{"id":118,"date":"2020-11-19T16:18:14","date_gmt":"2020-11-19T16:18:14","guid":{"rendered":"https:\/\/anakkara-ach.com\/anakkara\/?page_id=118"},"modified":"2025-12-14T01:30:04","modified_gmt":"2025-12-14T06:30:04","slug":"inscription","status":"publish","type":"page","link":"https:\/\/anakkara-ach.com\/anakkara\/fr\/inscription\/","title":{"rendered":"Inscription pour deux enfants"},"content":{"rendered":"<div class=\"flex_column av_one_half  flex_column_div av-zero-column-padding first  avia-builder-el-0  el_before_av_one_half  avia-builder-el-first  \" style='border-radius:0px; '><section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><div><strong><span style=\"font-size: large;\">Service de Garde le matin: 8 h \u00e0 8h45\u00a0 $5 par jour<\/span><\/strong><\/div>\n<div><strong><span style=\"font-size: large;\">Arriv\u00e9 le matin : 8h45\u00a0<\/span><\/strong><\/div>\n<div><strong><span style=\"font-size: large;\">Fin de la journ\u00e9e: 16h00<\/span><\/strong><\/div>\n<div><strong><span style=\"font-size: large;\">Service de Garde l&#8217;apr\u00e8s-midi:<br \/>\n16:00 \u00e0 17:00 $5 par jour<\/span><\/strong><\/div>\n<\/div><\/section><\/div>\n<div class=\"flex_column av_one_half  flex_column_div av-zero-column-padding   avia-builder-el-2  el_after_av_one_half  el_before_av_one_half  \" style='border-radius:0px; '><\/div>\n<div class=\"flex_column av_one_half  flex_column_div av-zero-column-padding first  avia-builder-el-4  el_after_av_one_half  el_before_av_one_full  column-top-margin\" style='border-radius:0px; '><section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><div><strong><span style=\"font-size: large;\">Lieu: Kensington Presbyterian Church<\/span><\/strong><\/div>\n<div><strong><span style=\"font-size: large;\">Adresse: 6225 Ave. Godfrey, Montr\u00e9al, QC, H4B 1K3<\/span><\/strong><\/div>\n<div><strong><span style=\"font-size: large;\">Mode d\u2019emploi:<a href=\"https:\/\/www.google.com\/maps\/dir\/\/6225 Ave. Godfrey, Montreal, QC, H4B 1K3\" data-wplink-url-error=\"true\"> Google<\/a><\/span><\/strong><\/div>\n<\/div><\/section><\/div>\n<div class=\"flex_column av_one_full  flex_column_div av-zero-column-padding first  avia-builder-el-6  el_after_av_one_half  el_before_av_textblock  column-top-margin\" style='border-radius:0px; '><\/div>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p><b class=\"rm-shortcode-tour\"><!--noptimize--><link href=\"https:\/\/fonts.googleapis.com\/icon?family=Material+Icons\" rel=\"stylesheet\">\r\n<div class=\"rmagic rm_theme_classic rm_layout_two_columns\"><style><\/style><div class=\"rmcontent\"><style type=\"text\/css\">label span.required { color: #B94A48; }span.help-inline, span.help-block { color: #888; font-size: .9em; font-style: italic; }<\/style><form novalidate onsubmit=\"return gotonext_form_41_1()\" autocomplete=\"off\" action id=\"form_41_1\" method=\"post\" class=\"rmagic-form rmagic-form-btn-center form-horizontal\" name=\"rm_form\" number=\"1\" style=\"\"><fieldset><input type=\"hidden\" name=\"rm_form_sub_id\" value=form_41_1><input type=\"hidden\" name=\"rm_form_sub_no\" value=1><input type=\"hidden\" name=\"rm_cond_hidden_fields\" id=\"rm_cond_hidden_fields\" value=\"\"><div class=\"rmheader\"><p>Inscription au camp d'\u00e9t\u00e9 2025 pour 2 enfants\r\n<\/p><\/div><div id=\"rm_stat_container\" style=\"display:none\"><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-2\" style=\"\"><label>RM_Stats<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"stat_id\" value=\"__uninit\" style=\"display:none\" id=\"form_41_1-element-2\"\/><\/div><\/div><\/div><div class=\"rmformpage_form_41_1\" id=\"rm_form_page_form_41_1_1\"><fieldset class='rmfieldset'><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-6\" style=\"\"><label>Nom d'utilisateur<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"username\" placeholder=\"Nom d'utilisateur\" required value=\"\" id=\"form_41_1-element-6\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"rm_reg_form_pw_41_1\" style=\"\"><label>Mot de Passe<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"password\" name=\"pwd\" placeholder=\"Mot de Passe\" required value=\"\" id=\"rm_reg_form_pw_41_1\" title=\"Error: Password must follow these rules:&lt;br&gt; -Must contain an uppercase letter&lt;br&gt; -Must not be shorter than 7 characters\" pattern=\"(?=.*[A-Z])[A-Za-z\\d$@$!%*#?&amp;~`^(){}\\[\\]\\-_+=;:&quot;'|\\\\\\\/&lt;&gt;.,]{7,}\" style=\"\" labelstyle=\"\" minlength=\"7\"\/><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">Password must be at least 7 characters long.