{"id":24,"date":"2026-07-10T15:17:17","date_gmt":"2026-07-10T15:17:17","guid":{"rendered":"https:\/\/collectifdusensitif.fr\/?page_id=24"},"modified":"2026-07-14T10:18:26","modified_gmt":"2026-07-14T10:18:26","slug":"inscription-2","status":"publish","type":"page","link":"https:\/\/collectifdusensitif.fr\/index.php\/inscription-2\/","title":{"rendered":"Inscription"},"content":{"rendered":"\n    <div class=\"cds-pdf-card\">\n\n        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\n\n        <a href=\"http:\/\/collectifdusensitif.fr\/wp-content\/uploads\/2026\/07\/Aide-Gestion-inscription-au-Collectif3.pdf\"\n           target=\"_blank\"\n           download>\n            \ud83d\udc41\ufe0f Lisez moi\n        <\/a>\n\n        <br\/>\n        <br\/>\n\n    <\/div>\n    \n\n\n\n<div class=\"um um-register um-23\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row-heading\" style=\"margin: 0px 0px 30px 0px;margin-bottom: 0px;padding: 10px 15px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px 0px 0px 0px;border-bottom-width: 0px;background-color: #1e73be;color: #ffffff;\">Informations g\u00e9n\u00e9rales<\/div><div class=\"um-row _um_row_1 \" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-top-width: 0px;border-style: solid;border-radius: 0px 0px 0px 0px;\"><div class=\"um-col-121\"><div  id=\"um_field_23_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-23\">Pr\u00e9nom *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"first_name-23\" id=\"first_name-23\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-23\">Nom *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"last_name-23\" id=\"last_name-23\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_adr_post\" class=\"um-field um-field-text  um-field-adr_post um-field-text um-field-type_text\" data-key=\"adr_post\"><div class=\"um-field-label\"><label for=\"adr_post-23\">Adresse postale *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"adr_post-23\" id=\"adr_post-23\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"adr_post\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_usr-zipcode\" class=\"um-field um-field-text  um-field-usr-zipcode um-field-text um-field-type_text\" data-key=\"usr-zipcode\"><div class=\"um-field-label\"><label for=\"usr-zipcode-23\">Code postal \/ Zip code *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"usr-zipcode-23\" id=\"usr-zipcode-23\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"usr-zipcode\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_ville\" class=\"um-field um-field-text  um-field-ville um-field-text um-field-type_text\" data-key=\"ville\"><div class=\"um-field-label\"><label for=\"ville-23\">Ville *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"ville-23\" id=\"ville-23\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"ville\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_country\" class=\"um-field um-field-select  um-field-country um-field-select um-field-type_select\" data-key=\"country\"><div class=\"um-field-label\"><label for=\"country-23\">Pays *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"country\" id=\"country\" data-validate=\"\" data-key=\"country\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"Choisissez un Pays\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"\u00celes \u00c5land\" >\u00celes \u00c5land<\/option><option value=\"Albanie\" >Albanie<\/option><option value=\"Alg\u00e9rie\" >Alg\u00e9rie<\/option><option value=\"Samoa am\u00e9ricaines\" >Samoa am\u00e9ricaines<\/option><option value=\"Andorre\" >Andorre<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antarctique\" >Antarctique<\/option><option value=\"Antigua-et-Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nie\" >Arm\u00e9nie<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australie\" >Australie<\/option><option value=\"Autriche\" >Autriche<\/option><option value=\"Azerba\u00efdjan\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahre\u00efn\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbade\" >Barbade<\/option><option value=\"Bi\u00e9lorussie\" >Bi\u00e9lorussie<\/option><option value=\"Belgique\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"B\u00e9nin\" >B\u00e9nin<\/option><option value=\"Bermudes\" >Bermudes<\/option><option value=\"Bhoutan\" >Bhoutan<\/option><option value=\"Bolivie\" >Bolivie<\/option><option