{"id":1456,"date":"2026-04-23T01:07:05","date_gmt":"2026-04-22T23:07:05","guid":{"rendered":"https:\/\/selfdefense-lorient.com\/?page_id=1456"},"modified":"2026-05-11T00:02:31","modified_gmt":"2026-05-10T22:02:31","slug":"formulaire-dinscription","status":"publish","type":"page","link":"https:\/\/selfdefense-lorient.com\/index.php\/formulaire-dinscription\/","title":{"rendered":"Formulaire d&rsquo;inscription"},"content":{"rendered":"\n<h2 class=\"wp-block-heading has-text-align-center\"><span style=\"color: #800000;\">Pour vous inscrire, merci de remplir ce formulaire en ligne et de v\u00e9rifier l&rsquo;exactitude de vos d\u00e9clarations.<\/span><\/h2>\n\n\n\n<div style=\"height:65px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<p style=\"text-align: center;\"><strong><span style=\"color: #333333;\">&#8211; <span data-olk-copy-source=\"MessageBody\">\u00c0<\/span> lire en ligne &#8211; ne pas imprimer &#8211;<\/span><\/strong><\/p>\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-a89b3969 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/selfdefense-lorient.com\/wp-content\/uploads\/2026\/05\/reglement-interieur-2026.pdf\">Consulter le r\u00e8glement int\u00e9rieur<\/a><\/div>\n<\/div>\n\n\n<hr \/>\n<p style=\"text-align: center;\"><strong>&#8212;<span style=\"color: #ff0000;\"> <span data-olk-copy-source=\"MessageBody\">\u00c0<\/span> imprimer<\/span><\/strong> et \u00e0 <strong><span style=\"color: #ff0000;\">remettre en main propre<\/span><\/strong> \u00e0 la salle lors de votre premier cour &#8212;<\/p>\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-a89b3969 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/selfdefense-lorient.com\/wp-content\/uploads\/2026\/04\/mandat-SEPA.pdf\">Imprimer le mandat SEPA<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:87px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1455-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"1455\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/1456#wpcf7-f1455-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1455\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1455-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"form-grid\">\n\t<div class=\"col\">\n\t\t<p>Nom*\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom\" \/><\/span>\n\t\t<\/p>\n\t\t<p>Pr\u00e9nom*\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"prenom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom\" \/><\/span>\n\t\t<\/p>\n\t\t<p>Date de naissance*\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"naissance\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"naissance\" \/><\/span>\n\t\t<\/p>\n\t\t<p>T\u00e9l\u00e9phone*\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"telephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telephone\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col\">\n\t\t<p>Email*\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t<\/p>\n\t\t<p>Adresse*\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adresse\" \/><\/span>\n\t\t<\/p>\n\t\t<p>Code postal*\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"code_postal\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"code_postal\" \/><\/span>\n\t\t<\/p>\n\t\t<p>Ville*\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ville\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ville\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<hr \/>\n<div class=\"form-grid\">\n\t<div class=\"col\">\n\t\t<p>Personne \u00e0 pr\u00e9venir en cas d\u2019urgence (nom*)\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"urgence_nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"urgence_nom\" \/><\/span>\n\t\t<\/p>\n\t\t<p> T\u00e9l\u00e9phone de la personne \u00e0 pr\u00e9venir en cas d\u2019urgence*\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"urgence_tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"urgence_tel\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col\">\n\t\t<p>Date d\u2019inscription*\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"inscription\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"inscription\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p>Choix de l\u2019abonnement*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"choix_abonnement\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"choix_abonnement\" value=\"2 cours \/ semaine \u2013 599\u20ac (59,90\u20ac\/mois) + 50 \u20ac de frais de dossier, pr\u00e9lev\u00e9s avec la premi\u00e8re mensualit\u00e9\n\nMensualit\u00e9s pr\u00e9lev\u00e9es jusqu\u2019\u00e0 fin juin inclus (engagement annuel)\" \/><span class=\"wpcf7-list-item-label\">2 cours \/ semaine \u2013 599\u20ac (59,90\u20ac\/mois) + 50 \u20ac de frais de