{"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":"2026-01-28T16:56:57","modified_gmt":"2026-01-28T15:56:57","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 des 12 et 13 mars 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 05\/03\/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 les jeudi 12 et vendredi 13 mars'  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 les jeudi 12 et vendredi 13 mars<\/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='Je participerai uniquement \u00e0 la r\u00e9union du jeudi 12 mars'  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'>Je participerai uniquement \u00e0 la r\u00e9union du jeudi 12 mars<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_100_4_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.3' type='checkbox'  value='Je participerai uniquement \u00e0 la r\u00e9union du vendredi 13 mars'  id='choice_100_4_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_4_3' id='label_100_4_3'>Je participerai uniquement \u00e0 la r\u00e9union du vendredi 13 mars<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_100_4_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.4' type='checkbox'  value='Non je ne participerai pas'  id='choice_100_4_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_4_4' id='label_100_4_4'>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 11 au 13 mars'  id='choice_100_29_0'    \/>\n\t\t\t\t<label for='choice_100_29_0' id='label_100_29_0'>Du 11 au 13 mars<\/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='Du 11 au 12 mars'  id='choice_100_29_1'    \/>\n\t\t\t\t<label for='choice_100_29_1' id='label_100_29_1'>Du 11 au 12 mars<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_100_29_2'>\n\t\t\t\t<input name='input_29' type='radio' value='Du 12 au 13 mars'  id='choice_100_29_2'    \/>\n\t\t\t\t<label for='choice_100_29_2' id='label_100_29_2'>Du 12 au 13 mars<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_100_29_3'>\n\t\t\t\t<input name='input_29' type='radio' value='Pas de r\u00e9servation souhait\u00e9e'  id='choice_100_29_3'    \/>\n\t\t\t\t<label for='choice_100_29_3' id='label_100_29_3'>Pas de r\u00e9servation souhait\u00e9e<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_100_22\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_22\"><h2 class=\"gsection_title\"><\/h2><\/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_21\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_21\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_100_17\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_100_17\"><label class='gfield_label gfield_label_before_complex'  >D\u00e9jeuner et d\u00eener du 12 mars :<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_17'><li class='gchoice gchoice_100_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Je participerai \u00e0 la collation \u00e0 13h avant la r\u00e9union'  id='choice_100_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_17_1' id='label_100_17_1'>Je participerai \u00e0 la collation \u00e0 13h avant la r\u00e9union<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_100_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='Je participerai au d\u00eener \u00e0 18h30'  id='choice_100_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_17_2' id='label_100_17_2'>Je participerai au d\u00eener \u00e0 18h30<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_100_17_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.3' type='checkbox'  value='Je ne participerai pas'  id='choice_100_17_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_17_3' id='label_100_17_3'>Je ne participerai pas<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_100_26\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_26\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_100_25\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_25\"><label class='gfield_label'  >D\u00e9jeuner du 13 mars :<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_25'>\n\t\t\t<li class='gchoice gchoice_100_25_0'>\n\t\t\t\t<input name='input_25' type='radio' value='Je participe \u00e0 la collation apr\u00e8s la r\u00e9union \u00e0 12h30'  id='choice_100_25_0'    \/>\n\t\t\t\t<label for='choice_100_25_0' id='label_100_25_0'>Je participe \u00e0 la collation apr\u00e8s la r\u00e9union \u00e0 12h30<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_100_25_1'>\n\t\t\t\t<input name='input_25' type='radio' value='Je ne participe pas au d\u00e9jeuner'  id='choice_100_25_1'    \/>\n\t\t\t\t<label for='choice_100_25_1' id='label_100_25_1'>Je ne participe pas au d\u00e9jeuner<\/label>\n\t\t\t<\/li><\/ul><\/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_18\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_18\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_100_14\"  class=\"gfield 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_31\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_100_31\"><h2 class=\"gsection_title\"><\/h2><\/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='WyJ7XCIyOVwiOltcImYzNGFiZjZmOWI3MzhjNmE2NTJjNTgzZjI5MjNhYTJmXCIsXCIxZmJiZTI0ZjU0ODY1ZGE1ZjI2Y2EyZjZiNTMxZmQ5NFwiLFwiZmUwN2U5MmZlMzVkZmM0ZDU1NjFiZGI2ZTVhOTIzMjJcIixcIjQzNWYyYTA2OTMwMzJjMmUwODgxN2UxNTYyZTc3YmI2XCJdfSIsIjBhYWRhM2FiN2FjZWMzY2NlOTAzNTcxOTBkYTk2MGY1Il0=' \/>\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":27,"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/pages\/9903\/revisions"}],"predecessor-version":[{"id":1962979,"href":"https:\/\/www.dfh-ufa.org\/fr\/wp-json\/wp\/v2\/pages\/9903\/revisions\/1962979"}],"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}]}}