<\/div><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"rm_reg_form_pw_reentry\" style=\"\"><label>Enter password again<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"password\" name=\"password_confirmation\" placeholder=\"Confirm Password\" required value=\"\" id=\"rm_reg_form_pw_reentry\"\/><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">Password must be at least 7 characters long.<\/div><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-9\" style=\"\"><label>Email<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"email\" name=\"Email_1119\" placeholder=\"Email\" required value=\"\" id=\"form_41_1-element-9\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-10\" style=\"\"><label>Pr\u00e9nom de la m\u00e8re\/du parent<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1120\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-10\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-11\" style=\"\"><label>Nom de famille de la m\u00e8re\/du parent<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1121\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-11\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-12\" style=\"\"><label>Pr\u00e9nom du p\u00e8re\/du parent<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1122\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-12\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-13\" style=\"\"><label>Nom de famille du p\u00e8re\/du parent<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1123\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-13\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-14\" style=\"\"><label>Email de la M\u00e8re\/du parent<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1124\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-14\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-15\" style=\"\"><label>Email du p\u00e8re\/du parent<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1125\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-15\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-16\" style=\"\"><label>Nr.(s) de Telephone de la M\u00e8re\/du parent<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1126\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-16\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-17\" style=\"\"><label>Nr.(s) de Telephone du P\u00e8re\/du parent<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1127\" field_validation custom_validation value=\"\" id=\"form_41_1-element-17\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-18\" style=\"\"><label>Adresse compl\u00e8te de la M\u00e8re\/du parent ( #, rue, ville, code postal. TR\u00c8S IMPORTANT D'INDIQUER LE CODE POSTAL))<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1128\" field_validation custom_validation value=\"\" id=\"form_41_1-element-18\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-19\" style=\"\"><label>Adresse compl\u00e8te du P\u00e8re\/du parent (#, rue, ville, code postal. TR\u00c8S IMPORTANT D'INDIQUER LE CODE POSTAL))<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1129\" field_validation custom_validation value=\"\" id=\"form_41_1-element-19\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-20\" style=\"\"><label>D\u00e9sirez-vous recevoir un relev\u00e9 24 des fins de frais de garde pour vos enfants? Oui ou Non? Le re\u00e7u sera au nom de la m\u00e8re, \u00e0 moins que le p\u00e8re et la m\u00e8re ne demandent chacun 50 % et 50 %.<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1130\" field_validation custom_validation value=\"\" id=\"form_41_1-element-20\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-21\" style=\"\"><label>Si oui, nous avons besoin de votre num\u00e9ro d'assurance social :<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1131\" field_validation custom_validation value=\"\" id=\"form_41_1-element-21\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-22\" style=\"\"><label>Pr\u00e9nom de la personne \u00e0 contacter en cas d'urgence<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1132\" field_validation custom_validation value=\"\" id=\"form_41_1-element-22\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-23\" style=\"\"><label>Nom de la personne \u00e0 contacter en cas d'urgence<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1133\" field_validation custom_validation value=\"\" id=\"form_41_1-element-23\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-24\" style=\"\"><label>Email de la personne \u00e0 contacter en cas d'urgence<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1134\" field_validation custom_validation value=\"\" id=\"form_41_1-element-24\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-25\" style=\"\"><label>Num\u00e9ro