{"id":9903,"date":"2018-08-14T10:41:08","date_gmt":"2018-08-14T08:41:08","guid":{"rendered":"https:\/\/www.dfh-ufa.org\/fr\/?page_id=9903"},"modified":"2026-08-18T15:41:44","modified_gmt":"2026-08-18T13:41:44","slug":"formulaire-inscription","status":"publish","type":"page","link":"https:\/\/www.dfh-ufa.org\/fr\/lufa\/lufa-en-bref\/organisation\/les-instances-consultatives\/la-commission-scientifique\/formulaire-inscription","title":{"rendered":"Formulaire d&rsquo;inscription"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_100' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Inscription \u00e0 la prochaine r\u00e9union de la commission scientifique du 1er Octobre 2026<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_100'  action='\/fr\/wp-json\/wp\/v2\/pages\/9903' novalidate>\n                        <div class='gform_body gform-body'><ul id='gform_fields_100' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_100_12\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_12\">Merci de bien vouloir remplir le bulletin de participation jusqu\u2019au 25\/09\/2026 inclus.<br>\nPour tout renseignement compl\u00e9mentaire, veuillez contacter Mme Neumann au : <br>\n+49 681 938 12-106<br>\nhsl-secretariat@dfh-ufa.org\n<br> <br>\n<em>*champs obligatoires<\/em><\/li><li id=\"field_100_28\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_28\"><label class='gfield_label gfield_label_before_complex'  >Pr\u00e9nom, nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_100_28'>\n                            \n                            <span id='input_100_28_3_container' class='name_first' >\n                                                    <input type='text' name='input_28.3' id='input_100_28_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_100_28_3' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_100_28_6_container' class='name_last' >\n                                                    <input type='text' name='input_28.6' id='input_100_28_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_100_28_6' >Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_100_3\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible\"  data-js-reload=\"field_100_3\"><label class='gfield_label gfield_label_before_complex'  >Adresse e-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email' id='input_100_3_container'>\n                                <span id='input_100_3_1_container' class='ginput_left'>\n                                    <label for='input_100_3'>Veuillez saisir votre adresse e-mail<\/label>\n                                    <input class='' type='email' name='input_3' id='input_100_3' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <span id='input_100_3_2_container' class='ginput_right'>\n                                    <label for='input_100_3_2' >Veuillez confirmer votre adresse e-mail<\/label>\n                                    <input class='' type='email' name='input_3_2' id='input_100_3_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_100_27\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_27\"><label class='gfield_label' for='input_100_27' >Num\u00e9ro de portable<\/label><div class='ginput_container ginput_container_phone'><input name='input_27' id='input_100_27' type='tel' value='' class='medium'    aria-invalid=\"false\" aria-describedby=\"gfield_description_100_27\"  \/><\/div><div class='gfield_description' id='gfield_description_100_27'>Veuillez indiquer votre num\u00e9ro de portable<\/div><\/li><li id=\"field_100_19\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_19\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_100_4\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_100_4\"><label class='gfield_label gfield_label_before_complex'  >Participation \u00e0 la r\u00e9union \u00e0 Sarrebruck<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_100_4'><li class='gchoice gchoice_100_4_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.1' type='checkbox'  value='Je participerai \u00e0 la r\u00e9union du jeudi 1er octobre'  id='choice_100_4_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_4_1' id='label_100_4_1'>Je participerai \u00e0 la r\u00e9union du jeudi 1er octobre<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_100_4_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.2' type='checkbox'  value='Non je ne participerai pas'  id='choice_100_4_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_4_2' id='label_100_4_2'>Non je ne participerai pas<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_100_20\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_20\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_100_29\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_29\"><label class='gfield_label'  >Avez-vous besoin d&#039;une chambre d&#039;h\u00f4tel ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_100_29'>\n\t\t\t<li class='gchoice gchoice_100_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='Du 30 septembre au 1er octobre'  id='choice_100_29_0'    \/>\n\t\t\t\t<label for='choice_100_29_0' id='label_100_29_0'>Du 30 septembre au 1er octobre<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_100_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='Pas de r\u00e9servation souhait\u00e9e'  id='choice_100_29_1'    \/>\n\t\t\t\t<label for='choice_100_29_1' id='label_100_29_1'>Pas de r\u00e9servation souhait\u00e9e<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_100_16\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_16\"><label class='gfield_label' for='input_100_16' >Vous pouvez indiquer votre h\u00f4tel de pr\u00e9f\u00e9rence, nous en tiendrons compte dans la limite des places disponibles :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_100_16' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_100_23\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_23\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_100_11\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_11\"><label class='gfield_label'  >Pr\u00e9f\u00e9rence \/ intol\u00e9rance