{"id":1106,"date":"2024-09-02T17:01:57","date_gmt":"2024-09-02T15:01:57","guid":{"rendered":"https:\/\/imdex.fr\/pre-registration-form\/"},"modified":"2025-02-19T11:11:00","modified_gmt":"2025-02-19T10:11:00","slug":"pre-registration-form","status":"publish","type":"page","link":"https:\/\/imdex.fr\/en\/pre-registration-form\/","title":{"rendered":"Pre-Registration Form"},"content":{"rendered":"\n<div style=\"padding:5%\">\n<div class='fluentform ff-default fluentform_wrapper_8 ffs_default_wrap'><form data-form_id=\"8\" id=\"fluentform_8\" class=\"frm-fluent-form fluent_form_8 ff-el-form-top ff_form_instance_8_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_8_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Formulaire pr\u00e9-inscription (EN)<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='1106' \/><input type=\"hidden\" id=\"_fluentform_8_fluentformnonce\" name=\"_fluentform_8_fluentformnonce\" value=\"85750e9913\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1106\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_8_names_first_name_' id='label_ff_8_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_8_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_8_names_last_name_' id='label_ff_8_names_last_name_' >Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_8_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_dropdown' id='label_ff_8_dropdown' aria-label=\"Training interested about\">Training interested about<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_8_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_8_dropdown\"><option value=\"\">- I don't know yet -<\/option><option value=\"Hygi\u00e8ne bucco-dentaire en ESMS \u2013 7 heures\"  >Hygi\u00e8ne bucco-dentaire en ESMS \u2013 7 heures<\/option><option value=\"La sant\u00e9 orale de la personne \u00e2g\u00e9e d\u00e9pendante\"  >La sant\u00e9 orale de la personne \u00e2g\u00e9e d\u00e9pendante<\/option><option value=\"Hygi\u00e8ne bucco-dentaire en EHPAD \u2013 7 Heures\"  >Hygi\u00e8ne bucco-dentaire en EHPAD \u2013 7 Heures<\/option><option value=\"Accueil du patient en situation de handicap : Trucs et Astuces\"  >Accueil du patient en situation de handicap : Trucs et Astuces<\/option><option value=\"De la n\u00e9onatologie \u00e0 la gastronomie, un chemin souvent difficile\"  >De la n\u00e9onatologie \u00e0 la gastronomie, un chemin souvent difficile<\/option><option value=\"Le deuil blanc\"  >Le deuil blanc<\/option><option value=\"La gestion du deuil en entreprise\"  >La gestion du deuil en entreprise<\/option><option value=\"La gestion du deuil chez les Auxiliaires de Vie Sociale\"  >La gestion du deuil chez les Auxiliaires de Vie Sociale<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_8_input_text' id='label_ff_8_input_text' aria-label=\"Job title or position\">Job title or position<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Job title or position\" data-name=\"input_text\" id=\"ff_8_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_8_input_text_1' id='label_ff_8_input_text_1' aria-label=\"T\u00e9l\u00e9phone\">T\u00e9l\u00e9phone<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" placeholder=\"Phone number\" data-name=\"input_text_1\" id=\"ff_8_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_8_email_1' id='label_ff_8_email_1' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" id=\"ff_8_email_1\" class=\"ff-el-form-control\" placeholder=\"Email\" data-name=\"email_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-8_1\" ><p>By submitting this form, I agree that the data entered may be used to process my request.<\/p><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_no_style\"  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