t\u00e9l\u00e9phone de la personne \u00e0 contacter en cas d'urgence<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1135\" field_validation custom_validation value=\"\" id=\"form_41_1-element-25\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-26\" style=\"\"><label>L'adresse de la personne \u00e0 contacter en cas d'urgence<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1136\" field_validation custom_validation value=\"\" id=\"form_41_1-element-26\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-27\" style=\"\"><label>Pr\u00e9nom et nom de famille de l'Enfant<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1137\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-27\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-28\" style=\"\"><label>Age de l'Enfant<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1138\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-28\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-29\" style=\"\"><label>Sexe de l'enfant<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1139\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-29\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-30\" style=\"\"><label>Date de Naissance de l'enfant<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1140\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-30\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-31\" style=\"\"><label>Num\u00e9ro d'assurance maladie de l'enfant<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1141\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-31\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-32\" style=\"\"><label>Nom du m\u00e9decin de famille de votre enfant<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1142\" field_validation custom_validation value=\"\" id=\"form_41_1-element-32\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-33\" style=\"\"><label>Nom de la clinique m\u00e9dical de votre enfant<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1143\" field_validation custom_validation value=\"\" id=\"form_41_1-element-33\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-34\" style=\"\"><label>Votre enfant souffre-t-elle\/il d'allergies? Si oui, pr\u00e9cisez.<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1144\" field_validation custom_validation value=\"\" id=\"form_41_1-element-34\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-35\" style=\"\"><label>Quelles mesures devons-nous prendre si votre enfant est en contact avec l'agent allerg\u00e9nique?<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1145\" field_validation custom_validation value=\"\" id=\"form_41_1-element-35\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-36\" style=\"\"><label>Votre enfant prend-il\/elle des m\u00e9dicaments? Si oui lequel?<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1146\" field_validation custom_validation value=\"\" id=\"form_41_1-element-36\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-37\" style=\"\"><label>D'autres informations concernant la sant\u00e9 de votre enfant. Par exemple, des d\u00e9fis d'apprentissage ou de comportement. Cela nous aidera grandement \u00e0 mieux r\u00e9pondre aux besoins de votre enfant.<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1147\" field_validation custom_validation value=\"\" id=\"form_41_1-element-37\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-38\" style=\"\"><label>Nom de l'\u00e9cole de votre enfant?<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1148\" field_validation custom_validation value=\"\" id=\"form_41_1-element-38\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-39\" style=\"\"><label>Pr\u00e9nom et nom de famille du 2i\u00e8me enfant<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1149\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-39\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-40\" style=\"\"><label>Age du 2\u00e8me enfant<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1150\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-40\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-41\" style=\"\"><label>Sexe du 2\u00e8me enfant<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1151\" field_validation custom_validation value=\"\" id=\"form_41_1-element-41\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-42\" style=\"\"><label>Date de Naissance du 2\u00e8me enfant<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1152\" required field_validation custom_validation value=\"\" id=\"form_41_1-element-42\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-43\" style=\"\"><label>Num\u00e9ro