{"id":3476,"date":"2022-09-07T13:11:39","date_gmt":"2022-09-07T11:11:39","guid":{"rendered":"https:\/\/courtepin.ch\/wordpress\/?page_id=3476"},"modified":"2022-09-15T11:16:33","modified_gmt":"2022-09-15T09:16:33","slug":"formular","status":"publish","type":"page","link":"https:\/\/courtepin.ch\/de\/formular\/","title":{"rendered":"Formular"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3476\" class=\"elementor elementor-3476\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-19b776d0 elementor-section-height-min-height elementor-section-items-top page-standard elementor-section-boxed elementor-section-height-default\" data-id=\"19b776d0\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;0ced1f6&quot;,&quot;jet_parallax_layout_image_widescreen&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_laptop&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_widescreen&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_laptop&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_widescreen&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_laptop&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_widescreen&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_laptop&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6f6d3d30\" data-id=\"6f6d3d30\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b9f060e elementor-widget elementor-widget-jet-engine-booking-form\" data-id=\"b9f060e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"jet-engine-booking-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form  class=\"jet-form layout-column submit-type-reload\" action=\"\/de\/wp-json\/wp\/v2\/pages\/3476?jet_engine_action=book&#038;nocache=1777474199\" method=\"POST\" data-form-id=\"3867\"><input class=\"jet-form__field hidden-field\" type=\"hidden\" name=\"_jet_engine_booking_form_id\" value=\"3867\" data-field-name=\"_jet_engine_booking_form_id\"><input class=\"jet-form__field hidden-field\" type=\"hidden\" name=\"_jet_engine_refer\" value=\"https:\/\/courtepin.ch\/de\/wp-json\/wp\/v2\/pages\/3476\" data-field-name=\"_jet_engine_refer\"><div  class=\"jet-form-row jet-form-row--hidden\"><div class=\"jet-form-col jet-form-col-12  field-type-hidden  jet-form-field-container\" data-field=\"post_id\" data-conditional=\"false\"><input class=\"jet-form__field hidden-field\" type=\"hidden\" name=\"post_id\" value=\"3476\" data-field-name=\"post_id\"><\/div><\/div><div  class=\"jet-form-row jet-form-row--first-visible\"><div class=\"jet-form-col jet-form-col-12  field-type-select hidden jet-form-field-container\" data-field=\"c-form-id\" data-conditional=\"false\"><select  required=\"required\" name=\"c-form-id\" data-field-name=\"c-form-id\" id=\"c-form-id\" data-default-val=\"\" class=\"jet-form__field select-field\"><option value=\"\" ><\/option><option value=\"Acte de bonnes m\u0153urs\" >Acte de bonnes m\u0153urs<\/option><option value=\"Attestation d\u2019\u00e9tablissement\" >Attestation d\u2019\u00e9tablissement<\/option><option value=\"Annonce changement adresse dans la commune\" >Annonce changement adresse dans la commune<\/option><option value=\"Attestation d\u2019annonce de d\u00e9part \u00e0 l\u2019\u00e9tranger\" >Attestation d\u2019annonce de d\u00e9part \u00e0 l\u2019\u00e9tranger<\/option><option value=\"Attestation sortie de territoire\" >Attestation sortie de territoire<\/option><option value=\"Commande attestation domicile\" >Commande attestation domicile<\/option><\/select><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-heading  jet-form-field-container\" data-field=\"heading\" data-conditional=\"false\"><div class=\"jet-form__heading\">\n\t<span class=\"jet-form__label-text\" ><h2>Vos Coordonn\u00e9es<\/h2><\/span>\n\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"name\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Nom<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"name\" id=\"name\" type=\"text\" data-field-name=\"name\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"prenom\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Pr\u00e9nom<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"prenom\" id=\"prenom\" type=\"text\" data-field-name=\"prenom\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-date  jet-form-field-container\" data-field=\"date-de-naissance\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Date de naissance<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field date-field\" value=\"\" required=\"required\" name=\"date-de-naissance\" type=\"date\" data-field-name=\"date-de-naissance\" id=\"date-de-naissance\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"adress\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Adresse<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"adress\" id=\"adress\" type=\"text\" data-field-name=\"adress\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"npa\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >NPA Lieu<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"npa\" id=\"npa\" type=\"text\" data-field-name=\"npa\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"email\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >e-Mail<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"email\" id=\"email\" type=\"text\" data-field-name=\"email\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"telephone\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >T\u00e9l\u00e9phone<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"telephone\" id=\"telephone\" type=\"text\" data-field-name=\"telephone\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-heading mar-top-30 jet-form-field-container\" data-field=\"heading\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;}]\"><div class=\"jet-form__heading\">\n\t<span class=\"jet-form__label-text\" ><h2>Lieu du