value=\"Bosnie-Herz\u00e9govine\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"\u00cele Bouvet\" >\u00cele Bouvet<\/option><option value=\"Br\u00e9sil\" >Br\u00e9sil<\/option><option value=\"Territoire britannique de l\u2019oc\u00e9an Indien\" >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgarie\" >Bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodge\" >Cambodge<\/option><option value=\"Cameroun\" >Cameroun<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cap-Vert\" >Cap-Vert<\/option><option value=\"\u00celes Ca\u00efmans\" >\u00celes Ca\u00efmans<\/option><option value=\"R\u00e9publique centrafricaine\" >R\u00e9publique centrafricaine<\/option><option value=\"Tchad\" >Tchad<\/option><option value=\"Chili\" >Chili<\/option><option value=\"Chine\" >Chine<\/option><option value=\"\u00cele Christmas\" >\u00cele Christmas<\/option><option value=\"\u00celes Cocos (Keeling)\" >\u00celes Cocos (Keeling)<\/option><option value=\"Colombie\" >Colombie<\/option><option value=\"Comores\" >Comores<\/option><option value=\"Congo\" >Congo<\/option><option value=\"R\u00e9publique\u00a0d\u00e9mocratique\u00a0du\u00a0Congo\" >R\u00e9publique\u00a0d\u00e9mocratique\u00a0du\u00a0Congo<\/option><option value=\"Iles Cook\" >Iles Cook<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d\u2019Ivoire\" >C\u00f4te d\u2019Ivoire<\/option><option value=\"Croatie\" >Croatie<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Chypre\" >Chypre<\/option><option value=\"R\u00e9publique Tch\u00e8que\" >R\u00e9publique Tch\u00e8que<\/option><option value=\"Danemark\" >Danemark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominique\" >Dominique<\/option><option value=\"R\u00e9publique Dominicaine\" >R\u00e9publique Dominicaine<\/option><option value=\"\u00c9quateur\" >\u00c9quateur<\/option><option value=\"\u00c9gypte\" >\u00c9gypte<\/option><option value=\"Salvador\" >Salvador<\/option><option value=\"Guin\u00e9e \u00c9quatoriale\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"\u00c9rythr\u00e9e\" >\u00c9rythr\u00e9e<\/option><option value=\"Estonie\" >Estonie<\/option><option value=\"\u00c9thiopie\" >\u00c9thiopie<\/option><option value=\"\u00celes Malouines\" >\u00celes Malouines<\/option><option value=\"\u00celes F\u00e9ro\u00e9\" >\u00celes F\u00e9ro\u00e9<\/option><option value=\"Fidji\" >Fidji<\/option><option value=\"Finlande\" >Finlande<\/option><option value=\"France\" >France<\/option><option value=\"Guyane\" >Guyane<\/option><option value=\"Polyn\u00e9sie fran\u00e7aise\" >Polyn\u00e9sie fran\u00e7aise<\/option><option value=\"Terres australes et antarctiques fran\u00e7aises\" >Terres australes et antarctiques fran\u00e7aises<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambie\" >Gambie<\/option><option value=\"G\u00e9orgie\" >G\u00e9orgie<\/option><option value=\"Allemagne\" >Allemagne<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Gr\u00e8ce\" >Gr\u00e8ce<\/option><option value=\"Groenland\" >Groenland<\/option><option value=\"Grenade\" >Grenade<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guernesey\" >Guernesey<\/option><option value=\"Guin\u00e9e\" >Guin\u00e9e<\/option><option value=\"Guin\u00e9e-Bissau\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyane\" >Guyane<\/option><option value=\"Ha\u00efti\" >Ha\u00efti<\/option><option value=\"\u00celes Heard-et-MacDonald\" >\u00celes Heard-et-MacDonald<\/option><option value=\"Vatican\" >Vatican<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hongrie\" >Hongrie<\/option><option value=\"Islande\" >Islande<\/option><option value=\"Inde\" >Inde<\/option><option value=\"Indon\u00e9sie\" >Indon\u00e9sie<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Irak\" >Irak<\/option><option value=\"Irlande\" >Irlande<\/option><option value=\"\u00cele de Man\" >\u00cele de Man<\/option><option value=\"Isra\u00ebl\" >Isra\u00ebl<\/option><option value=\"Italie\" >Italie<\/option><option value=\"Jama\u00efque\" >Jama\u00efque<\/option><option value=\"Japon\" >Japon<\/option><option value=\"Jersey\" >Jersey<\/option><option value=\"Jordanie\" >Jordanie<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Cor\u00e9e du Nord\" >Cor\u00e9e du Nord<\/option><option value=\"Cor\u00e9e\u00a0du\u00a0Sud\" >Cor\u00e9e\u00a0du\u00a0Sud<\/option><option value=\"Kowe\u00eft\" >Kowe\u00eft<\/option><option