dossier, pr\u00e9lev\u00e9s avec la premi\u00e8re mensualit\u00e9\n\nMensualit\u00e9s pr\u00e9lev\u00e9es jusqu\u2019\u00e0 fin juin inclus (engagement annuel)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"choix_abonnement\" value=\"1 cours \/ semaine \u2013 399\u20ac (39,90\u20ac\/mois) + 50 \u20ac de frais de dossier, pr\u00e9lev\u00e9s avec la premi\u00e8re mensualit\u00e9\n\nMensualit\u00e9s pr\u00e9lev\u00e9es jusqu\u2019\u00e0 fin juin inclus (engagement annuel)\" \/><span class=\"wpcf7-list-item-label\">1 cours \/ semaine \u2013 399\u20ac (39,90\u20ac\/mois) + 50 \u20ac de frais de dossier, pr\u00e9lev\u00e9s avec la premi\u00e8re mensualit\u00e9\n\nMensualit\u00e9s pr\u00e9lev\u00e9es jusqu\u2019\u00e0 fin juin inclus (engagement annuel)<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<h3>Responsabilit\u00e9 civile vie priv\u00e9e + aptitude \u00e0 la pratique \u2013 ADULTE\u00a0ou MINEUR (repr\u00e9sentant l\u00e9gal)*\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Responsabilite_civile\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Responsabilite_civile\" value=\"JE SUIS ADULTE:\nAyant plus de 18 ans, Je d\u00e9clare disposer d\u2019une assurance responsabilit\u00e9 civile vie priv\u00e9e en cours de validit\u00e9, couvrant la pratique des activit\u00e9s physiques et sportives, et \u00eatre en parfaite aptitude \u00e0 la pratique du kung-fu Wing Tsun et de la self-d\u00e9fense, sans contre-indication m\u00e9dicale connue, temporaire ou permanente, \u00e0 ce jour.\" \/><span class=\"wpcf7-list-item-label\">JE SUIS ADULTE:\nAyant plus de 18 ans, Je d\u00e9clare disposer d\u2019une assurance responsabilit\u00e9 civile vie priv\u00e9e en cours de validit\u00e9, couvrant la pratique des activit\u00e9s physiques et sportives, et \u00eatre en parfaite aptitude \u00e0 la pratique du kung-fu Wing Tsun et de la self-d\u00e9fense, sans contre-indication m\u00e9dicale connue, temporaire ou permanente, \u00e0 ce jour.<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Responsabilite_civile\" value=\"MON ENFANT EST MINEUR: Je d\u00e9clare, en tant que repr\u00e9sentant l\u00e9gal, autoriser mon enfant \u00e0 pratiquer le kung-fu Wing Tsun et la self-d\u00e9fense, attester qu\u2019il dispose d\u2019une assurance responsabilit\u00e9 civile vie priv\u00e9e en cours de validit\u00e9 couvrant la pratique des activit\u00e9s physiques et sportives, et qu\u2019il est en parfaite aptitude \u00e0 la pratique, sans contre-indication m\u00e9dicale connue, temporaire ou permanente, \u00e0 ce jour.\" \/><span class=\"wpcf7-list-item-label\">MON ENFANT EST MINEUR: Je d\u00e9clare, en tant que repr\u00e9sentant l\u00e9gal, autoriser mon enfant \u00e0 pratiquer le kung-fu Wing Tsun et la self-d\u00e9fense, attester qu\u2019il dispose d\u2019une assurance responsabilit\u00e9 civile vie priv\u00e9e en cours de validit\u00e9 couvrant la pratique des activit\u00e9s physiques et sportives, et qu\u2019il est en parfaite aptitude \u00e0 la pratique, sans contre-indication m\u00e9dicale connue, temporaire ou permanente, \u00e0 ce jour.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<h3>Tenue officielle*\n<\/h3>\n<p>Je reconnais, en tant qu\u2019\u00e9l\u00e8ve majeur ou repr\u00e9sentant l\u00e9gal d\u2019un \u00e9l\u00e8ve mineur, que la pratique n\u00e9cessite le port de la tenue officielle compl\u00e8te de l\u2019\u00e9cole (sweat, t-shirt, pantalon noir), ainsi que l\u2019utilisation de chaussures de sport propres, r\u00e9serv\u00e9es exclusivement \u00e0 l\u2019usage de la salle.<br \/>\n<strong>Cette tenue est obligatoire, non incluse dans les frais d\u2019inscription, et je m\u2019engage \u00e0 l\u2019acheter dans la semaine suivant l\u2019inscription.<\/strong><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tenue_officielle\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"tenue_officielle[]\" value=\"Accepter\" \/><span class=\"wpcf7-list-item-label\">Accepter<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<h3>Conditions g\u00e9n\u00e9rales \/ r\u00e8glement int\u00e9rieur \/ reconnaissance des risques li\u00e9s \u00e0 la pratique*\n<\/h3>\n<p>Je reconnais que, comme toute activit\u00e9 physique et tout art martial, la pratique du kung-fu Wing Tsun et de la self-d\u00e9fense comporte des risques.<br \/>\nJe m\u2019engage \u00e0 pratiquer dans le respect des consignes de s\u00e9curit\u00e9 qui me seront donn\u00e9es et d\u00e9clare avoir pris connaissance du r\u00e8glement int\u00e9rieur ainsi que des conditions g\u00e9n\u00e9rales, que j\u2019accepte sans r\u00e9serve.