].dispo;\r\n\t\t\t\tpriceField.value = data[selectedKey].price;\r\n                console.log(\"Hidden field updated:\", selectedKey, \"\u2192\", data[selectedKey]);\r\n            } else {\r\n                dispoField.value = \"\";\r\n\t\t\t\tpriceField.value = \"\";\r\n            }\r\n\t\t\t\r\n\t\t\tdispoField.dispatchEvent(new Event(\"change\", { bubbles: true }));\r\n    \t\tdispoField.dispatchEvent(new Event(\"input\", { bubbles: true }));\r\n\t\t\tpriceField.dispatchEvent(new Event(\"change\", { bubbles: true }));\r\n    \t\tpriceField.dispatchEvent(new Event(\"input\", { bubbles: true }));\r\n        }\r\n\r\n        if (radios.length > 0 && dispoField && priceField) {\r\n            radios.forEach(function(radio) {\r\n                radio.addEventListener('change', function() {\r\n                    updateField(this.value);\r\n                });\r\n            });\r\n\r\n            \/\/ Prefill if already selected\r\n            var checkedRadio = document.querySelector('input[name=\"radio-1\"]:checked');\r\n            if (checkedRadio) {\r\n                updateField(checkedRadio.value);\r\n            }\r\n        }\r\n    });\r\n    <\/script>\r\n\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-143393 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-143393\" data-uid=\"69e1c5531ba1f\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-143393\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-143393 forminator-design--default  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"143393\"\r\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69e1c5531ba1f\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-143393--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-143393--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Paiement et validation\"\r\n\t\t\t\tdata-actual-label=\"Choix formation\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69e1c5531ba1f-label\"><span id=\"forminator-radiogroup-radio-1-69e1c5531ba1f-label\" class=\"forminator-label\">Inscription formation <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69e1c5531ba1f\" class=\"forminator-radio\" title=\"Premiers secours en mer \u2013 21 novembre 2026\"><input type=\"radio\" name=\"radio-1\" value=\"F1326\" id=\"forminator-field-radio-1-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"260\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Premiers secours en mer \u2013 21 novembre 2026<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69e1c5531ba1f\" class=\"forminator-radio\" title=\"S\u00e9curit\u00e9 et survie en mer \u2013 7 et 8 novembre 2026\"><input type=\"radio\" name=\"radio-1\" value=\"F1426\" id=\"forminator-field-radio-1-2-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"550\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00e9curit\u00e9 et survie en mer \u2013 7 et 8 novembre 2026<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-69e1c5531ba1f\" class=\"forminator-radio\" title=\"Formation Astro - 13 et 14 mars 2026\"><input type=\"radio\" name=\"radio-1\" value=\"F0526\" id=\"forminator-field-radio-1-3-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"270\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Formation Astro - 13 et 14 mars 2026<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-69e1c5531ba1f\" class=\"forminator-radio\" title=\"Matelotage - 31 octobre\"><input type=\"radio\" name=\"radio-1\" value=\"F0826\" id=\"forminator-field-radio-1-4-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"90\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Matelotage - 31 octobre<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-69e1c5531ba1f\" class=\"forminator-radio\" title=\"M\u00e9decine en haute mer - 24 et 25 octobre\"><input type=\"radio\" name=\"radio-1\" value=\"F0926\" id=\"forminator-field-radio-1-5-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"510\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M\u00e9decine en haute mer - 24 et 25 octobre<\/span><\/label><\/div><\/div><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-1-field_69e1c5531ba1f\" id=\"calculation-1-field_69e1c5531ba1f-label\" class=\"forminator-label\">Montant formation<\/label><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69e1c5531ba1f\" class=\"forminator-calculation forminator-input\" data-formula=\"round(({calculation-5}+({calculation-5}-{calculation-7}\/({radio-2}+{radio-9}))*4)*{calculation-20})\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-23\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-23-field_69e1c5531ba1f\" id=\"calculation-23-field_69e1c5531ba1f-label\" class=\"forminator-label\">Nombre de places disponibles<\/label><input type=\"text\" name=\"calculation-23\" value=\"\" id=\"calculation-23-field_69e1c5531ba1f\" class=\"forminator-calculation forminator-input\" data-formula=\"{number-14}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" aria-describedby=\"calculation-23-field_69e1c5531ba1f-description\" \/><span id=\"calculation-23-field_69e1c5531ba1f-description\" class=\"forminator-description\">Place(s) disponible(s)<\/span><\/div><\/div><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-6 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><p><strong>Attention, cette formation est en liste d'attente.&nbsp;Vous recevrez un email si une place se lib\u00e8re.<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-14\" class=\"forminator-field-number forminator-col forminator-col-6  hide-this-field\"><div class=\"forminator-field\"><label for=\"forminator-field-number-14_69e1c5531ba1f\" id=\"forminator-field-number-14_69e1c5531ba1f-label\" class=\"forminator-label\">Dispo CSV<\/label><input name=\"number-14\" value=\"0\" placeholder=\"\" id=\"forminator-field-number-14_69e1c5531ba1f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"0\" max=\"150\" \/><\/div><\/div><div id=\"number-15\" class=\"forminator-field-number forminator-col forminator-col-6  hide-this-field\"><div class=\"forminator-field\"><label for=\"forminator-field-number-15_69e1c5531ba1f\" id=\"forminator-field-number-15_69e1c5531ba1f-label\" class=\"forminator-label\">Prix CSV<\/label><input name=\"number-15\" value=\"\" placeholder=\"\" id=\"forminator-field-number-15_69e1c5531ba1f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"2\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"0\" max=\"10000\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69e1c5531ba1f\" id=\"forminator-field-textarea-2_69e1c5531ba1f-label\" class=\"forminator-label\">Autres<\/label><textarea name=\"textarea-2\" placeholder=\"Votre question:\" id=\"forminator-field-textarea-2_69e1c5531ba1f\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69e1c5531ba1f-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69e1c5531ba1f-label\" class=\"forminator-label\">Mat\u00e9riel de cours<\/span><label id=\"forminator-field-checkbox-1-1-69e1c5531ba1f-label\" for=\"forminator-field-checkbox-1-1-69e1c5531ba1f\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Support