value=\"Kirghizistan\" >Kirghizistan<\/option><option value=\"Personne de la R\u00e9publique d\u00e9mocratique du Laos\" >Personne de la R\u00e9publique d\u00e9mocratique du Laos<\/option><option value=\"Lettonie\" >Lettonie<\/option><option value=\"Liban\" >Liban<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libye\" >Libye<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lituanie\" >Lituanie<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macao<\/option><option value=\"Mac\u00e9doine du Nord\" >Mac\u00e9doine du Nord<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaisie\" >Malaisie<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malte\" >Malte<\/option><option value=\"Iles Marshall\" >Iles Marshall<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauritanie\" >Mauritanie<\/option><option value=\"\u00cele Maurice\" >\u00cele Maurice<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexique\" >Mexique<\/option><option value=\"Micron\u00e9sie\" >Micron\u00e9sie<\/option><option value=\"Moldavie\" >Moldavie<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolie\" >Mongolie<\/option><option value=\"Mont\u00e9n\u00e9gro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Maroc\" >Maroc<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Birmanie\" >Birmanie<\/option><option value=\"Namibie\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"N\u00e9pal\" >N\u00e9pal<\/option><option value=\"Pays-Bas\" >Pays-Bas<\/option><option value=\"Antilles n\u00e9erlandaises\" >Antilles n\u00e9erlandaises<\/option><option value=\"Nouvelle Cal\u00e9donie\" >Nouvelle Cal\u00e9donie<\/option><option value=\"Nouvelle-Z\u00e9lande\" >Nouvelle-Z\u00e9lande<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nig\u00e9ria\" >Nig\u00e9ria<\/option><option value=\"Niue\" >Niue<\/option><option value=\"\u00cele Norfolk\" >\u00cele Norfolk<\/option><option value=\"\u00celes Mariannes du Nord\" >\u00celes Mariannes du Nord<\/option><option value=\"Norv\u00e8ge\" >Norv\u00e8ge<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palaos\" >Palaos<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papouasie Nouvelle Guin\u00e9e\" >Papouasie Nouvelle Guin\u00e9e<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"P\u00e9rou\" >P\u00e9rou<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pitcairn\" >Pitcairn<\/option><option value=\"Pologne\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Porto Rico\" >Porto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9union\" >R\u00e9union<\/option><option value=\"Roumanie\" >Roumanie<\/option><option value=\"Russie\" >Russie<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barth\u00e9lemy<\/option><option value=\"Sainte H\u00e9l\u00e8ne\" >Sainte H\u00e9l\u00e8ne<\/option><option value=\"Saint-Christophe-et-Ni\u00e9v\u00e8s\" >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value=\"Sainte-Lucie\" >Sainte-Lucie<\/option><option value=\"Saint-Martin (Antilles fran\u00e7aises)\" >Saint-Martin (Antilles fran\u00e7aises)<\/option><option value=\"Saint-Pierre-et-Miquelon\" >Saint-Pierre-et-Miquelon<\/option><option value=\"Saint-Vincent-et-les-Grenadines\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"Saint-Marin\" >Saint-Marin<\/option><option value=\"S\u00e3o Tom\u00e9-et-Principe\" >S\u00e3o Tom\u00e9-et-Principe<\/option><option value=\"Arabie Saoudite\" >Arabie Saoudite<\/option><option value=\"S\u00e9n\u00e9gal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbie\" >Serbie<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapour\" >Singapour<\/option><option value=\"Slovaquie\" >Slovaquie<\/option><option value=\"Slov\u00e9nie\" >Slov\u00e9nie<\/option><option value=\"\u00celes Salomon\" >\u00celes Salomon<\/option><option value=\"Somalie\" >Somalie<\/option><option value=\"Afrique du Sud\" >Afrique du Sud<\/option><option value=\"G\u00e9orgie du Sud-et-les \u00celes Sandwich du Sud\" >G\u00e9orgie du Sud-et-les \u00celes Sandwich du Sud<\/option><option value=\"Soudan du Sud\" >Soudan du Sud<\/option><option value=\"Espagne\" >Espagne<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Soudan\" >Soudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Svalbard et Jan Mayen\" >Svalbard et Jan Mayen<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"Su\u00e8de\" >Su\u00e8de<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Syrie\" >Syrie<\/option><option