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Conditions-generales\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"Conditions-generales[]\" value=\"Accepter\" \/><span class=\"wpcf7-list-item-label\">Accepter<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<h3>Engagement compl\u00e9mentaire*\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"engagement_complementaire\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"engagement_complementaire\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Je m\u2019engage \u00e0 informer l\u2019\u00e9cole de toute modification de ma situation (sant\u00e9 ou assurance).<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n\n<!-- ===== DROIT IMAGE ===== -->\n<h3>Droit \u00e0 l\u2019image*\n<\/h3>\n<p>J\u2019autorise l\u2019utilisation de mon image (photos \/ vid\u00e9os) dans le cadre des activit\u00e9s et de la communication de l\u2019\u00e9cole<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"droit-image\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"droit-image\" value=\"J&#039;accepte\" \/><span class=\"wpcf7-list-item-label\">J&#039;accepte<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"droit-image\" value=\"Je refuse\" \/><span class=\"wpcf7-list-item-label\">Je refuse<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n\n<!-- ===== RGPD ===== -->\n<p style=\"font-size:13px; color:#555;\"><br \/>\nLes informations recueillies sont utilis\u00e9es uniquement pour la gestion de l\u2019\u00e9cole et des cours. Elles ne sont pas transmises \u00e0 des tiers et sont conserv\u00e9es de mani\u00e8re s\u00e9curis\u00e9e. Vous pouvez demander l\u2019acc\u00e8s, la modification ou la suppression de vos donn\u00e9es \u00e0 tout moment.\n<\/p>\n<hr \/>\n\n<!-- ===== SIGNATURE ===== -->\n<h3> Signature \u00e9lectronique\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"signature\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"signature\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Je signe \u00e9lectroniquement ce formulaire et confirme l\u2019exactitude des informations fournies.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>---\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Valider mon inscription\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Pour vous inscrire, merci de remplir ce formulaire en ligne et de v\u00e9rifier l&rsquo;exactitude de vos d\u00e9clarations. &#8211; \u00c0 lire en ligne &#8211; ne pas imprimer &#8211; &#8212; \u00c0 imprimer et \u00e0 remettre en main propre \u00e0 la salle lors de votre premier cour &#8212;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1456","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formulaire d&#039;inscription - SELF-DEFENSE LORIENT<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/selfdefense-lorient.com\/index.php\/formulaire-dinscription\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaire d&#039;inscription - SELF-DEFENSE LORIENT\" \/>\n<meta property=\"og:description\" content=\"Pour vous inscrire, merci de remplir ce formulaire en ligne et de v\u00e9rifier l&rsquo;exactitude de vos d\u00e9clarations. &#8211; \u00c0 lire en ligne &#8211; ne pas imprimer &#8211; &#8212; \u00c0 imprimer et \u00e0 remettre en main propre \u00e0 la salle lors de votre premier cour &#8212;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/selfdefense-lorient.com\/index.php\/formulaire-dinscription\/\" \/>\n<meta property=\"og:site_name\" content=\"SELF-DEFENSE LORIENT\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/selfdefenselorient\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-10T22:02:31+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/selfdefense-lorient.com\\\/index.php\\\/formulaire-dinscription\\\/\",\"url\":\"https:\\\/\\\/selfdefense-lorient.com\\\/index.php\\\/formulaire-dinscription\\\/\",\"name\":\"Formulaire d'inscription - SELF-DEFENSE LORIENT\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/selfdefense-lorient.com\\\/#website\"},\"datePublished\":\"2026-04-22T23:07:05+00:00\",\"dateModified\":\"2026-05-10T22:02:31+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/selfdefense-lorient.com\\\/index.php\\\/formulaire-dinscription\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/selfdefense-lorient.com\\\/index.php\\\/formulaire-dinscription\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/selfdefense-lorient.com\\\/index.php\\\/formulaire-dinscription\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\\\/\\\/selfdefense-lorient.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Formulaire d&rsquo;inscription\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/selfdefense-lorient.com\\\/#website\",\"url\":\"https:\\\/\\\/selfdefense-lorient.com\\\/\",\"name\":\"SELF-DEFENSE LORIENT\",\"description\":\"WingTsun . 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