{"id":112,"date":"2017-12-26T06:03:31","date_gmt":"2017-12-26T06:03:31","guid":{"rendered":"https:\/\/coiffure-exclusive.be\/?page_id=112"},"modified":"2018-01-25T11:22:57","modified_gmt":"2018-01-25T11:22:57","slug":"reservez-maintenant","status":"publish","type":"page","link":"https:\/\/coiffure-exclusive.be\/fr\/reservez-maintenant\/","title":{"rendered":"R\u00e9servez maintenant"},"content":{"rendered":"<div class=\"col-lg-6 col-md-6 col-sm-6 col-xs-12 reser_frm\"><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 gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' style='display:none'><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Reservation<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/fr\/wp-json\/wp\/v2\/pages\/112#gf_3' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_3_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_3_30\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_30\" ><figure><img decoding=\"async\" src=\"https:\/\/coiffure-exclusive.be\/wp-content\/uploads\/2018\/01\/person-icon.png\"><\/figure><\/li><li id=\"field_3_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_3\" ><label class='gfield_label gform-field-label' >JE SUIS<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_3_3'>\n\t\t\t<li class='gchoice gchoice_3_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='MAN'  id='choice_3_3_0'    \/>\n\t\t\t\t<label for='choice_3_3_0' id='label_3_3_0' class='gform-field-label gform-field-label--type-inline'>HOMME<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='VROUW'  id='choice_3_3_1'    \/>\n\t\t\t\t<label for='choice_3_3_1' id='label_3_3_1' class='gform-field-label gform-field-label--type-inline'>FEMME<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_3_2'>\n\t\t\t\t<input name='input_3' type='radio' value='KIND-12J'  id='choice_3_3_2'    \/>\n\t\t\t\t<label for='choice_3_3_2' id='label_3_3_2' class='gform-field-label gform-field-label--type-inline'>ENFANT-12A<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_3_3'>\n\t\t\t\t<input name='input_3' type='radio' value='STUDENT-18J'  id='choice_3_3_3'    \/>\n\t\t\t\t<label for='choice_3_3_3' id='label_3_3_3' class='gform-field-label gform-field-label--type-inline'>ETUDIANT-18A<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_3_1' class='gform_next_button gform-theme-button button' value='SUIVANT'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_2' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_3_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_28\" ><label class='gfield_label gform-field-label' >J&#039;AI LES<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_28'>\n\t\t\t<li class='gchoice gchoice_3_28_0'>\n\t\t\t\t<input name='input_28' type='radio' value='CHEVEUX COURTS'  id='choice_3_28_0'    \/>\n\t\t\t\t<label for='choice_3_28_0' id='label_3_28_0' class='gform-field-label gform-field-label--type-inline'>CHEVEUX COURTS<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_28_1'>\n\t\t\t\t<input name='input_28' type='radio' value='CHEVEUX MI-LONGS'  id='choice_3_28_1'    \/>\n\t\t\t\t<label for='choice_3_28_1' id='label_3_28_1' class='gform-field-label gform-field-label--type-inline'>CHEVEUX MI-LONGS<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_28_2'>\n\t\t\t\t<input name='input_28' type='radio' value='LANG HAAR'  id='choice_3_28_2'    \/>\n\t\t\t\t<label for='choice_3_28_2' id='label_3_28_2' class='gform-field-label gform-field-label--type-inline'>CHEVEUX LONGS<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_2' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='PRECEDENT'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"1\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"1\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_2' class='gform_next_button gform-theme-button button' value='SUIVANT'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_3' class='gform_page' data-js='page-field-id-2' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_3' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_3_33\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_33\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >TRAITEMENT(S) SOUHAIT\u00c9(S)<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_3_33'><li class='gchoice gchoice_3_33_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.1' type='checkbox'  value='COUPE'  id='choice_3_33_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_1' id='label_3_33_1' class='gform-field-label gform-field-label--type-inline'>COUPE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_33_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.2' type='checkbox'  value='BROSSAGE'  id='choice_3_33_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_2' id='label_3_33_2' class='gform-field-label gform-field-label--type-inline'>BROSSAGE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_33_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.3' type='checkbox'  value='COLORATION'  id='choice_3_33_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_3' id='label_3_33_3' class='gform-field-label gform-field-label--type-inline'>COLORATION<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_33_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.4' type='checkbox'  value='M\u00c8CHES AVEC PAPIER ALU'  id='choice_3_33_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_4' id='label_3_33_4' class='gform-field-label gform-field-label--type-inline'>M\u00c8CHES AVEC PAPIER ALU<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_33_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.5' type='checkbox'  value='BALAYAGE'  id='choice_3_33_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_5' id='label_3_33_5' class='gform-field-label gform-field-label--type-inline'>BALAYAGE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_33_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.6' type='checkbox'  value='PERMANENT'  id='choice_3_33_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_6' id='label_3_33_6' class='gform-field-label gform-field-label--type-inline'>PERMANENT<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_40\" ><label class='gfield_label gform-field-label' >Faites votre choix<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_3_40'>\n\t\t\t<li class='gchoice gchoice_3_40_0'>\n\t\t\t\t<input name='input_40' type='radio' value='SANS COUPE'  id='choice_3_40_0'    \/>\n\t\t\t\t<label for='choice_3_40_0' id='label_3_40_0' class='gform-field-label gform-field-label--type-inline'>SANS COUPE<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_40_1'>\n\t\t\t\t<input name='input_40' type='radio' value='AVEC COUPE'  id='choice_3_40_1'    \/>\n\t\t\t\t<label for='choice_3_40_1' id='label_3_40_1' class='gform-field-label gform-field-label--type-inline'>AVEC COUPE<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_7' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='PRECEDENT'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_7' class='gform_next_button gform-theme-button button' value='SUIVANT'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"4\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"4\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_4' class='gform_page' data-js='page-field-id-7' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_4' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_3_31\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_31\" >CHOIX DE DATE 1<\/li><li id=\"field_3_8\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_8\" ><label class='gfield_label gform-field-label' for='input_3_8'>DATE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_8' id='input_3_8' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='jj\/mm\/aaaa' aria-describedby=\"input_3_8_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_8_date_format' class='screen-reader-text'>JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_8' class='gform_hidden' value='https:\/\/coiffure-exclusive.