de cours et recueil des questions d&#039;examen\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Support-de-cours-et-recueil-des-questions-d&#039;examen\" id=\"forminator-field-checkbox-1-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-checkbox-1-1-69e1c5531ba1f-label\" data-calculation=\"120\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Support de cours et recueil des questions d'examen<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69e1c5531ba1f-label\" for=\"forminator-field-checkbox-1-2-69e1c5531ba1f\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"R\u00e8gle-rapporteur &quot;l&#039;Int\u00e9grale&quot; et compas \u00e0 pointe s\u00e8che\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"R\u00e8gle-rapporteur-&quot;l&#039;Int\u00e9grale&quot;-et-compas-\u00e0-pointe-s\u00e8che\" id=\"forminator-field-checkbox-1-2-69e1c5531ba1f\" aria-labelledby=\"forminator-field-checkbox-1-2-69e1c5531ba1f-label\" data-calculation=\"40\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">R\u00e8gle-rapporteur \"l'Int\u00e9grale\" et compas \u00e0 pointe s\u00e8che<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69e1c5531ba1f-label\"><span id=\"forminator-radiogroup-radio-4-69e1c5531ba1f-label\" class=\"forminator-label\">Type de formation<\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69e1c5531ba1f\" class=\"forminator-radio forminator-radio-inline\" title=\"Cours initial\"><input type=\"radio\" name=\"radio-4\" value=\"Cours-initial\" id=\"forminator-field-radio-4-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Cours initial<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-69e1c5531ba1f\" class=\"forminator-radio forminator-radio-inline\" title=\"Cours de recyclage\"><input type=\"radio\" name=\"radio-4\" value=\"Cours-de-recyclage\" id=\"forminator-field-radio-4-2-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"-190\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Cours de recyclage<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69e1c5531ba1f-label\"><span id=\"forminator-radiogroup-radio-8-69e1c5531ba1f-label\" class=\"forminator-label\">Niveau formation cours radio<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69e1c5531ba1f\" class=\"forminator-radio forminator-radio-inline\" title=\"SRC\"><input type=\"radio\" name=\"radio-8\" value=\"SRC\" id=\"forminator-field-radio-8-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">SRC<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69e1c5531ba1f\" class=\"forminator-radio forminator-radio-inline\" title=\"LRC\"><input type=\"radio\" name=\"radio-8\" value=\"LRC\" id=\"forminator-field-radio-8-2-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"70\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">LRC<\/span><\/label><\/div><\/div><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69e1c5531ba1f-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69e1c5531ba1f-label\" class=\"forminator-label\">Mat\u00e9riel cours radio<\/span><label id=\"forminator-field-checkbox-2-1-69e1c5531ba1f-label\" for=\"forminator-field-checkbox-2-1-69e1c5531ba1f\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Support cours\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Support-cours\" id=\"forminator-field-checkbox-2-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-checkbox-2-1-69e1c5531ba1f-label\" data-calculation=\"180\" checked=\"checked\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Support cours<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-7\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-7-field_69e1c5531ba1f\" id=\"calculation-7-field_69e1c5531ba1f-label\" class=\"forminator-label\">Montant mat\u00e9riel de cours<\/label><input type=\"text\" name=\"calculation-7\" value=\"\" id=\"calculation-7-field_69e1c5531ba1f\" class=\"forminator-calculation forminator-input\" data-formula=\"round({number-15}+{checkbox-1}+{checkbox-2}+{radio-4}+{radio-8})\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"1\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69e1c5531ba1f-label\"><span id=\"forminator-radiogroup-radio-2-69e1c5531ba1f-label\" class=\"forminator-label\">Etes vous membre CCS <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69e1c5531ba1f\" class=\"forminator-radio\" title=\"Membre CCS\"><input type=\"radio\" name=\"radio-2\" value=\"Membre-CCS\" id=\"forminator-field-radio-2-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"1\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Membre CCS<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69e1c5531ba1f\" class=\"forminator-radio\" title=\"Membre CCS-LJ et moins de 25 ans\"><input type=\"radio\" name=\"radio-2\" value=\"Membre-CCS-LJ-et-moins-de-25-ans\" id=\"forminator-field-radio-2-2-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"2\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Membre CCS-LJ et moins de 25 ans<\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-69e1c5531ba1f\" class=\"forminator-radio\" title=\"Membre CCS-LJ et moins de 30 ans\"><input type=\"radio\" name=\"radio-2\" value=\"Membre-CCS-LJ-et-moins-de-30-ans\" id=\"forminator-field-radio-2-3-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"1.4286\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Membre CCS-LJ et moins de 30 ans<\/span><\/label><label id=\"forminator-field-radio-2-label-4\" for=\"forminator-field-radio-2-4-69e1c5531ba1f\" class=\"forminator-radio\" title=\"Non membre\"><input type=\"radio\" name=\"radio-2\" value=\"Non-membre\" id=\"forminator-field-radio-2-4-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-2-label-4\" data-calculation=\"0.8\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non membre<\/span><\/label><\/div><\/div><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69e1c5531ba1f-label\"><span id=\"forminator-radiogroup-radio-9-69e1c5531ba1f-label\" class=\"forminator-label\">Etes vous membre CCS <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69e1c5531ba1f\" class=\"forminator-radio\" title=\"Membre CCS\"><input type=\"radio\" name=\"radio-9\" value=\"Membre-CCS\" id=\"forminator-field-radio-9-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"1\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Membre CCS<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69e1c5531ba1f\" class=\"forminator-radio\" title=\"Membre CCS-LJ et moins de 30 ans\"><input type=\"radio\" name=\"radio-9\" value=\"Membre-CCS-LJ-et-moins-de-30-ans\" id=\"forminator-field-radio-9-2-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"2\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Membre CCS-LJ et moins de 30 ans<\/span><\/label><label id=\"forminator-field-radio-9-label-3\" for=\"forminator-field-radio-9-3-69e1c5531ba1f\" class=\"forminator-radio\" title=\"Non membre\"><input type=\"radio\" name=\"radio-9\" value=\"Non-membre\" id=\"forminator-field-radio-9-3-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-9-label-3\" data-calculation=\"0.8\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non