{"id":1347,"date":"2021-06-26T18:00:05","date_gmt":"2021-06-26T22:00:05","guid":{"rendered":"http:\/\/www.amisdulacdes16iles.org\/?page_id=1347"},"modified":"2025-05-19T11:53:53","modified_gmt":"2025-05-19T16:53:53","slug":"formulaire-dadhesion-en-ligne","status":"publish","type":"page","link":"https:\/\/amisdulac.org\/fr\/formulaire-dadhesion-en-ligne\/","title":{"rendered":"Formulaire d&rsquo;adh\u00e9sion en ligne 2025"},"content":{"rendered":"<p><\/p>\n<div id=\"site-intro\">\n<div id=\"site-intro-container\"><span class=\"intro-swril swril-left\">&nbsp;<\/span><span class=\"intro-text\">Merci d&rsquo;avance pour votre aide<\/span><span class=\"intro-swril swril-right\">&nbsp;<\/span><\/div>\n<\/div>\n<p><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-2053\"><form id=\"wpforms-form-2053\" class=\"wpforms-validate wpforms-form\" data-formid=\"2053\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/wp-json\/wp\/v2\/pages\/1347\" data-token=\"2c9dc058a4e005b4993e9c941622c3a6\" data-token-time=\"1778772748\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2053-field_12-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"12\"><h3 id=\"wpforms-2053-field_12\">S\u00e9lectionnez le type d&#039;adh\u00e9sion<\/h3><\/div><div id=\"wpforms-2053-field_8-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Veuillez s\u00e9lectionner l&#039;adh\u00e9sion d&#039;un an qui correspond \u00e0 votre configuration <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2053-field_8\" class=\"wpforms-field-required wpforms-icon-choices wpforms-icon-choices-default wpforms-icon-choices-large\" style=\"--wpforms-icon-choices-color: #0399ed;\"><li class=\"choice-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-2053-field_8_1\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"80\" height=\"64\" viewBox=\"0 0 640 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M335.5 4l288 160c15.4 8.6 21 28.1 12.4 43.5s-28.1 21-43.5 12.4L320 68.6 47.5 220c-15.4 8.6-34.9 3-43.5-12.4s-3-34.9 12.4-43.5L304.5 4c9.7-5.4 21.4-5.4 31.1 0zM320 160a40 40 0 1 1 0 80 40 40 0 1 1 0-80zM144 256a40 40 0 1 1 0 80 40 40 0 1 1 0-80zm312 40a40 40 0 1 1 80 0 40 40 0 1 1 -80 0zM226.9 491.4L200 441.5V480c0 17.7-14.3 32-32 32H120c-17.7 0-32-14.3-32-32V441.5L61.1 491.4c-6.3 11.7-20.8 16-32.5 9.8s-16-20.8-9.8-32.5l37.9-70.3c15.3-28.5 45.1-46.3 77.5-46.3h19.5c16.3 0 31.9 4.5 45.4 12.6l33.6-62.3c15.3-28.5 45.1-46.3 77.5-46.3h19.5c32.4 0 62.1 17.8 77.5 46.3l33.6 62.3c13.5-8.1 29.1-12.6 45.4-12.6h19.5c32.4 0 62.1 17.8 77.5 46.3l37.9 70.3c6.3 11.7 1.9 26.2-9.8 32.5s-26.2 1.9-32.5-9.8L552 441.5V480c0 17.7-14.3 32-32 32H472c-17.7 0-32-14.3-32-32V441.5l-26.9 49.9c-6.3 11.7-20.8 16-32.5 9.8s-16-20.8-9.8-32.5l36.3-67.5c-1.7-1.7-3.2-3.6-4.3-5.8L376 345.5V400c0 17.7-14.3 32-32 32H296c-17.7 0-32-14.3-32-32V345.5l-26.9 49.9c-1.2 2.2-2.6 4.1-4.3 5.8l36.3 67.5c6.3 11.7 1.9 26.2-9.8 32.5s-26.2 1.9-32.5-9.8z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"radio\" id=\"wpforms-2053-field_8_1\" class=\"wpforms-payment-price wpforms-screen-reader-element\" data-amount=\"50.00\" name=\"wpforms[fields][8]\" value=\"1\" required >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">2025 Adh\u00e9sion d'un an pour une FAMILLE - <span class=\"wpforms-currency-symbol\">&#036;50.00<\/span><\/span>\n\t\t\t<\/label><\/li><li class=\"choice-2 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-2053-field_8_2\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"80\" height=\"64\" viewBox=\"0 0 320 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M112 48a48 48 0 1 1 96 0 48 48 0 1 1 -96 0zm40 304V480c0 17.7-14.3 32-32 32s-32-14.3-32-32V256.9L59.4 304.5c-9.1 15.1-28.8 20-43.9 10.9s-20-28.8-10.9-43.9l58.3-97c17.4-28.9 48.6-46.6 82.3-46.6h29.7c33.7 0 64.9 17.7 82.3 46.6l58.3 97c9.1 15.1 4.2 34.8-10.9 43.9s-34.8 4.2-43.9-10.9L232 256.9V480c0 17.7-14.3 32-32 32s-32-14.3-32-32V352H152z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"radio\" id=\"wpforms-2053-field_8_2\" class=\"wpforms-payment-price wpforms-screen-reader-element\" data-amount=\"40.00\" name=\"wpforms[fields][8]\" value=\"2\" required >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">2025 Adh\u00e9sion INDIVIDUELLE d'un an - <span class=\"wpforms-currency-symbol\">&#036;40.00<\/span><\/span>\n\t\t\t<\/label><\/li><\/ul><\/div><div id=\"wpforms-2053-field_14-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"14\" style=\"display:none;\"><h3 id=\"wpforms-2053-field_14\">Vos coordonn\u00e9es d&#039;adh\u00e9sion<\/h3><\/div><div id=\"wpforms-2053-field_0-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"0\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-2053-field_0\">Nom <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2053-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" placeholder=\"Pr\u00e9nom\" required><label for=\"wpforms-2053-field_0\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2053-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" placeholder=\"Nom de famille\" required><label for=\"wpforms-2053-field_0-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Nom<\/label><\/div><\/div><\/div><div id=\"wpforms-2053-field_4-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"4\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-2053-field_4\">Nom du partenaire\/conjoint<\/label><input type=\"text\" id=\"wpforms-2053-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" ><\/div><div id=\"wpforms-2053-field_28-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"28\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-2053-field_28\">Nom des membres de la famille (18 ans et moins)<\/label><input type=\"text\" id=\"wpforms-2053-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" ><\/div><div id=\"wpforms-2053-field_19-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"19\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-2053-field_19\">T\u00e9l\u00e9phone<\/label><input type=\"tel\" id=\"wpforms-2053-field_19\" class=\"wpforms-field-small\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][19]\" placeholder=\"ex: (450) 123 4567\" aria-label=\"T\u00e9l\u00e9phone\" ><\/div><div id=\"wpforms-2053-field_1-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"1\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-2053-field_1\">Courriel <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2053-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-2053-field_29-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"29\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-2053-field_29\">Courriel du partenaire\/conjoint<\/label><input type=\"email\" id=\"wpforms-2053-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-2053-field_26-container\" class=\"wpforms-field wpforms-field-payment-single wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"26\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-2053-field_26\">Donation - aidez-nous \u00e0 financer le travail de Jean-Louis Courteau et nos autres activit\u00e9s<\/label><input type=\"text\" id=\"wpforms-2053-field_26\" class=\"wpforms-field-medium wpforms-payment-user-input wpforms-payment-price\" data-rule-currency=\"[&quot;$&quot;,false]\" data-rule-required-minimum-price=\"0.00\" name=\"wpforms[fields][26]\" value=\"&#036;0.00\" placeholder=\"$0.00\"><div class=\"wpforms-field-description\">Les Amis du lac ont plusieurs initiatives, notamment l'\u00e9ducation par le biais de la sensibilisation, les activit\u00e9s de club parrain\u00e9es et le soutien que nous apportons \u00e0 Jean-Louis Courteau. Il se concentre sur l'\u00e9ducation et l'histoire de notre environnement et a r\u00e9ussi \u00e0 contr\u00f4ler le myriophylle et \u00e0 nettoyer et surveiller les fray\u00e8res \u00e0 truites. Ces efforts garantissent \u00e0 la vie aquatique et aux r\u00e9sidents du lac un environnement propre et naturel dans lequel ils peuvent s'\u00e9panouir. Avec notre soutien, il peut continuer \u00e0 contr\u00f4ler le myriophylle, gr\u00e2ce \u00e0 une surveillance annuelle et \u00e0 une \u00e9limination manuelle. C'est un processus qui prend du temps et qui n\u00e9cessite un \u00e9quipement sp\u00e9cial.<\/div><\/div><div id=\"wpforms-2053-field_9-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-conditional-field wpforms-conditional-show wpforms-field-medium\" data-field-id=\"9\" style=\"display:none;\"><label class=\"wpforms-field-label\">Total<\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-2053-field_9\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][9]\" value=\"0\"><div class=\"wpforms-field-description\"> <br \/><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/dji.a97.myftpupload.com\/wp-content\/uploads\/2020\/05\/interaclogo100.jpg\" alt=\"\" width=\"100\" height=\"50\" \/> <span style=\"vertical-align:text-bottom;\">Veuillez envoyer un virement \u00e9lectronique INTERAC \u00e0 l'adresse suivante : <br \/><br \/><b> **NOUVEAU** Membership@AmisDuLac.org **NOUVEAU**<\/b> <\/span>\n<br \/><br \/><i>Vous pouvez toujours envoyer \u00e0 <b>Amisdulacdes16iles@gmail.com<\/b> mais il est plus facile de mettre \u00e0 jour votre liste de sauvegarde Interac pour utiliser la **nouvelle**  adresse Interac : <b>Membership@AmisDuLac.org<\/b> <\/i><br \/><i>Si vous n'\u00eates pas en mesure d'effectuer le virement \u00e9lectronique, veuillez nous contacter pour prendre d'autres dispositions . <\/i>\n\n\n\n<\/div><\/div><div id=\"wpforms-2053-field_13-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"13\" style=\"display:none;\"><h3 id=\"wpforms-2053-field_13\">Quelles sont vos activit\u00e9s &quot;Amis&quot; pr\u00e9f\u00e9r\u00e9es ?