d'assurance maladie du 2\u00e8me enfant<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1153\" field_validation custom_validation value=\"\" id=\"form_41_1-element-43\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-44\" style=\"\"><label>Nom du m\u00e9decin de famille de votre enfant<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1154\" field_validation custom_validation value=\"\" id=\"form_41_1-element-44\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-45\" style=\"\"><label>Nom de la clinique m\u00e9dical de votre enfant<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1155\" field_validation custom_validation value=\"\" id=\"form_41_1-element-45\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-46\" style=\"\"><label>Votre enfant souffre-t-elle\/il d'allergies? Si oui, pr\u00e9cisez.<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1156\" field_validation custom_validation value=\"\" id=\"form_41_1-element-46\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-47\" style=\"\"><label>Quelles mesures devons-nous prendre si votre enfant est en contact avec l'agent allerg\u00e9nique?<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1157\" field_validation custom_validation value=\"\" id=\"form_41_1-element-47\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-48\" style=\"\"><label>Votre enfant prend-il\/elle des m\u00e9dicaments? Si oui lequel?<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1158\" field_validation custom_validation value=\"\" id=\"form_41_1-element-48\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-49\" style=\"\"><label>D'autres informations concernant la sant\u00e9 de votre enfant. Par exemple, des d\u00e9fis d'apprentissage ou de comportement. Cela nous aidera grandement \u00e0 mieux r\u00e9pondre aux besoins de votre enfant.<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1159\" field_validation custom_validation value=\"\" id=\"form_41_1-element-49\"\/><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-50\" style=\"\"><label>Nom de l'\u00e9cole de votre enfant?<\/label><\/div><div class=\"rminput\"><input type=\"text\" name=\"Textbox_1160\" field_validation custom_validation value=\"\" id=\"form_41_1-element-50\"\/><\/div><\/div><div class=\"rmrow rm_pricefield_row\"><div class=\"rmfield\" for=\"id_rm_multisel_paypal_field_1161\" style=\"\"><label>Inscription pour 2 Children<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><select name=\"Price_1161_4\" required data-rmfieldtype=\"price\" data-rmfieldprice=\"{&quot;_0&quot;:&quot;538.00&quot;,&quot;_1&quot;:&quot;956.00&quot;,&quot;_2&quot;:&quot;1374.00&quot;,&quot;_3&quot;:&quot;1792.00&quot;,&quot;_4&quot;:&quot;2210.00&quot;,&quot;_5&quot;:&quot;2457.00&quot;}\" id=\"id_rm_multisel_paypal_field_1161\"><option value=\"\">Select an option<\/option><option value=\"_0\">1 Semaine ($ 538.00)<\/option><option value=\"_1\">2 Semaines ($ 956.00)<\/option><option value=\"_2\">3 Semaines ($ 1374.00)<\/option><option value=\"_3\">4 Semaines ($ 1792.00)<\/option><option value=\"_4\">5 Semaines ($ 2210.00)<\/option><option value=\"_5\">6 Semaines ($ 2457.00)<\/option><\/select><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-52\" style=\"\"><label>Les Semaines<sup class=\"required\">&nbsp;*<\/sup><span class='rm-field-hint'>Press ctrl or &#8984; (in Mac) while clicking to select multiple options.<\/span><\/label><\/div><div class=\"rminput\"><select name=\"Multi-Dropdown_1162[]\" required field_validation custom_validation multiple=\"multiple\" field_hint=\"Press ctrl or &amp;#8984; (in Mac) while clicking to select multiple options.\" id=\"form_41_1-element-52\"><option value=\"Semaine 1: 22 Juin - 26 juin\">Semaine 1: 22 Juin - 26 juin<\/option><option value=\"Semaine 2: 29 juin - 3 juillet\">Semaine 2: 29 juin - 3 juillet<\/option><option value=\"Semaine 3: 6 juillet - 10 juillet\">Semaine 3: 6 juillet - 10 juillet<\/option><option value=\"Semaine 4: 13 juillet - 17 juillet\">Semaine 4: 13 juillet - 17 juillet<\/option><option value=\"Semaine 5: 20 juillet - 24 juillet\">Semaine 5: 20 juillet - 24 juillet<\/option><option value=\"Semaine 6: 27 juillet - 31 juillet\">Semaine 6: 27 juillet - 31 juillet<\/option><\/select><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-53\" style=\"\"><label>Renonciation \u00e0 l'utilisation des photos<\/label><\/div><div class=\"rminput\"><div id='rm_terms_textarea' class='rm_terms_textarea'><textarea   readonly  id='rm_terms_area_Terms_1163' class='rm_terms_area'>J\u2019accepte que mon enfant puisse \u00eatre photographi\u00e9 et que ce mat\u00e9riel puisse \u00eatre utilis\u00e9 par le camp d\u2019\u00e9t\u00e9 d\u2019Anakkara avec l\u2019Acad\u00e9mie de Musique NDG \u00e0 des fins de promotion ou de marketing.