membre<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12 \"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">Date de naissance <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-day_69e1c5531ba1f\" class=\"forminator-label\">Jour <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" max=\"31\" name=\"date-1-day\" value=\"\" placeholder=\"22\" id=\"forminator-field-date-1-day_69e1c5531ba1f\" class=\"forminator-input\" data-field=\"day\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" \/><\/div><\/div><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-month_69e1c5531ba1f\" class=\"forminator-label\">Mois <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" max=\"12\" name=\"date-1-month\" value=\"\" placeholder=\"06\" id=\"forminator-field-date-1-month_69e1c5531ba1f\" class=\"forminator-input\" data-field=\"month\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" \/><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-year_69e1c5531ba1f\" class=\"forminator-label\">Ann\u00e9e <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" name=\"date-1-year\" placeholder=\"1929\" id=\"forminator-field-date-1-year_69e1c5531ba1f\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"dd-mm-yy\" data-parent=\"date-1\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><p><strong><span style=\"color: red\">En \u00e9tant membre du CCS, vous pouvez b\u00e9n\u00e9ficier de rabais importants : <\/span><a href=\"https:\/\/www.ccs-lj.ch\/wp\/club\/devenir-membre-2\/\"><u>en savoir plus&nbsp;<\/u><\/a><\/strong><strong><span style=\"color: red\">,<\/span><\/strong><\/p>\n<p><strong><span style=\"color: red\"> et vous avez moins de 30 ans?: <a href=\"https:\/\/www.ccs-lj.ch\/wp\/club\/special-jeunes\/\"><u>en savoir plus<\/u><\/a><em>&nbsp;<\/em><\/span><\/strong><\/p>\n<p><strong><a href=\"https:\/\/www.cruisingclub.ch\/fr\/club\/services-Membres\/devenir-membre?stp=1\"><u>Cliquez ici pour vous inscrire au CCS<\/u><\/a><\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><p><strong><span style=\"color: red\">En \u00e9tant membre du CCS, vous pouvez b\u00e9n\u00e9ficier de rabais importants : <\/span><a href=\"https:\/\/www.ccs-lj.ch\/wp\/club\/devenir-membre-2\/\"><u>en savoir plus&nbsp;<\/u><\/a><\/strong><strong><span style=\"color: red\">,<\/span><\/strong><\/p>\n<p><strong><span style=\"color: red\"> et vous avez moins de 30 ans?: <a href=\"https:\/\/www.ccs-lj.ch\/wp\/club\/special-jeunes\/\"><u>en savoir plus<\/u><\/a><em>&nbsp;<\/em><\/span><\/strong><\/p>\n<p><strong><a href=\"https:\/\/www.cruisingclub.ch\/fr\/club\/services-Membres\/devenir-membre?stp=1\"><u>Cliquez ici pour vous inscrire au CCS<\/u><\/a><\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-6\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-6-69e1c5531ba1f-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-6-69e1c5531ba1f-label\" class=\"forminator-label\">Parrainage<\/span><label id=\"forminator-field-checkbox-6-1-69e1c5531ba1f-label\" for=\"forminator-field-checkbox-6-1-69e1c5531ba1f\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Etes-vous parrain\u00e9 par un membre du CCS-LJ de moins de 30 ans?\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"oui\" id=\"forminator-field-checkbox-6-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-checkbox-6-1-69e1c5531ba1f-label\" data-calculation=\"180\"   aria-describedby=\"forminator-field-checkbox-6-69e1c5531ba1f-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Etes-vous parrain\u00e9 par un membre du CCS-LJ de moins de 30 ans?<\/span><\/label><span id=\"forminator-field-checkbox-6-69e1c5531ba1f-description\" class=\"forminator-description\">Action de parrainage entre jeunes En 2025, un bon de 150 CHF \u00e0 faire valoir au CCS-LJ sera remis au jeune parrain ou \u00e0 la jeune marraine de tout nouveau ou nouvelle jeune qui s'inscrira au club et \u00e0 une formation ou \u00e0 une croisi\u00e8re.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69e1c5531ba1f\" id=\"forminator-field-name-3_69e1c5531ba1f-label\" class=\"forminator-label\">Nom du parrain <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_69e1c5531ba1f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_69e1c5531ba1f\" id=\"forminator-field-email-2_69e1c5531ba1f-label\" class=\"forminator-label\">Email du parrain <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"\" id=\"forminator-field-email-2_69e1c5531ba1f\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-3\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-3_69e1c5531ba1f__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-3_69e1c5531ba1f-label\"><input type=\"checkbox\" name=\"consent-3\" id=\"forminator-field-consent-3_69e1c5531ba1f\" value=\"checked\" aria-labelledby=\"forminator-field-consent-3_69e1c5531ba1f-label\" aria-describedby=\"forminator-field-consent-3_69e1c5531ba1f__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-3_69e1c5531ba1f__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Je ne souhaite pas devenir membre CCS<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-4\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-4_69e1c5531ba1f__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-4_69e1c5531ba1f-label\"><input type=\"checkbox\" name=\"consent-4\" id=\"forminator-field-consent-4_69e1c5531ba1f\" value=\"checked\" aria-labelledby=\"forminator-field-consent-4_69e1c5531ba1f-label\" aria-describedby=\"forminator-field-consent-4_69e1c5531ba1f__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-4_69e1c5531ba1f__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Je ne souhaite pas devenir membre CCS<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-20\" class=\"forminator-field-calculation forminator-col forminator-col-12  hide-this-field\"><div class=\"forminator-field\"><label for=\"calculation-20-field_69e1c5531ba1f\" id=\"calculation-20-field_69e1c5531ba1f-label\" class=\"forminator-label\">Liste d&#039;attente<\/label><input type=\"text\" name=\"calculation-20\" value=\"\" id=\"calculation-20-field_69e1c5531ba1f\" class=\"forminator-calculation forminator-input\" data-formula=\"{calculation-23}\/({calculation-23}+0.001)\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-5\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-5-field_69e1c5531ba1f\" id=\"calculation-5-field_69e1c5531ba1f-label\" class=\"forminator-label\">arrondi<\/label><input type=\"text\" name=\"calculation-5\" value=\"\" id=\"calculation-5-field_69e1c5531ba1f\" class=\"forminator-calculation forminator-input\" data-formula=\"{calculation-7}\/({radio-2}+{radio-9})\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"1\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69e1c5531ba1f\" id=\"forminator-field-name-2_69e1c5531ba1f-label\" class=\"forminator-label\">Pr\u00e9nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_69e1c5531ba1f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69e1c5531ba1f\" id=\"forminator-field-name-1_69e1c5531ba1f-label\" class=\"forminator-label\">Nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_69e1c5531ba1f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69e1c5531ba1f\" id=\"forminator-field-email-1_69e1c5531ba1f-label\" class=\"forminator-label\">Adresse