<\/h3><\/div><div id=\"wpforms-2053-field_18-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"18\" style=\"display:none;\"><label class=\"wpforms-field-label\">Select one or more...<\/label><ul id=\"wpforms-2053-field_18\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2053-field_18_1\" name=\"wpforms[fields][18][]\" value=\"Nids et surveillance des plongeons huards\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2053-field_18_1\">Nids et surveillance des plongeons huards<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2053-field_18_2\" name=\"wpforms[fields][18][]\" value=\"Programme &quot;Les jeunes du lac&quot; - Le d\u00e9fi Bob\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2053-field_18_2\">Programme \"Les jeunes du lac\" - Le d\u00e9fi Bob<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2053-field_18_3\" name=\"wpforms[fields][18][]\" value=\"Suppression de la mifoil avec Jean-Louis\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2053-field_18_3\">Suppression de la mifoil avec Jean-Louis<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2053-field_18_4\" name=\"wpforms[fields][18][]\" value=\"Durabilit\u00e9 et \u00e9tudes environnementales (Biofilia et \u00e9chantillonnage de l&#039;eau)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2053-field_18_4\">Durabilit\u00e9 et \u00e9tudes environnementales (Biofilia et \u00e9chantillonnage de l'eau)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-2053-field_18_5\" name=\"wpforms[fields][18][]\" value=\"Calendriers annuels\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2053-field_18_5\">Calendriers annuels<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-2053-field_18_6\" name=\"wpforms[fields][18][]\" value=\"D\u00e9fense des r\u00e9sidents\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2053-field_18_6\">D\u00e9fense des r\u00e9sidents<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-2053-field_18_8\" name=\"wpforms[fields][18][]\" value=\"\u00c9v\u00e9nements organis\u00e9s par le club (journ\u00e9e des hot-dogs \/ soir\u00e9e artisanale parrain\u00e9e par des enfants)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2053-field_18_8\">\u00c9v\u00e9nements organis\u00e9s par le club (journ\u00e9e des hot-dogs \/ soir\u00e9e artisanale parrain\u00e9e par des enfants)<\/label><\/li><\/ul><\/div><div id=\"wpforms-2053-field_15-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"15\" style=\"display:none;\"><h3 id=\"wpforms-2053-field_15\">O\u00f9 en sommes-nous ?<\/h3><\/div><div id=\"wpforms-2053-field_3-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"3\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-2053-field_3\">Commentaires<\/label><textarea id=\"wpforms-2053-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-2053-field-hp\" class=\"wpforms-field-label\">Name<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-2053-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2053\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/amisdulac.org\/fr\/wp-json\/wp\/v2\/pages\/1347\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2053\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Soumettre\" aria-live=\"assertive\" value=\"wpforms-submit\">Soumettre<\/button><\/div><\/form><\/div>  <!-- .wpforms-container --><\/p>","protected":false},"excerpt":{"rendered":"<p>&nbsp;Merci d&rsquo;avance pour votre aide&nbsp;<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-1347","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/amisdulac.org\/fr\/wp-json\/wp\/v2\/pages\/1347","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/amisdulac.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/amisdulac.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/amisdulac.org\/fr\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/amisdulac.org\/fr\/wp-json\/wp\/v2\/comments?post=1347"}],"version-history":[{"count":10,"href":"https:\/\/amisdulac.org\/fr\/wp-json\/wp\/v2\/pages\/1347\/revisions"}],"predecessor-version":[{"id":2132,"href":"https:\/\/amisdulac.org\/fr\/wp-json\/wp\/v2\/pages\/1347\/revisions\/2132"}],"wp:attachment":[{"href":"https:\/\/amisdulac.org\/fr\/wp-json\/wp\/v2\/media?parent=1347"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}