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_3_34\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_34\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >HEURE<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_3_34'><li class='gchoice gchoice_3_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='9u-12u'  id='choice_3_34_1'   aria-describedby=\"gfield_description_3_34\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_34_1' id='label_3_34_1' class='gform-field-label gform-field-label--type-inline'>9u-12u<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_34_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.2' type='checkbox'  value='13u-18u'  id='choice_3_34_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_34_2' id='label_3_34_2' class='gform-field-label gform-field-label--type-inline'>13u-18u<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_3_34'>Il est possible de cocher plusieurs choix<\/div><\/li><li id=\"field_3_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_11\" ><label class='gfield_label gform-field-label' for='input_3_11'>COMMENTAIRE :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_3_11' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_12\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_12\" >CHOIX DE DATE 2<\/li><li id=\"field_3_13\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_13\" ><label class='gfield_label gform-field-label' for='input_3_13'>DATE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_13' id='input_3_13' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='jj\/mm\/aaaa' aria-describedby=\"input_3_13_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_13_date_format' class='screen-reader-text'>JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_13' class='gform_hidden' value='https:\/\/coiffure-exclusive.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_3_35\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_35\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >HEURE<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_3_35'><li class='gchoice gchoice_3_35_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.1' type='checkbox'  value='9u-12u'  id='choice_3_35_1'   aria-describedby=\"gfield_description_3_35\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_35_1' id='label_3_35_1' class='gform-field-label gform-field-label--type-inline'>9u-12u<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_35_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.2' type='checkbox'  value='13u-18u'  id='choice_3_35_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_35_2' id='label_3_35_2' class='gform-field-label gform-field-label--type-inline'>13u-18u<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_3_35'>Il est possible de cocher plusieurs choix<\/div><\/li><li id=\"field_3_15\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_15\" ><label class='gfield_label gform-field-label' for='input_3_15'>COMMENTAIRE :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_3_15' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_36\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_36\" >CHOIX DE DATE 3<\/li><li id=\"field_3_37\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_37\" ><label class='gfield_label gform-field-label' for='input_3_37'>DATE<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_37' id='input_3_37' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='jj\/mm\/aaaa' aria-describedby=\"input_3_37_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_3_37_date_format' class='screen-reader-text'>JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_37' class='gform_hidden' value='https:\/\/coiffure-exclusive.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_3_38\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_38\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >HEURE<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_38'><li class='gchoice gchoice_3_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='9u-12u'  id='choice_3_38_1'   aria-describedby=\"gfield_description_3_38\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_38_1' id='label_3_38_1' class='gform-field-label gform-field-label--type-inline'>9u-12u<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='13u-18u'  id='choice_3_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_38_2' id='label_3_38_2' class='gform-field-label gform-field-label--type-inline'>13u-18u<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_3_38'>Il est possible de cocher plusieurs choix<\/div><\/li><li id=\"field_3_39\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_39\" ><label class='gfield_label gform-field-label' for='input_3_39'>COMMENTAIRE :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_39' id='input_3_39' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_16' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='PRECEDENT'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_16' class='gform_next_button gform-theme-button button' value='SUIVANT'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"5\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"5\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_5' class='gform_page step-5' data-js='page-field-id-16' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_5' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_3_32\" class=\"gfield gfield--type-html gfield--input-type-html details gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_32\" >MES DONNEES<\/li><li id=\"field_3_18\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_18\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >NOM<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_18'>\n                            \n                            <span id='input_3_18_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_18.3' id='input_3_18_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_18_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_18_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_18.6' id='input_3_18_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_18_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_19\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_19\" ><label class='gfield_label gform-field-label' for='input_3_19'>TELEPHONE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_19' id='input_3_19' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_20\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  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