alimentaire :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_100_11'>\n\t\t\t<li class='gchoice gchoice_100_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='Rien \u00e0 signaler'  id='choice_100_11_0'    \/>\n\t\t\t\t<label for='choice_100_11_0' id='label_100_11_0'>Rien \u00e0 signaler<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_100_11_1'>\n\t\t\t\t<input name='input_11' type='radio' value='V\u00e9g\u00e9tarien'  id='choice_100_11_1'    \/>\n\t\t\t\t<label for='choice_100_11_1' id='label_100_11_1'>V\u00e9g\u00e9tarien<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_100_11_2'>\n\t\t\t\t<input name='input_11' type='radio' value='Autres'  id='choice_100_11_2'    \/>\n\t\t\t\t<label for='choice_100_11_2' id='label_100_11_2'>Autres<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_100_30\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_30\"><label class='gfield_label' for='input_100_30' >Veuillez pr\u00e9ciser :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_100_30' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_100_38\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_38\"><label class='gfield_label'  >Consentement \u00e0 l\u2019enregistrement et \u00e0 la transcription des interventions<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_100_38'>\n\t\t\t<li class='gchoice gchoice_100_38_0'>\n\t\t\t\t<input name='input_38' type='radio' value='Je consens \u00e0 ce que mes interventions orales lors de la r\u00e9union de la commission scientifique soient enregistr\u00e9es dans le but de faciliter la r\u00e9daction du proc\u00e8s-verbal de s\u00e9ance et transcrites automatiquement \u00e0 l\u2019aide du service de transcription assist\u00e9e par intelligence artificielle Good Tape.'  id='choice_100_38_0'    \/>\n\t\t\t\t<label for='choice_100_38_0' id='label_100_38_0'>Je consens \u00e0 ce que mes interventions orales lors de la r\u00e9union de la commission scientifique soient enregistr\u00e9es dans le but de faciliter la r\u00e9daction du proc\u00e8s-verbal de s\u00e9ance et transcrites automatiquement \u00e0 l\u2019aide du service de transcription assist\u00e9e par intelligence artificielle Good Tape.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_100_38_1'>\n\t\t\t\t<input name='input_38' type='radio' value='Je refuse l\u2019enregistrement et la transcription de mes interventions \u00e0 l\u2019aide d\u2019un outil d\u2019intelligence artificielle.'  id='choice_100_38_1'    \/>\n\t\t\t\t<label for='choice_100_38_1' id='label_100_38_1'>Je refuse l\u2019enregistrement et la transcription de mes interventions \u00e0 l\u2019aide d\u2019un outil d\u2019intelligence artificielle.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_100_36\"  class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_36\">Ce consentement est donn\u00e9 librement et ne constitue pas une condition pr\u00e9alable \u00e0 la participation \u00e0 la r\u00e9union ; il peut \u00eatre r\u00e9voqu\u00e9 \u00e0 tout moment avec effet pour l\u2019avenir. Vous trouverez de plus amples informations sur le traitement des donn\u00e9es dans la notice \u00ab Informations relatives \u00e0 la protection des donn\u00e9es \u00bb ci-dessous.\n<\/li><li id=\"field_100_34\"  class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_34\"><a href=\"https:\/\/www.dfh-ufa.org\/app\/uploads\/2026\/08\/Information-relative-a-la-protection-des-donnees-Datenschutzinformationen.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\n\ud83d\udcc4 Consulter les informations relatives \u00e0 la protection des donn\u00e9es \/ Datenschutzinformationen anzeigen\n<\/a><\/li><li id=\"field_100_14\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_14\"><label class='gfield_label' for='input_100_14' >Remarque(s) :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_100_14' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_100_32\"  class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_32\"><label class='gfield_label' for='input_100_32' >CAPTCHA<\/label><div id='input_100_32' class='ginput_container ginput_recaptcha' data-sitekey='6Le5vW4UAAAAALGi--wWGSdYxSDQdHiZGwp5vcpH'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_100' class='gform_button button' value='Envoyer'  onclick='if(window[\"gf_submitting_100\"]){return false;}  if( !jQuery(\"#gform_100\")[0].checkValidity || jQuery(\"#gform_100\")[0].checkValidity()){window[\"gf_submitting_100\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_100\"]){return false;} if( !jQuery(\"#gform_100\")[0].checkValidity || jQuery(\"#gform_100\")[0].checkValidity()){window[\"gf_submitting_100\"]=true;}  jQuery(\"#gform_100\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_100' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='100' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_100' value='WyJ7XCIyOVwiOltcIjkyODdhNzRhMWM4YWUxM2JhZDViYjA1MmY0NDY5ZDBlXCIsXCI0MzVmMmEwNjkzMDMyYzJlMDg4MTdlMTU2MmU3N2JiNlwiXSxcIjM4XCI6W1wiNmQzMTRmNzE0ZTA1MTdiZmVmNjZhZGJjNzRjYmVhZGVcIixcIjJhYjI4YTdhNTgwMzcxNDJkMWM2MWQxNDJiNTQ4NGEzXCJdfSIsImI2ZTk5NDA0NGRkZjhmZmY2Yjc3ZjRjNzE0MzUyODMwIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_100' id='gform_target_page_number_100' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_100' id='gform_source_page_number_100' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":798,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"inline_featured_image":false},"acf":[],"_links":{"self":[{"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/pages\/9903"}],"collection":[{"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/comments?post=9903"}],"version-history":[{"count":28,"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/pages\/9903\/revisions"}],"predecessor-version":[{"id":1965337,"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/pages\/9903\/revisions\/1965337"}],"up":[{"embeddable":true,"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/pages\/798"}],"wp:attachment":[{"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/media?parent=9903"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}