de messagerie <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69e1c5531ba1f\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69e1c5531ba1f\" id=\"forminator-field-phone-1_69e1c5531ba1f-label\" class=\"forminator-label\">T\u00e9l\u00e9phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Par exemple\u00a0: +41 79 333 44 55\" id=\"forminator-field-phone-1_69e1c5531ba1f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"ch\" data-validation=\"international\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-143393--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-143393--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"Choix formation\"\r\n\t\t\t\tdata-actual-label=\"Adresse\"\r\n\t\t\t\tdata-name=\"page-break-2\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_69e1c5531ba1f\" id=\"forminator-field-address-1-street_address_69e1c5531ba1f-label\" class=\"forminator-label\">Rue <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"Par exemple\u00a0: 10 grande rue\" id=\"forminator-field-address-1-street_address_69e1c5531ba1f\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-address_line_69e1c5531ba1f\" id=\"forminator-field-address-1-address_line_69e1c5531ba1f-label\" class=\"forminator-label\">Appartement, suite, etc.<\/label><input type=\"text\" name=\"address-1-address_line\" placeholder=\"\" id=\"forminator-field-address-1-address_line_69e1c5531ba1f\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_69e1c5531ba1f\" id=\"forminator-field-address-1-city_69e1c5531ba1f-label\" class=\"forminator-label\">Ville <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"Par exemple\u00a0: Paris\" id=\"forminator-field-address-1-city_69e1c5531ba1f\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_69e1c5531ba1f\" id=\"forminator-field-address-1-zip_69e1c5531ba1f-label\" class=\"forminator-label\">Code postal <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"Par exemple\u00a0: 2000\" id=\"forminator-field-address-1-zip_69e1c5531ba1f\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-1-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-143393__field--address-1-country_69e1c5531ba1f\" id=\"forminator-field-143393__field--address-1-country_69e1c5531ba1f-label\" class=\"forminator-label\">Pays<\/label><select name=\"address-1-country\" id=\"forminator-field-143393__field--address-1-country_69e1c5531ba1f\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"S\u00e9lectionner un pays\" autocomplete=\"country-name country\" data-default-value=\"Suisse\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afghanistan\" data-country-code=\"AF\" >Afghanistan<\/option><option value=\"Afrique du Sud\" data-country-code=\"ZA\" >Afrique du Sud<\/option><option value=\"Albanie\" data-country-code=\"AL\" >Albanie<\/option><option value=\"Alg\u00e9rie\" data-country-code=\"DZ\" >Alg\u00e9rie<\/option><option value=\"Allemagne\" data-country-code=\"DE\" >Allemagne<\/option><option value=\"Andorre\" data-country-code=\"AD\" >Andorre<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguilla\" data-country-code=\"AI\" >Anguilla<\/option><option value=\"Antarctique\" data-country-code=\"AQ\" >Antarctique<\/option><option value=\"Antigua-et-Barbuda\" data-country-code=\"AG\" >Antigua-et-Barbuda<\/option><option value=\"Antilles N\u00e9erlandaises\" data-country-code=\"AN\" >Antilles N\u00e9erlandaises<\/option><option value=\"Apatrides\" data-country-code=\"XX\" >Apatrides<\/option><option value=\"Arabie Saoudite\" data-country-code=\"SA\" >Arabie Saoudite<\/option><option value=\"Argentine\" data-country-code=\"AR\" >Argentine<\/option><option value=\"Arm\u00e9nie\" data-country-code=\"AM\" >Arm\u00e9nie<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Australie\" data-country-code=\"AU\" >Australie<\/option><option value=\"Autriche\" data-country-code=\"AT\" >Autriche<\/option><option value=\"Azerba\u00efdjan\" data-country-code=\"AZ\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahre\u00efn\" data-country-code=\"BH\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Belgique\" data-country-code=\"BE\" >Belgique<\/option><option value=\"Bermudes\" data-country-code=\"BM\" >Bermudes<\/option><option value=\"Bhoutan\" data-country-code=\"BT\" >Bhoutan<\/option><option value=\"Bi\u00e9lorussie\" data-country-code=\"BY\" >Bi\u00e9lorussie<\/option><option value=\"Bolivie\" data-country-code=\"BO\" >Bolivie<\/option><option value=\"Bosnie-Herz\u00e9govine\" data-country-code=\"BA\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" data-country-code=\"BW\" >Botswana<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Br\u00e9sil\" data-country-code=\"BR\" >Br\u00e9sil<\/option><option value=\"Bulgarie\" data-country-code=\"BG\" >Bulgarie<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"B\u00e9lize\" data-country-code=\"BZ\" >B\u00e9lize<\/option><option value=\"B\u00e9nin\" data-country-code=\"BJ\" >B\u00e9nin<\/option><option value=\"Cambodge\" data-country-code=\"KH\" >Cambodge<\/option><option value=\"Cameroun\" data-country-code=\"CM\" >Cameroun<\/option><option value=\"Canada\" data-country-code=\"CA\" >Canada<\/option><option value=\"Cap Vert\" data-country-code=\"CV\" >Cap Vert<\/option><option value=\"Chili\" data-country-code=\"CL\" >Chili<\/option><option value=\"Chine, R\u00e9publique populaire de\" data-country-code=\"CN\" >Chine, R\u00e9publique populaire de<\/option><option value=\"Chypre\" data-country-code=\"CY\" >Chypre<\/option><option value=\"Cit\u00e9 du Vatican\" data-country-code=\"VA\" >Cit\u00e9 du Vatican<\/option><option value=\"Colombie\" data-country-code=\"CO\" >Colombie<\/option><option value=\"Comores\" data-country-code=\"KM\" >Comores<\/option><option value=\"Congo, R\u00e9publique du\" data-country-code=\"CG\" >Congo, R\u00e9publique du<\/option><option value=\"Congo, R\u00e9publique d\u00e9mocratique du\" data-country-code=\"CD\" >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value=\"Cor\u00e9e, R\u00e9publique de\" data-country-code=\"KR\" >Cor\u00e9e, R\u00e9publique de<\/option><option value=\"Cor\u00e9e, R\u00e9publique d\u00e9mocratique populaire de\" data-country-code=\"KP\" >Cor\u00e9e, R\u00e9publique d\u00e9mocratique populaire de<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Croatie\" data-country-code=\"HR\" >Croatie<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Cura\u00e7ao\" data-country-code=\"CW\" >Cura\u00e7ao<\/option><option value=\"C\u00f4te d\u2019Ivoire\" data-country-code=\"CI\" >C\u00f4te d\u2019Ivoire<\/option><option value=\"Danemark\" data-country-code=\"DK\" >Danemark<\/option><option value=\"Djibouti\" data-country-code=\"DJ\" >Djibouti<\/option><option value=\"Dominique\" data-country-code=\"DM\" >Dominique<\/option><option