<\/textarea><\/div><div class='rm_terms_checkbox'><input   value='on' type='checkbox' rows=\"5\" name=\"Terms_1163\" field_validation custom_validation id=\"form_41_1-element-53\" class='rm_check_box'>J'accepte que vous prenez les Photos de mes enfant(s)<\/div><\/div><\/div><div class=\"rmrow\"><div class=\"rmfield\" for=\"form_41_1-element-54\" style=\"\"><label>Renonciation<sup class=\"required\">&nbsp;*<\/sup><\/label><\/div><div class=\"rminput\"><div id='rm_terms_textarea' class='rm_terms_textarea'><textarea   readonly  id='rm_terms_area_Terms_1164' class='rm_terms_area'>En compl\u00e9tant l\u2019inscription \u00e0 un camp d\u2019\u00e9t\u00e9 d\u2019Anakkara avec l\u2019Acad\u00e9mie de Musique NDG, parents et tuteurs l\u00e9gaux acceptent par la pr\u00e9sente les conditions suivantes : Le personnel du camp d\u2019\u00e9t\u00e9 est autoris\u00e9 \u00e0 emmener mon enfant ou mes enfants des locaux du camp vers les parcs locaux et les espaces verts aux fins de loisirs en plein air. Les r\u00e8gles du camp (voir page Notre programme) et les instructions \u00e9nonc\u00e9es par le personnel doivent \u00eatre suivies en tout temps. En cas d\u2019incident ou d\u2019urgence, le personnel du camp est autoris\u00e9 \u00e0 rechercher et \u00e0 administrer un traitement m\u00e9dical appropri\u00e9 au mieux de ses capacit\u00e9s. Les parents seront avis\u00e9s de tous les incidents majeurs et mineurs en temps opportun. Les effets personnels des enfants sont de leur propre responsabilit\u00e9, mais le personnel du camp fera tout notre possible pour s\u2019assurer que rien n\u2019est perdu. Les articles co\u00fbteux et pr\u00e9cieux tels que les t\u00e9l\u00e9phones cellulaires, les appareils de jeu, les bijoux, les v\u00eatements ou chaussures de cr\u00e9ateurs, etc., ne doivent pas \u00eatre amen\u00e9s au camp. \u00c0 la fin de chaque semaine, les enfants rapportent tous leurs biens \u00e0 la maison avec eux. Je lib\u00e8re par la pr\u00e9sente le camp d\u2019\u00e9t\u00e9 d\u2019Anakkara avec l\u2019Acad\u00e9mie de Musique NDG et ses employ\u00e9s, b\u00e9n\u00e9voles et sympathisants respectifs de et contre toutes les r\u00e9clamations, actions, frais, dommages et d\u00e9penses en ce qui concerne les dommages et\/ou les blessures corporelles caus\u00e9s \u00e0 mon enfant ou \u00e0 mes biens \u00e0 la suite de sa participation au camp d\u2019\u00e9t\u00e9 d\u2019Anakkara avec l\u2019Acad\u00e9mie de Musique NDG.<\/textarea><\/div><div class='rm_terms_checkbox'><input   value='on' type='checkbox' rows=\"5\" name=\"Terms_1164\" required field_validation custom_validation id=\"form_41_1-element-54\" class='rm_check_box'>J'accepte les conditions ci-dessus<\/div><\/div><\/div><div class=\"rm_payment_options\"><input type=\"hidden\" name=\"rm_payment_method\" value=\"stripe\" id=\"form_41_1-element-56\"\/><\/div><div class=\"rmrow rm_captcha_fieldrow\"><div class=\"rminput\"><pre class=\"rm-pre-wrapper-for-script-tags\"><script type=text\/javascript>if(typeof rm_captcha_site_key === \"undefined\")rm_captcha_site_key=\"6LfgsecZAAAAAF8u9282_uqQ8Pp8Tz08tRK4PRa-\";<\/script><\/pre><div style=\"overflow:hidden\" class=\"rm_recaptcha g-recaptcha\" data-sitekey=\"6LfgsecZAAAAAF8u9282_uqQ8Pp8Tz08tRK4PRa-\"><\/div><\/div><\/div><div class='rmrow rm_total_price' style='' data-rmpriceformat='{\"loc_total_text\":\"Total Price: %s\",\"symbol\":\"$\",\"pos\":\"before\"}'><\/div><\/fieldset><\/div><div class=\"buttonarea\"><input   type=\"submit\" value=\"Aller au paiement\" name=\"rm_sb_btn\" class=\"rm_next_btn rm-btn rm-btn-primary\" data-label-next=\"Next\" data-label-sub=\"Aller au paiement\" style=\"\" id=\"form_41_1-element-62\"\/> <input   type=\"submit\" value=\"Aller au paiement\" name style=\"\" class=\"rm_noscript_btn rm-btn rm-btn-primary\" id=\"form_41_1-element-63\"\/><\/div>                \r\n   <pre class='rm-pre-wrapper-for-script-tags'><script>\r\n        \r\n   \/*form specific onload functionality*\/\r\njQuery(document).ready(function () {\r\nif(jQuery(\"#form_41_1 [name='rm_payment_method']\").length>0 && jQuery(\"#form_41_1 [name='rm_payment_method']:checked\").val()=='stripe'){jQuery('#rm_stripe_fields_container_41_1').show();}\r\n\r\n    jQuery('[data-rm-unique=\"1\"]').change(function(event) {\r\n        rm_unique_field_check(jQuery(this));\r\n    });\r\n    \r\n   });\r\n                \r\nif (typeof window['rm_multipage'] == 'undefined') {\r\n\r\n    rm_multipage = {\r\n        global_page_no_form_41_1: 1\r\n    };\r\n\r\n}\r\nelse\r\n rm_multipage.global_page_no_form_41_1 = 1;\r\n\r\nfunction gotonext_form_41_1(){\r\n        var maxpage = 1 ;\r\n                jQuery.validator.setDefaults({errorClass: 'rm-form-field-invalid-msg',\r\n                                        ignore:':hidden,.ignore,:not(:visible),.rm_untouched',wrapper:'div',\r\n                                       errorPlacement: function(error, element) {\r\n                                                            \/\/error.appendTo(element.closest('.rminput'));\r\n                                                            error.appendTo(element.closest('div'));\r\n                                                          },\r\n                                      rules: {       \r\n        password_confirmation: {\r\n            required: true,\r\n            equalTo: \"#rm_reg_form_pw_41_1\"\r\n        }\r\n            },\r\n        messages: {\r\n        password_confirmation: {\r\n            equalTo: \"Your passwords do not match. Please check again.\"\r\n        }\r\n            }\r\n                                    });        \r\n        \r\n        var jq_prev_button = jQuery(\"#rm_prev_form_page_button_41_1\");\r\n        var jq_next_button = jQuery(\"#rm_next_form_page_button_41_1\");\r\n        \r\n        var next_label = jq_next_button.data(\"label-next\");\r\n        var payment_method = jQuery('[name=rm_payment_method]:checked').val();\r\n        var form_object= jQuery(\"#rm_form_page_form_41_1_\"+rm_multipage.global_page_no_form_41_1).closest(\"form\");\r\n        var submit_btn= form_object.find(\"[type=submit]:not(.rm_noscript_btn)\");\r\n        var sub_label = submit_btn.data(\"label-sub\");\r\n        if(form_object.find('.rm_privacy_cb').is(':visible') && !form_object.find('.rm_privacy_cb').prop('checked')){\r\n             form_object.find('.rm_privacy_cb').trigger('change');\r\n             return false;\r\n        } \r\n        if(typeof payment_method == 'undefined' || payment_method != 'stripe')\r\n        {            \r\n            elements_to_validate = jQuery(\"#rm_form_page_form_41_1_\"+rm_multipage.global_page_no_form_41_1+\" :input\").not('#rm_stripe_fields_container_41_1 :input');\r\n        }\r\n        else\r\n            var elements_to_validate = jQuery(\"#rm_form_page_form_41_1_\"+rm_multipage.global_page_no_form_41_1+\" :input\");\r\n        \r\n        \r\n        if(elements_to_validate.length > 0)\r\n        {\r\n            var valid = elements_to_validate.valid();  \r\n            elements_to_validate.each(function(){\r\n            var if_mobile= jQuery(this).attr('data-mobile-intel-field');\r\n                if(if_mobile){\r\n                    var tel_error= rm_toggle_tel_error(jQuery(this).intlTelInput('isValidNumber'),jQuery(this),jQuery(this).data('error-message'));\r\n                    if(tel_error){\r\n                        valid= false;\r\n                    }\r\n                    else\r\n                    {\r\n                        jQuery(this).val(jQuery(this).intlTelInput('getNumber'));\r\n                    }\r\n                }\r\n            });\r\n\r\n            if(!valid)\r\n            {   \r\n                setTimeout(function(){ submit_btn.prop('disabled',false); }, 1000);\r\n                var error_element= jQuery(document).find(\"input.rm-form-field-invalid-msg\")[0];\r\n                if(error_element){\r\n                    error_element.focus();\r\n                }\r\n                return false;\r\n            }\r\n            else{\r\n                if(maxpage==rm_multipage.global_page_no_form_41_1){\r\n                    return true;\r\n                }\r\n            }\r\n           \r\n        } else{\r\n            if(maxpage==rm_multipage.global_page_no_form_41_1){\r\n                    return true;\r\n            }\r\n        }\r\n        \r\n        \/* Server validation for Username and Email field *\/\r\n        for(var i=0;i<rm_validation_attr.length;i++){\r\n            var validation_flag= true;\r\n            jQuery(\"[\" + rm_validation_attr[i] + \"=0]\").each(function(){\r\n               validation_flag= false;\r\n               return false;\r\n            });\r\n            \r\n           \r\n            if(!validation_flag)\r\n              return;\r\n        }\r\n        \r\n       \r\n        rm_multipage.global_page_no_form_41_1++;\r\n        if(rm_multipage.global_page_no_form_41_1>=maxpage){\r\n            submit_btn.prop('value',sub_label);\r\n        }\r\n        else{\r\n            submit_btn.prop('value','Next');\r\n        }\r\n       \r\n        \/*skip blank form