value=\"Ta\u00efwan\" >Ta\u00efwan<\/option><option value=\"Tadjikistan\" >Tadjikistan<\/option><option value=\"Tanzanie\" >Tanzanie<\/option><option value=\"Tha\u00eflande\" >Tha\u00eflande<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tok\u00e9laou\" >Tok\u00e9laou<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinit\u00e9-et-Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunisie\" >Tunisie<\/option><option value=\"Turquie\" >Turquie<\/option><option value=\"Turkm\u00e9nistan\" >Turkm\u00e9nistan<\/option><option value=\"\u00celes Turques-et-Ca\u00efques\" >\u00celes Turques-et-Ca\u00efques<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Ouganda\" >Ouganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"Emirats Arabes Unis\" >Emirats Arabes Unis<\/option><option value=\"Royaume-Uni\" >Royaume-Uni<\/option><option value=\"\u00c9tats-Unis d\u2019Am\u00e9rique\" >\u00c9tats-Unis d\u2019Am\u00e9rique<\/option><option value=\"\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis\" >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Ouzb\u00e9kistan\" >Ouzb\u00e9kistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vi\u00eatnam\" >Vi\u00eatnam<\/option><option value=\"\u00celes Vierges britanniques\" >\u00celes Vierges britanniques<\/option><option value=\"\u00celes Vierges am\u00e9ricaines\" >\u00celes Vierges am\u00e9ricaines<\/option><option value=\"Wallis et Futuna\" >Wallis et Futuna<\/option><option value=\"Sahara occidental\" >Sahara occidental<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambie\" >Zambie<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><div  id=\"um_field_23_pratique\" class=\"um-field um-field-select  um-field-pratique um-field-select um-field-type_select\" data-key=\"pratique\"><div class=\"um-field-label\"><label for=\"pratique-23\">Type d&#039;adhesion *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"pratique\" id=\"pratique\" data-validate=\"\" data-key=\"pratique\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Formateur(trice) et \/ ou Praticien(ne) habilit\u00e9(e)\" >Formateur(trice) et \/ ou Praticien(ne) habilit\u00e9(e)<\/option><option value=\"Praticien(ne) associ\u00e9.e\" >Praticien(ne) associ\u00e9.e<\/option><option value=\"Praticien(ne) ou formateur(trice) en premi\u00e8re ann\u00e9e d\u2019exercice\" >Praticien(ne) ou formateur(trice) en premi\u00e8re ann\u00e9e d\u2019exercice<\/option><option value=\"Apprenant(e)\" >Apprenant(e)<\/option><\/select><\/div><\/div><div  id=\"um_field_23_pratiques_hab\" class=\"um-field um-field-multiselect  um-is-conditional um-field-pratiques_hab um-field-multiselect um-field-type_multiselect\" data-key=\"pratiques_hab\" data-cond-0-action=\"show\" data-cond-0-field=\"pratique\" data-cond-0-operator=\"not equals\" data-cond-0-value=\"Praticien(ne) associ\u00e9.e\" data-cond-1-action=\"show\" data-cond-1-field=\"pratique\" data-cond-1-operator=\"not equals\" data-cond-1-value=\"Apprenant(e)\"><div class=\"um-field-label\"><label for=\"pratiques_hab-23\">Pratiques habilit\u00e9es *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select   multiple=\"multiple\" name=\"pratiques_hab[]\" id=\"pratiques_hab\" data-maxsize=\"0\" data-validate=\"\" data-key=\"pratiques_hab\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"\"  aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Praticien(ne) en Massage Sensitif\u00ae* de Bien-\u00catre\" >Praticien(ne) en Massage Sensitif\u00ae* de Bien-\u00catre<\/option><option value=\"Somato et Psychosomato en M\u00e9thode CAMILLI\u00ae\" >Somato et Psychosomato en M\u00e9thode CAMILLI\u00ae<\/option><option value=\"Superviseur\/Superviseuse\" >Superviseur\/Superviseuse<\/option><option value=\"Animateur(trice) de Groupe de Massage Sensitif\u00ae\" >Animateur(trice) de Groupe de Massage Sensitif\u00ae<\/option><option value=\"Formateur(trice) aux Cycles d\u2019Acquisition\" >Formateur(trice) aux Cycles d\u2019Acquisition<\/option><\/select><\/div><\/div><div  id=\"um_field_23_a_der_mod\" class=\"um-field um-field-text  um-field-a_der_mod um-field-text um-field-type_text\" data-key=\"a_der_mod\"><div class=\"um-field-label\"><label for=\"a_der_mod-23\">Derni\u00e8re ann\u00e9e de module de