value=\"Espagne\" data-country-code=\"ES\" >Espagne<\/option><option value=\"Estonie\" data-country-code=\"EE\" >Estonie<\/option><option value=\"Fidji\" data-country-code=\"FJ\" >Fidji<\/option><option value=\"Finlande\" data-country-code=\"FI\" >Finlande<\/option><option value=\"France\" data-country-code=\"FR\" >France<\/option><option value=\"France, M\u00e9tropolitaine\" data-country-code=\"FX\" >France, M\u00e9tropolitaine<\/option><option value=\"Gabon\" data-country-code=\"GA\" >Gabon<\/option><option value=\"Gambie\" data-country-code=\"GM\" >Gambie<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Grenade\" data-country-code=\"GD\" >Grenade<\/option><option value=\"Groenland\" data-country-code=\"GL\" >Groenland<\/option><option value=\"Gr\u00e8ce\" data-country-code=\"GR\" >Gr\u00e8ce<\/option><option value=\"Guadeloupe\" data-country-code=\"GP\" >Guadeloupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guat\u00e9mala\" data-country-code=\"GT\" >Guat\u00e9mala<\/option><option value=\"Guernesey\" data-country-code=\"GG\" >Guernesey<\/option><option value=\"Guin\u00e9e\" data-country-code=\"GN\" >Guin\u00e9e<\/option><option value=\"Guin\u00e9e \u00c9quatoriale\" data-country-code=\"GQ\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"Guin\u00e9e-Bissau\" data-country-code=\"GW\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyane\" data-country-code=\"GY\" >Guyane<\/option><option value=\"Guyane fran\u00e7aise\" data-country-code=\"GF\" >Guyane fran\u00e7aise<\/option><option value=\"G\u00e9orgie\" data-country-code=\"GE\" >G\u00e9orgie<\/option><option value=\"G\u00e9orgie du Sud et Sandwich du Sud\" data-country-code=\"GS\" >G\u00e9orgie du Sud et Sandwich du Sud<\/option><option value=\"Ha\u00efti\" data-country-code=\"HT\" >Ha\u00efti<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hongrie\" data-country-code=\"HU\" >Hongrie<\/option><option value=\"Inde\" data-country-code=\"IN\" >Inde<\/option><option value=\"Indon\u00e9sie\" data-country-code=\"ID\" >Indon\u00e9sie<\/option><option value=\"Iran\" data-country-code=\"IR\" >Iran<\/option><option value=\"Iraq\" data-country-code=\"IQ\" >Iraq<\/option><option value=\"Ireland\" data-country-code=\"IE\" >Ireland<\/option><option value=\"Islande\" data-country-code=\"IS\" >Islande<\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italie\" data-country-code=\"IT\" >Italie<\/option><option value=\"Jama\u00efque\" data-country-code=\"JM\" >Jama\u00efque<\/option><option value=\"Japon\" data-country-code=\"JP\" >Japon<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jordanie\" data-country-code=\"JO\" >Jordanie<\/option><option value=\"Kazakhstan\" data-country-code=\"KZ\" >Kazakhstan<\/option><option value=\"Kenya\" data-country-code=\"KE\" >Kenya<\/option><option value=\"Kirghizistan\" data-country-code=\"KG\" >Kirghizistan<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kowe\u00eft\" data-country-code=\"KW\" >Kowe\u00eft<\/option><option value=\"La Barbade\" data-country-code=\"BB\" >La Barbade<\/option><option value=\"Lesotho\" data-country-code=\"LS\" >Lesotho<\/option><option value=\"Lettonie\" data-country-code=\"LV\" >Lettonie<\/option><option value=\"Liban\" data-country-code=\"LB\" >Liban<\/option><option value=\"Libye\" data-country-code=\"LY\" >Libye<\/option><option value=\"Lib\u00e9ria\" data-country-code=\"LR\" >Lib\u00e9ria<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lithuanie\" data-country-code=\"LT\" >Lithuanie<\/option><option value=\"Luxembourg\" data-country-code=\"LU\" >Luxembourg<\/option><option value=\"Macao\" data-country-code=\"MO\" >Macao<\/option><option value=\"Mac\u00e9doine du Nord\" data-country-code=\"MK\" >Mac\u00e9doine du Nord<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malaisie\" data-country-code=\"MY\" >Malaisie<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldives\" data-country-code=\"MV\" >Maldives<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malte\" data-country-code=\"MT\" >Malte<\/option><option value=\"Maroc\" data-country-code=\"MA\" >Maroc<\/option><option value=\"Martinique\" data-country-code=\"MQ\" >Martinique<\/option><option value=\"Mauritanie\" data-country-code=\"MR\" >Mauritanie<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Mexique\" data-country-code=\"MX\" >Mexique<\/option><option value=\"Micron\u00e9sie\" data-country-code=\"FM\" >Micron\u00e9sie<\/option><option value=\"Moldavie\" data-country-code=\"MD\" >Moldavie<\/option><option value=\"Monaco\" data-country-code=\"MC\" >Monaco<\/option><option value=\"Mongolie\" data-country-code=\"MN\" >Mongolie<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mont\u00e9n\u00e9gro\" data-country-code=\"ME\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"Myanmar\" data-country-code=\"MM\" >Myanmar<\/option><option value=\"Namibie\" data-country-code=\"NA\" >Namibie<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Niger\" data-country-code=\"NE\" >Niger<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niu\u00e9\" data-country-code=\"NU\" >Niu\u00e9<\/option><option value=\"Norv\u00e8ge\" data-country-code=\"NO\" >Norv\u00e8ge<\/option><option value=\"Nouvelle Zelande\" data-country-code=\"NZ\" >Nouvelle Zelande<\/option><option value=\"Nouvelle-Cal\u00e9donie\" data-country-code=\"NC\" >Nouvelle-Cal\u00e9donie<\/option><option value=\"N\u00e9pal\" data-country-code=\"NP\" >N\u00e9pal<\/option><option value=\"Oman\" data-country-code=\"OM\" >Oman<\/option><option value=\"Ouganda\" data-country-code=\"UG\" >Ouganda<\/option><option value=\"Ouzb\u00e9kistan\" data-country-code=\"UZ\" >Ouzb\u00e9kistan<\/option><option value=\"Pakistan\" data-country-code=\"PK\" >Pakistan<\/option><option value=\"Palau\" data-country-code=\"PW\" >Palau<\/option><option value=\"Palestine, \u00c9tat de\" data-country-code=\"PS\" >Palestine, \u00c9tat de<\/option><option value=\"Panama\" data-country-code=\"PA\" >Panama<\/option><option value=\"Papouasie-Nouvelle-Guin\u00e9e\" data-country-code=\"PG\" >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Pays-Bas\" data-country-code=\"NL\" >Pays-Bas<\/option><option value=\"Philippines\" data-country-code=\"PH\" >Philippines<\/option><option value=\"Pologne\" data-country-code=\"PL\" >Pologne<\/option><option value=\"Polyn\u00e9sie Fran\u00e7aise\" data-country-code=\"PF\" >Polyn\u00e9sie Fran\u00e7aise<\/option><option value=\"Porto Rico\" data-country-code=\"PR\" >Porto Rico<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"P\u00e9rou\" data-country-code=\"PE\" >P\u00e9rou<\/option><option value=\"Qatar\" data-country-code=\"QA\" >Qatar<\/option><option value=\"Roumanie\" data-country-code=\"RO\" >Roumanie<\/option><option value=\"Royaume-Uni\" data-country-code=\"GB\" >Royaume-Uni<\/option><option value=\"Russie\" data-country-code=\"RU\" >Russie<\/option><option value=\"Rwanda\" data-country-code=\"RW\" >Rwanda<\/option><option value=\"R\u00e9publique Centrafricaine\" data-country-code=\"CF\" >R\u00e9publique