pages*\/\r\n        \/*while(jQuery(\"#rm_form_page_form_41_1_\"+rm_multipage.global_page_no_form_41_1+\" :input\").length == 0)\r\n        {\r\n            if(maxpage <= rm_multipage.global_page_no_form_41_1)\r\n            {\r\n                    if(jQuery(\"#rm_form_page_form_41_1_\"+rm_multipage.global_page_no_form_41_1+\" :input\").length == 0){\r\n                        jq_next_button.prop('type','submit');\r\n                        jq_prev_button.prop('disabled',true);\r\n                        return;\r\n                    }        \r\n                    else\r\n                        break;\r\n            }    \r\n           rm_multipage.global_page_no_form_41_1++;\t\t       \r\n        }*\/\r\n          \t\t\r\n\tif(rm_multipage.global_page_no_form_41_1 >= maxpage){\r\n            jq_next_button.attr(\"value\", sub_label);\r\n        }\r\n\tif(maxpage < rm_multipage.global_page_no_form_41_1)\r\n\t{\r\n\t\trm_multipage.global_page_no_form_41_1 = maxpage;\r\n\t\tjq_next_button.prop('type','submit');\r\n                jq_prev_button.prop('disabled',true);\r\n\t}\r\n        \r\n\tjQuery(\".rmformpage_form_41_1\").each(function (){\r\n        \r\n\t\tvar visibledivid = \"rm_form_page_form_41_1_\"+rm_multipage.global_page_no_form_41_1;\r\n\t\tvar current_page= jQuery(this);\r\n                    if(jQuery(this).attr('id') == visibledivid){\r\n                        setTimeout(function(){ \/\/ Delaying field show to skip validation for untouched fields\r\n                            current_page.show();\r\n                            current_page.find(':input').addClass('rm_untouched');\r\n                            setTimeout(function(){ current_page.find(':input').removeClass('rm_untouched'); }, 1000);\r\n                        },100);\r\n                }\r\n\t\telse\r\n                    current_page.hide();  \r\n        });         \r\n        \r\n        jQuery('.rmformpage_form_41_1').find(':input').filter(':visible').eq(0).focus();\r\n        jQuery('html, body').animate({\r\n            scrollTop: (jQuery('.rmformpage_form_41_1').first().offset().top)\r\n        },500);\r\n        jq_prev_button.prop('disabled',false);\r\n        rmInitGoogleApi();\r\n        \r\n        setTimeout(function(){ submit_btn.prop('disabled',false); }, 1000);\r\n        \r\n        if(rm_multipage.global_page_no_form_41_1 == maxpage){\r\n            return false;\r\n        }\r\n        if(jq_prev_button.length>0 && '1'==1){\r\n            jq_prev_button.show();\r\n        }\r\n        \r\n        if(jq_prev_button.length>0 && rm_multipage.global_page_no_form_41_1>=1){\r\n            jq_prev_button.show();\r\n        }\r\n        \r\n        if(maxpage=='1'){\r\n            return true;\r\n        }\r\n        return false;\r\n           \r\n}\r\n    <\/script><\/pre><pre class='rm-pre-wrapper-for-script-tags'><script>\r\nfunction gotoprev_form_41_1(){\r\n\t\r\n\tvar maxpage = 1 ;\r\n        var jq_prev_button = jQuery(\"#rm_prev_form_page_button_41_1\");\r\n        var jq_next_button = jQuery(\"#rm_next_form_page_button_41_1\");\r\n        \/\/var sub_label = jq_next_button.data(\"label-sub\");\r\n        var next_label = jq_next_button.data(\"label-next\");\r\n        var form_object= jQuery(\"#rm_form_page_form_41_1_\"+rm_multipage.global_page_no_form_41_1).closest(\"form\");\r\n        var submit_btn= form_object.find(\"[type=submit]:not(.rm_noscript_btn)\");\r\n        var sub_label = submit_btn.data(\"label-sub\");\r\n        if(form_object.find('.rm_privacy_cb').is(':visible') && !form_object.find('.rm_privacy_cb').prop('checked')){\r\n             form_object.find('.rm_privacy_cb').trigger('change');\r\n             return false;\r\n        } \r\n\trm_multipage.global_page_no_form_41_1--;\r\n        jq_next_button.attr('type','button');        \r\n        \r\n        if(maxpage==rm_multipage.global_page_no_form_41_1){\r\n            submit_btn.prop('value',sub_label);\r\n        }\r\n        else{\r\n            submit_btn.prop('value','Next');\r\n        }\r\n        \/*skip blank form pages*\/\r\n        while(jQuery(\"#rm_form_page_form_41_1_\"+rm_multipage.global_page_no_form_41_1+\" :input,.rm-total-price \").length == 0)\r\n        {\r\n            if(1 >= rm_multipage.global_page_no_form_41_1)\r\n            {\r\n                    if(jQuery(\"#rm_form_page_form_41_1_\"+rm_multipage.global_page_no_form_41_1+\" :input,.rm-total-price \").length == 0){\r\n                        rm_multipage.global_page_no_form_41_1 = 1;\r\n                        \/\/jq_prev_button.prop('disabled',true);\r\n                        return;\r\n                    }        \r\n                    else\r\n                        break;\r\n            }\r\n        \r\n            rm_multipage.global_page_no_form_41_1--;\r\n        }\r\n        \r\n        if(rm_multipage.global_page_no_form_41_1 <= maxpage-1)\r\n            jq_next_button.attr(\"value\", next_label);\r\n            \r\n\tjQuery(\".rmformpage_form_41_1\").each(function (){\r\n\t\tvar visibledivid = \"rm_form_page_form_41_1_\"+rm_multipage.global_page_no_form_41_1;\r\n\t\tif(jQuery(this).attr('id') == visibledivid){\r\n\t\t\tjQuery(this).show();\r\n                }\r\n\t\telse\r\n\t\t\tjQuery(this).hide();\r\n\t});\r\n        jQuery('.rmformpage_form_41_1').find(':input').filter(':visible').eq(0).focus();\r\n        if(rm_multipage.global_page_no_form_41_1 <= 1)\r\n        {\r\n            rm_multipage.global_page_no_form_41_1 = 1;\r\n           \/\/ jq_prev_button.prop('disabled',true);\r\n        }\r\n        jQuery('html, body').animate({\r\n            scrollTop: (jQuery('.rmformpage_form_41_1').first().offset().top)\r\n        },500);\r\n        \r\n        if(rm_multipage.global_page_no_form_41_1==1){\r\n            jq_prev_button.hide();\r\n        }\r\n}\r\n         \r\n<\/script>\r\n    <script src=\"\/\/www.youtube.com\/player_api\"><\/script>\r\n    <script>\r\n    var players = [];\r\n    function onYouTubePlayerAPIReady() {\r\n        \/\/ create the global player from the specific iframe (#video)\r\n        var pre_id = '';\r\n        jQuery(\".allow-autoplay\").each(function(){\r\n            if(pre_id!=jQuery(this).attr(\"id\")){\r\n                players.push(new YT.Player(jQuery(this).attr(\"id\")));\r\n            }\r\n            pre_id = jQuery(this).attr(\"id\");\r\n        });\r\n    }\r\n    jQuery(document).ready(function(){\r\n        var videosArr = [];\r\n        var pre_id = '';\r\n        jQuery(\".allow-autoplay\").each(function(i){\r\n            if(pre_id!=jQuery(this).attr(\"id\")){\r\n                videosArr[jQuery(this).attr(\"id\")] = i;\r\n            }\r\n            pre_id = jQuery(this).attr(\"id\");\r\n        });\r\n        jQuery('.buttonarea input').click(function(){\r\n            setTimeout(function(){\r\n                jQuery(\".rmformpage_form_41_1\").each(function(){\r\n                    if(jQuery(this).css('display')=='block'){\r\n                        var page_video_id= jQuery(this).attr(\"id\");\r\n                        if(jQuery('#'+page_video_id+' .allow-autoplay').length){\r\n                            players[videosArr[jQuery('#'+page_video_id+' .allow-autoplay').attr('id')]].playVideo();\r\n                        }\r\n                    }\r\n                });\r\n            }, 300);\r\n        });\r\n    });\r\n    <\/script> \r\n   <\/pre><\/fieldset><\/form><pre class=\"rm-pre-wrapper-for-script-tags\"><script type=\"text\/javascript\">jQuery(document).ready(function() {\t\tjQuery(\"#form_41_1\").bind(\"submit\", function(){\r\n                        \/\/jQuery(this).find(\"input[name=rm_slug]\").attr(\"value\",jQuery(this).find(\"input[name=submit]\").attr(\"value\"));\r\n\t\t\tjQuery(this).find(\"input[type=submit]\").attr(\"disabled\", \"disabled\"); \r\n\t\t});            \r\n                   \r\n                   jQuery(\"#form_41_1-element-6\").change(function(){\r\n                   var data = {\r\n                           'action': 'rm_user_exists',\r\n                           'rm_slug': 'rm_user_exists',\r\n                           'username': jQuery(this).val(),\r\n                           'attr': 'data-rm-valid-username',\r\n                           'form_id':\"41\"\r\n                   };\r\n                   \r\n                   rm_user_exists(this,rm_ajax_url,data,\"This user is already registered. Please try with different username or login.\");\r\n                  \r\n                 });\r\n                       \r\n                   \r\n                   jQuery(\"#form_41_1-element-9\").change(function(){\r\n                   var data = {\r\n                           'action': 'rm_user_exists',\r\n                           'rm_slug': 'rm_user_exists',\r\n                           'email': jQuery(this).val(),\r\n                           'attr': 'data-rm-valid-email',\r\n                           'form_id':\"41\"\r\n                   };\r\n                   \r\n                   rm_user_exists(this,rm_ajax_url,data);\r\n                  \r\n                 });\r\n           }); <\/script><\/pre>        <noscript>\r\n            <div class=\"rm-js-disabled\"><b>Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. 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