perfectionnement<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"a_der_mod-23\" id=\"a_der_mod-23\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"a_der_mod\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_23_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-23\">Votre adresse e-mail *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_email-23\" id=\"user_email-23\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_phone_number\" class=\"um-field um-field-tel  um-field-phone_number um-field-tel um-field-type_tel\" data-key=\"phone_number\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"fas fa-phone\" aria-label=\"Num\u00e9ro de t\u00e9l\u00e9phone\"><\/i><\/div><label for=\"phone_number-23\">Num\u00e9ro de t\u00e9l\u00e9phone<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"tel\" name=\"phone_number-23\" id=\"phone_number-23\" value=\"\" placeholder=\"\" data-validate=\"phone_number\" data-key=\"phone_number\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_user_url\" class=\"um-field um-field-url  um-field-user_url um-field-url um-field-type_url\" data-key=\"user_url\"><div class=\"um-field-label\"><label for=\"user_url-23\">Adresse lien vers votre site (http...)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input    class=\"um-form-field valid not-required \" type=\"text\" name=\"user_url-23\" id=\"user_url-23\" value=\"\" placeholder=\"\" data-validate=\"url\" data-key=\"user_url\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_facebook\" class=\"um-field um-field-url  um-field-facebook um-field-url um-field-type_url\" data-key=\"facebook\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"fab fa-facebook-f\" aria-label=\"Lien vers votre page Facebook (http...)\"><\/i><\/div><label for=\"facebook-23\">Lien vers votre page Facebook (http...)<\/label><span class=\"um-tip um-tip-w\" title=\"Lien vers votre page Face Book\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input    class=\"um-form-field valid not-required \" type=\"text\" name=\"facebook-23\" id=\"facebook-23\" value=\"\" placeholder=\"\" data-validate=\"facebook_url\" data-key=\"facebook\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_linkedin\" class=\"um-field um-field-url  um-field-linkedin um-field-url um-field-type_url\" data-key=\"linkedin\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"fab fa-linkedin-in\" aria-label=\"Lien vers votre page LinkedIn (http...)\"><\/i><\/div><label for=\"linkedin-23\">Lien vers votre page LinkedIn (http...)<\/label><span class=\"um-tip um-tip-w\" title=\"Lien vers votre page LinkedIn\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input    class=\"um-form-field valid not-required \" type=\"text\" name=\"linkedin-23\" id=\"linkedin-23\" value=\"\" placeholder=\"\" data-validate=\"linkedin_url\" data-key=\"linkedin\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_instagram\" class=\"um-field um-field-url  um-field-instagram um-field-url um-field-type_url\" data-key=\"instagram\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"fab fa-instagram\" aria-label=\"Lien vers votre page Instagram (http...)\"><\/i><\/div><label for=\"instagram-23\">Lien vers votre page Instagram (http...)<\/label><span class=\"um-tip um-tip-w\" title=\"Lien vers votre page Instagram\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input    class=\"um-form-field valid not-required \" type=\"text\" name=\"instagram-23\" id=\"instagram-23\" value=\"\" placeholder=\"\" data-validate=\"instagram_url\" data-key=\"instagram\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_show_tel_public\" class=\"um-field um-field-radio  um-field-show_tel_public um-field-radio um-field-type_radio\" data-key=\"show_tel_public\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"show_tel_public-23\">Souhaitez vous que votre num\u00e9ro de t\u00e9l\u00e9phone soit affich\u00e9 publiquement ? *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"show_tel_public[]\" value=\"Oui\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"show_tel_public[]\" value=\"Non\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_23_automail\" class=\"um-field um-field-radio  um-field-automail um-field-radio um-field-type_radio\" data-key=\"automail\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"automail-23\">Souhaitez vous que votre adresse e-mail soit affich\u00e9e publiquement ? *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"automail[]\" value=\"Oui\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"automail[]\" value=\"Non\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_23_autoadrpost\" class=\"um-field um-field-radio  um-field-autoadrpost um-field-radio um-field-type_radio\" data-key=\"autoadrpost\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"autoadrpost-23\">Souhaitez vous que votre adresse postale soit affich\u00e9e publiquement ? *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"autoadrpost[]\" value=\"Oui\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"autoadrpost[]\" value=\"Non\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_23_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-23\">Mot de passe *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-area-password\">\n\t\t\t\t\t\t\t\t\t<input class=\"um-form-field valid \" type=\"password\" name=\"user_password-23\" id=\"user_password-23\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t\t\t<span class=\"um-toggle-password\"><i class=\"um-icon-eye\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_23_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-23\">Confirmez le mot de passe<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-area-password\"><input class=\"um-form-field valid \" type=\"password\" name=\"confirm_user_password-23\" id=\"confirm_user_password-23\" value=\"\" placeholder=\"Confirmez le mot de passe\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><span class=\"um-toggle-password\"><i class=\"um-icon-eye\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_2 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-shortcode  um-field-shortcode um-field-type_shortcode\" data-key=\"um_shortcode_23_22\">\n    <div class=\"cds-pdf-card\">\n\n        <a href=\"http:\/\/collectifdusensitif.fr\/wp-content\/uploads\/2026\/07\/REGLEMENT-INTERIEUR-et-CODE-DEONTOLOGIE-maj25.11.22-1.pdf\"\n           target=\"_blank\"\n           download>\n            \ud83d\udc41\ufe0f Merci de prendre connaissance du r\u00e8glement int\u00e9rieur et du Code de d\u00e9ontologie du Collectif du Sensitif\n        <\/a>\n\n    <\/div>\n    <\/div><div  id=\"um_field_23_valide_adhesion\" class=\"um-field um-field-radio  um-field-valide_adhesion um-field-radio um-field-type_radio\" data-key=\"valide_adhesion\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"valide_adhesion-23\">Je valide mon inscription au Collectif apr\u00e8s avoir pris connaissance et attest\u00e9 des informations ci renseign\u00e9es *<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"valide_adhesion[]\" value=\"Oui\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><\/div><\/div>\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_23\" value=\"23\" \/>\n\t\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_23\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_23\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"f3e0ed6fca\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/24\" \/>\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-left um-half\">\n\t\t\t\t<input type=\"submit\" value=\"S\u2019inscrire\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"um-right um-half\">\n\t\t\t\t<a href=\"https:\/\/collectifdusensitif.fr\/index.php\/login\/\" class=\"um-button um-alt\">\n\t\t\t\t\tConnexion\t\t\t\t<\/a>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-23.um {\n\t\t\tmax-width: 900px;\n\t\t}\n\t\t<\/style>\n\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"on","footnotes":""},"class_list":["post-24","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/collectifdusensitif.fr\/index.php\/wp-json\/wp\/v2\/pages\/24","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/collectifdusensitif.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/collectifdusensitif.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/collectifdusensitif.fr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/collectifdusensitif.fr\/index.php\/wp-json\/wp\/v2\/comments?post=24"}],"version-history":[{"count":28,"href":"https:\/\/collectifdusensitif.fr\/index.php\/wp-json\/wp\/v2\/pages\/24\/revisions"}],"predecessor-version":[{"id":252,"href":"https:\/\/collectifdusensitif.fr\/index.php\/wp-json\/wp\/v2\/pages\/24\/revisions\/252"}],"wp:attachment":[{"href":"https:\/\/collectifdusensitif.fr\/index.php\/wp-json\/wp\/v2\/media?parent=24"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}