Centrafricaine<\/option><option value=\"R\u00e9publique Dominicaine\" data-country-code=\"DO\" >R\u00e9publique Dominicaine<\/option><option value=\"R\u00e9publique Tch\u00e8que\" data-country-code=\"CZ\" >R\u00e9publique Tch\u00e8que<\/option><option value=\"R\u00e9publique du Salvador\" data-country-code=\"SV\" >R\u00e9publique du Salvador<\/option><option value=\"R\u00e9publique d\u00e9mocratique populaire du Laos\" data-country-code=\"LA\" >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value=\"Sahara occidental\" data-country-code=\"EH\" >Sahara occidental<\/option><option value=\"Saint Pierre et Miquelon\" data-country-code=\"PM\" >Saint Pierre et Miquelon<\/option><option value=\"Saint-Kitts-et-Nevis\" data-country-code=\"KN\" >Saint-Kitts-et-Nevis<\/option><option value=\"Saint-Marin\" data-country-code=\"SM\" >Saint-Marin<\/option><option value=\"Saint-Martin (Royaume des Pays-Bas)\" data-country-code=\"MF\" >Saint-Martin (Royaume des Pays-Bas)<\/option><option value=\"Saint-Vincent-et-les-Grenadines\" data-country-code=\"VC\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Sainte Lucie\" data-country-code=\"LC\" >Sainte Lucie<\/option><option value=\"Sainte-H\u00e9l\u00e8ne\" data-country-code=\"SH\" >Sainte-H\u00e9l\u00e8ne<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa am\u00e9ricaines\" data-country-code=\"AS\" >Samoa am\u00e9ricaines<\/option><option value=\"Sao Tom\u00e9-et-Principe\" data-country-code=\"ST\" >Sao Tom\u00e9-et-Principe<\/option><option value=\"Serbie\" data-country-code=\"RS\" >Serbie<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leone\" data-country-code=\"SL\" >Sierra Leone<\/option><option value=\"Singapour\" data-country-code=\"SG\" >Singapour<\/option><option value=\"Slovaquie\" data-country-code=\"SK\" >Slovaquie<\/option><option value=\"Slov\u00e9nie\" data-country-code=\"SI\" >Slov\u00e9nie<\/option><option value=\"Somalie\" data-country-code=\"SO\" >Somalie<\/option><option value=\"Soudan\" data-country-code=\"SD\" >Soudan<\/option><option value=\"Soudan, Sud\" data-country-code=\"SS\" >Soudan, Sud<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Suisse\" data-country-code=\"CH\" selected=\"selected\">Suisse<\/option><option value=\"Suriname\" data-country-code=\"SR\" >Suriname<\/option><option value=\"Su\u00e8de\" data-country-code=\"SE\" >Su\u00e8de<\/option><option value=\"Svalbard et Jan Mayen\" data-country-code=\"SJ\" >Svalbard et Jan Mayen<\/option><option value=\"Swaziland\" data-country-code=\"SZ\" >Swaziland<\/option><option value=\"Syrie\" data-country-code=\"SY\" >Syrie<\/option><option value=\"S\u00e9n\u00e9gal\" data-country-code=\"SN\" >S\u00e9n\u00e9gal<\/option><option value=\"Tadjikistan\" data-country-code=\"TJ\" >Tadjikistan<\/option><option value=\"Taiwan, R\u00e9publique de Chine\" data-country-code=\"TW\" >Taiwan, R\u00e9publique de Chine<\/option><option value=\"Tanzanie\" data-country-code=\"TZ\" >Tanzanie<\/option><option value=\"Tchad\" data-country-code=\"TD\" >Tchad<\/option><option value=\"Terres australes et antarctiques fran\u00e7aises\" data-country-code=\"TF\" >Terres australes et antarctiques fran\u00e7aises<\/option><option value=\"Territoire britannique de l\u2019oc\u00e9an Indien\" data-country-code=\"IO\" >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value=\"Tha\u00eflande\" data-country-code=\"TH\" >Tha\u00eflande<\/option><option value=\"Timor-Oriental\" data-country-code=\"TL\" >Timor-Oriental<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinit\u00e9 et Tobago\" data-country-code=\"TT\" >Trinit\u00e9 et Tobago<\/option><option value=\"Tunisie\" data-country-code=\"TN\" >Tunisie<\/option><option value=\"Turkm\u00e9nistan\" data-country-code=\"TM\" >Turkm\u00e9nistan<\/option><option value=\"Turquie\" data-country-code=\"TR\" >Turquie<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"Ukraine\" data-country-code=\"UA\" >Ukraine<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"V\u00e9n\u00e9zu\u00e9la\" data-country-code=\"VE\" >V\u00e9n\u00e9zu\u00e9la<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Zambie\" data-country-code=\"ZM\" >Zambie<\/option><option value=\"Zimbabwe\" data-country-code=\"ZW\" >Zimbabwe<\/option><option value=\"\u00c9gypte\" data-country-code=\"EG\" >\u00c9gypte<\/option><option value=\"\u00c9mirats Arabes Unis\" data-country-code=\"AE\" >\u00c9mirats Arabes Unis<\/option><option value=\"\u00c9quateur\" data-country-code=\"EC\" >\u00c9quateur<\/option><option value=\"\u00c9rythr\u00e9e\" data-country-code=\"ER\" >\u00c9rythr\u00e9e<\/option><option value=\"\u00c9tats-Unis d\u2019Am\u00e9rique (USA)\" data-country-code=\"US\" >\u00c9tats-Unis d\u2019Am\u00e9rique (USA)<\/option><option value=\"\u00c9thiopie\" data-country-code=\"ET\" >\u00c9thiopie<\/option><option value=\"\u00cele Bouvet\" data-country-code=\"BV\" >\u00cele Bouvet<\/option><option value=\"\u00cele Christmas\" data-country-code=\"CX\" >\u00cele Christmas<\/option><option value=\"\u00cele Heard et \u00eele Mcdonald\" data-country-code=\"HM\" >\u00cele Heard et \u00eele Mcdonald<\/option><option value=\"\u00cele Johnston\" data-country-code=\"JT\" >\u00cele Johnston<\/option><option value=\"\u00cele Maurice\" data-country-code=\"MU\" >\u00cele Maurice<\/option><option value=\"\u00cele Norfolk\" data-country-code=\"NF\" >\u00cele Norfolk<\/option><option value=\"\u00cele de la R\u00e9union\" data-country-code=\"RE\" >\u00cele de la R\u00e9union<\/option><option value=\"\u00celes Ca\u00efmans\" data-country-code=\"KY\" >\u00celes Ca\u00efmans<\/option><option value=\"\u00celes Cocos\" data-country-code=\"CC\" >\u00celes Cocos<\/option><option value=\"\u00celes Cook\" data-country-code=\"CK\" >\u00celes Cook<\/option><option value=\"\u00celes Falkland\" data-country-code=\"FK\" >\u00celes Falkland<\/option><option value=\"\u00celes F\u00e9ro\u00e9\" data-country-code=\"FO\" >\u00celes F\u00e9ro\u00e9<\/option><option value=\"\u00celes Mariannes du Nord\" data-country-code=\"MP\" >\u00celes Mariannes du Nord<\/option><option value=\"\u00celes Marshall\" data-country-code=\"MH\" >\u00celes Marshall<\/option><option value=\"\u00celes Pitcairn\" data-country-code=\"PN\" >\u00celes Pitcairn<\/option><option value=\"\u00celes Salomon\" data-country-code=\"SB\" >\u00celes Salomon<\/option><option value=\"\u00celes Turques-et-Ca\u00efques\" data-country-code=\"TC\" >\u00celes Turques-et-Ca\u00efques<\/option><option value=\"\u00celes Vierges am\u00e9ricaines\" data-country-code=\"VI\" >\u00celes Vierges am\u00e9ricaines<\/option><option value=\"\u00celes Vierges britanniques\" data-country-code=\"VG\" >\u00celes Vierges britanniques<\/option><option value=\"\u00celes Wallis et Futuna\" data-country-code=\"WF\" >\u00celes Wallis et Futuna<\/option><option value=\"\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis\" data-country-code=\"UM\" >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-69e1c5531ba1f-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-69e1c5531ba1f-label\" class=\"forminator-label\">Abonnement Newsletter<\/span><label id=\"forminator-field-checkbox-4-1-69e1c5531ba1f-label\" for=\"forminator-field-checkbox-4-1-69e1c5531ba1f\" class=\"forminator-checkbox\" title=\"Je souhaite recevoir la Newsletter CCS Lacs Jurassiens.\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"Je-souhaite-recevoir-la-Newsletter-CCS-Lacs-Jurassiens\" id=\"forminator-field-checkbox-4-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-checkbox-4-1-69e1c5531ba1f-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Je souhaite recevoir la Newsletter CCS Lacs Jurassiens.<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-143393--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-143393--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"Adresse\"\r\n\t\t\t\tdata-actual-label=\"Paiement et validation\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69e1c5531ba1f-label\"><span id=\"forminator-radiogroup-radio-6-69e1c5531ba1f-label\" class=\"forminator-label\">Votre fonction au sein du CCS Lacs Jurassiens <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69e1c5531ba1f\" class=\"forminator-radio forminator-radio-inline\" title=\"Sans\"><input type=\"radio\" name=\"radio-6\" value=\"Sans\" id=\"forminator-field-radio-6-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"1\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sans<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69e1c5531ba1f\" class=\"forminator-radio forminator-radio-inline\" title=\"Skipper ou second CCS-LJ\"><input type=\"radio\" name=\"radio-6\" value=\"Skipper-ou-second-CCS-LJ\" id=\"forminator-field-radio-6-2-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0.5\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Skipper ou second CCS-LJ<\/span><\/label><label id=\"forminator-field-radio-6-label-3\" for=\"forminator-field-radio-6-3-69e1c5531ba1f\" class=\"forminator-radio forminator-radio-inline\" title=\"Membre du comit\u00e9 ou enseignant\"><input type=\"radio\" name=\"radio-6\" value=\"Membre-du-comit\u00e9-ou-enseignant\" id=\"forminator-field-radio-6-3-69e1c5531ba1f\" aria-labelledby=\"forminator-field-radio-6-label-3\" data-calculation=\"0.5\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Membre du comit\u00e9 ou enseignant<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69e1c5531ba1f\" id=\"forminator-field-number-1_69e1c5531ba1f-label\" class=\"forminator-label\">Num\u00e9ro de bon<\/label><input name=\"number-1\" value=\"0000\" placeholder=\"\" id=\"forminator-field-number-1_69e1c5531ba1f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"0000\" max=\"9999\" aria-describedby=\"forminator-field-number-1_69e1c5531ba1f-description\" \/><span id=\"forminator-field-number-1_69e1c5531ba1f-description\" class=\"forminator-description\">Entrer le code du bon en votre possession<\/span><\/div><\/div><div id=\"calculation-3\" class=\"forminator-field-calculation forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"calculation-3-field_69e1c5531ba1f\" id=\"calculation-3-field_69e1c5531ba1f-label\" class=\"forminator-label\">Bon 100<\/label><input type=\"text\" name=\"calculation-3\" value=\"\" id=\"calculation-3-field_69e1c5531ba1f\" class=\"forminator-calculation forminator-input\" data-formula=\"{number-1}*0\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"1\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" \/><\/div><\/div><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"calculation-4-field_69e1c5531ba1f\" id=\"calculation-4-field_69e1c5531ba1f-label\" class=\"forminator-label\">valeur bon<\/label><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69e1c5531ba1f\" class=\"forminator-calculation forminator-input\" data-formula=\"{calculation-3}*100\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" \/><\/div><\/div><div id=\"calculation-2\" class=\"forminator-field-calculation forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"calculation-2-field_69e1c5531ba1f\" id=\"calculation-2-field_69e1c5531ba1f-label\" class=\"forminator-label\">A payer (CHF)<\/label><input type=\"text\" name=\"calculation-2\" value=\"\" id=\"calculation-2-field_69e1c5531ba1f\" class=\"forminator-calculation forminator-input\" data-formula=\"({radio-6}*{calculation-1})\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">Attention le montant du bon est sup\u00e9rieur \u00e0 la valeur de la formation, vous ne pouvez pas l&#039;utiliser<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><label class=\"forminator-label\">HTML<\/label><p>Le paiement est effectu\u00e9 par l'application de paiement&nbsp; : <img loading=\"lazy\" decoding=\"async\" height=\"60\" width=\"90\" src=\"https:\/\/www.ccs-lj.ch\/wp\/wp-content\/uploads\/2024\/05\/stripe.jpg\"><\/p>\n<p>&nbsp;<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"stripe-ocs-1\" class=\"forminator-field-stripe-ocs forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"stripe-ocs-1-field\" id=\"stripe-ocs-1-field-label\" class=\"forminator-label\">Carte de cr\u00e9dit\/d\u00e9bit <span class=\"forminator-required\">*<\/span><\/label><div id=\"payment-element-69e1c5531ba1f\" data-elements-options=\"{\n    &quot;loader&quot;: &quot;always&quot;,\n    &quot;locale&quot;: &quot;auto&quot;,\n    &quot;paymentMethodCreation&quot;: &quot;manual&quot;,\n    &quot;appearance&quot;: {\n        &quot;theme&quot;: &quot;stripe&quot;,\n        &quot;variables&quot;: {\n            &quot;fontWeightNormal&quot;: &quot;400&quot;,\n            &quot;fontSizeBase&quot;: &quot;16px&quot;,\n            &quot;iconColor&quot;: &quot;#777771&quot;,\n            &quot;iconHoverColor&quot;: &quot;#097BAA&quot;,\n            &quot;iconCardErrorColor&quot;: &quot;#E51919&quot;,\n            &quot;iconCardCvcErrorColor&quot;: &quot;#E51919&quot;,\n            &quot;colorTextPlaceholder&quot;: &quot;#888888&quot;\n        }\n    }\n}\" data-payment-options=\"{\n    &quot;layout&quot;: {\n        &quot;type&quot;: &quot;tabs&quot;,\n        &quot;defaultCollapsed&quot;: false\n    }\n}\" data-field-id=\"69e1c5531ba1f\" data-is-payment=\"true\" data-payment-type=\"stripe\" data-is-ocs=\"1\" data-secret=\"\" data-paymentid=\"\" data-currency=\"chf\" data-key=\"pk_live_51JqbSCJoBDkucCrJs9RkAqZzvIxJwXGKXAXNgIJGlul6v7jusRldNSQygJ1XDT4sXd3KG9uUjAabRItKy098DUQU00E5OXLK9H\" data-receipt=\"1\" data-receipt-email=\"email-1\" data-billing=\"\" data-billing-name=\"\" data-billing-email=\"\" data-billing-phone=\"\" data-billing-address=\"\" data-return-url=\"https:\/\/stripe.com\" class=\"forminator-stripe-element forminator-stripe-payment-element\"><\/div><input type=\"hidden\" name=\"paymentid\" value=\"\" id=\"forminator-stripe-paymentid\"\/><input type=\"hidden\" name=\"paymentmethod\" value=\"\" id=\"forminator-stripe-paymentmethod\"\/><input type=\"hidden\" name=\"subscriptionid\" value=\"\" id=\"forminator-stripe-subscriptionid\"\/><span class=\"forminator-card-message\"><span class=\"forminator-error-message\" aria-hidden=\"true\"><\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-69e1c5531ba1f-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-69e1c5531ba1f-label\" class=\"forminator-label\">Probl\u00e8me de paiement<\/span><label id=\"forminator-field-checkbox-3-1-69e1c5531ba1f-label\" for=\"forminator-field-checkbox-3-1-69e1c5531ba1f\" class=\"forminator-checkbox\" title=\"Contacter le responsable formations\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Contacter-le-responsable-formations\" id=\"forminator-field-checkbox-3-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-checkbox-3-1-69e1c5531ba1f-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-3-69e1c5531ba1f-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Contacter le responsable formations<\/span><\/label><span id=\"forminator-field-checkbox-3-69e1c5531ba1f-description\" class=\"forminator-description\">Votre demande sera transmise au responsable formations<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-69e1c5531ba1f-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-5-69e1c5531ba1f-label\" class=\"forminator-label\">Cases \u00e0 cocher<\/span><label id=\"forminator-field-checkbox-5-1-69e1c5531ba1f-label\" for=\"forminator-field-checkbox-5-1-69e1c5531ba1f\" class=\"forminator-checkbox\" title=\"Recevoir une facture\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"one\" id=\"forminator-field-checkbox-5-1-69e1c5531ba1f\" aria-labelledby=\"forminator-field-checkbox-5-1-69e1c5531ba1f-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Recevoir une facture<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69e1c5531ba1f\" id=\"forminator-field-textarea-1_69e1c5531ba1f-label\" class=\"forminator-label\">Commentaires:<\/label><textarea name=\"textarea-1\" placeholder=\"Par exemple\u00a0: probl\u00e8me de paiement rencontr\u00e9...\" id=\"forminator-field-textarea-1_69e1c5531ba1f\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-2\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-2_69e1c5531ba1f\" id=\"forminator-field-consent-2_69e1c5531ba1f-label\" class=\"forminator-label\">Donn\u00e9es personnelles <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-2_69e1c5531ba1f__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-2_69e1c5531ba1f-label\"><input type=\"checkbox\" name=\"consent-2\" id=\"forminator-field-consent-2_69e1c5531ba1f\" value=\"checked\" aria-labelledby=\"forminator-field-consent-2_69e1c5531ba1f-label\" aria-describedby=\"forminator-field-consent-2_69e1c5531ba1f__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-2_69e1c5531ba1f__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Les participants aux formations sont d\u2019accord avec la publication de photos sur le site web du CCS Lacs Jurassiens, sur les r\u00e9seaux sociaux et dans le magazine Cruising. Ils confirment en particulier qu\u2019ils sont d\u2019accord d\u2019\u00eatre mentionn\u00e9s dans le rapport\/l\u2019article par leur nom et pr\u00e9nom et d\u2019\u00eatre identifiables sur les photos.<br> <b>Cours WS1 et WS2\u00a0:<\/b> pour des raisons d\u2019\u00e9tablissement des certificats World Sailing vos donn\u00e9es personnelles suivantes vont \u00eatre transmises \u00e0 l\u2019\u00e9cole de voile des Gl\u00e9nans ainsi qu\u2019\u00e0 la F\u00e9d\u00e9ration Fran\u00e7aise de Voile\u00a0: Nom, Pr\u00e9nom, date de naissance, num\u00e9ro de mail.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69e1c5531ba1f\" id=\"forminator-field-consent-1_69e1c5531ba1f-label\" class=\"forminator-label\">Accord CG <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69e1c5531ba1f__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-1_69e1c5531ba1f-label\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69e1c5531ba1f\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69e1c5531ba1f-label\" aria-describedby=\"forminator-field-consent-1_69e1c5531ba1f__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69e1c5531ba1f__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Je confirme avoir lu et\u00a0 j\u2019accepte les <a href=\"https:\/\/www.ccs-lj.ch\/wp\/formations\/conditions-generales-pour-les-formations\/\" target=\"_blank\" rel=\"noopener\">conditions g\u00e9n\u00e9rales<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_69e1c5531ba1f\" id=\"forminator-field-date-2-picker_69e1c5531ba1f-label\" class=\"forminator-label\">Date d&#039;inscription<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"17-04-2026\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-2-picker_69e1c5531ba1f\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"2026\" data-end-year=\"2026\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"2026-04-17\" data-end-date=\"2026-04-17\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"captcha-1\" class=\"forminator-field-captcha forminator-col forminator-col-12 \"><div class=\"forminator-captcha-left forminator-g-recaptcha\" data-theme=\"light\"  data-sitekey=\"6LflLLghAAAAAEENz8HOb050Nm0XmxZW8UyzlXMB\" data-size=\"normal\"><\/div> <\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Envoyer<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"0a1258e29e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp\/wp-json\/wp\/v2\/posts\/143390\" \/><input type=\"hidden\" name=\"form_id\" value=\"143393\"><input type=\"hidden\" name=\"page_id\" value=\"143390\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.ccs-lj.ch\/wp\/inscription-formations26\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_40\" class=\"forminator-hidden\" aria-hidden=\"true\">Veuillez ne pas remplir ce champ. <input id=\"input_40\" type=\"text\" name=\"input_40\" value=\"\" autocomplete=\"off\"><\/label><\/form>[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>Le week-end des membres et la CCS des 3-pics. Il aura lieu les 28 et 29 ao\u00fbt 2020 &#8230;<\/p>\n","protected":false},"author":6,"featured_media":3402,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":[]},"categories":[52,27],"tags":[],"class_list":["post-143390","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-export","category-formation-archives"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/www.ccs-lj.ch\/wp\/wp-content\/uploads\/2020\/06\/pic2.jpg","jetpack_shortlink":"https:\/\/wp.me\/p7b4xK-BiK","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/posts\/143390","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/comments?post=143390"}],"version-history":[{"count":3,"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/posts\/143390\/revisions"}],"predecessor-version":[{"id":143394,"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/posts\/143390\/revisions\/143394"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/media\/3402"}],"wp:attachment":[{"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/media?parent=143390"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/categories?post=143390"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ccs-lj.ch\/wp\/wp-json\/wp\/v2\/tags?post=143390"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}