s\u00e9jour<\/h2><\/span>\n\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"f3-nom\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Nom<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"f3-nom\" id=\"f3-nom\" type=\"text\" data-field-name=\"f3-nom\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"f3-prenom\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Pr\u00e9nom<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"f3-prenom\" id=\"f3-prenom\" type=\"text\" data-field-name=\"f3-prenom\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"f3-adresse\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Adresse<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"f3-adresse\" id=\"f3-adresse\" type=\"text\" data-field-name=\"f3-adresse\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"f3-npa\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >NPA Lieu<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"f3-npa\" id=\"f3-npa\" type=\"text\" data-field-name=\"f3-npa\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-text  jet-form-field-container\" data-field=\"f3-telephone\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >T\u00e9l\u00e9phone<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"f3-telephone\" id=\"f3-telephone\" type=\"text\" data-field-name=\"f3-telephone\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-date  jet-form-field-container\" data-field=\"f3-date-1\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Date de d\u00e9but du s\u00e9jour<\/span>\n\t<\/div><input class=\"jet-form__field date-field\" value=\"\" name=\"f3-date-1\" type=\"date\" data-field-name=\"f3-date-1\" id=\"f3-date-1\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-date  jet-form-field-container\" data-field=\"f3-date-2\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Date de fin du s\u00e9jour<\/span>\n\t<\/div><input class=\"jet-form__field date-field\" value=\"\" name=\"f3-date-2\" type=\"date\" data-field-name=\"f3-date-2\" id=\"f3-date-2\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-radio mar-top-30 jet-form-field-container\" data-field=\"f3-type\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019\\u00e9tablissement&quot;}]\"><div class=\"jet-form__fields-group checkradio-wrap\">\t\t<div class=\"jet-form__field-wrap radio-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\tname=\"f3-type\"\n\t\t\t\t\tclass=\"jet-form__field radio-field checkradio-field\"\n\t\t\t\t\tvalue=\"Nouvelle attestation\"\n\t\t\t\t\tdata-field-name=\"f3-type\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\tNouvelle attestation\t\t\t<\/label>\n\t\t<\/div>\n\t\t\t\t<div class=\"jet-form__field-wrap radio-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\tname=\"f3-type\"\n\t\t\t\t\tclass=\"jet-form__field radio-field checkradio-field\"\n\t\t\t\t\tvalue=\" Renouvellement attestation existante\"\n\t\t\t\t\tdata-field-name=\"f3-type\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\t Renouvellement attestation existante\t\t\t<\/label>\n\t\t<\/div>\n\t\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-heading mar-top-30 jet-form-field-container\" data-field=\"heading_copy\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Annonce changement adresse dans la commune&quot;,&quot;set_value&quot;:&quot;Annonce changement adresse dans la commune&quot;}]\"><div class=\"jet-form__heading\">\n\t<span class=\"jet-form__label-text\" ><h2>Nouvelle adresse<\/h2><\/span>\n\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text mar-top-30 jet-form-field-container\" data-field=\"f4-adresse\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Annonce changement adresse dans la commune&quot;,&quot;set_value&quot;:&quot;Annonce changement adresse dans la commune&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Adresse<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"f4-adresse\" id=\"f4-adresse\" type=\"text\" data-field-name=\"f4-adresse\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-text mar-top-30 jet-form-field-container\" data-field=\"f4-npa\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Annonce changement adresse dans la commune&quot;,&quot;set_value&quot;:&quot;Annonce changement adresse dans la commune&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >NPA Lieu<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"f4-npa\" id=\"f4-npa\" type=\"text\" data-field-name=\"f4-npa\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text mar-top-30 jet-form-field-container\" data-field=\"f4-telephone\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Annonce changement adresse dans la commune&quot;,&quot;set_value&quot;:&quot;Annonce changement adresse dans la commune&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >T\u00e9l\u00e9phone<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"f4-telephone\" id=\"f4-telephone\" type=\"text\" data-field-name=\"f4-telephone\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-date mar-top-30 jet-form-field-container\" data-field=\"f4-date\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Annonce changement adresse dans la commune&quot;,&quot;set_value&quot;:&quot;Annonce changement adresse dans la commune&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Date de d\u00e9m\u00e9nagement<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field date-field\" value=\"\" required=\"required\" name=\"f4-date\" type=\"date\" data-field-name=\"f4-date\" id=\"f4-date\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-radio mar-top-30 jet-form-field-container\" data-field=\"f4-radio\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Annonce changement adresse dans la commune&quot;,&quot;set_value&quot;:&quot;Annonce changement adresse dans la commune&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Personnes concern\u00e9es<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><div class=\"jet-form__fields-group checkradio-wrap\">\t\t<div class=\"jet-form__field-wrap radio-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\tname=\"f4-radio\"\n\t\t\t\t\tclass=\"jet-form__field radio-field checkradio-field\"\n\t\t\t\t\tvalue=\"valable pour tout le m\u00e9nage\"\n\t\t\t\t\tdata-field-name=\"f4-radio\"\n\t\t\t\t\t\t\t\t\t\trequired=\"required\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\tvalable pour tout le m\u00e9nage\t\t\t<\/label>\n\t\t<\/div>\n\t\t\t\t<div class=\"jet-form__field-wrap radio-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\tname=\"f4-radio\"\n\t\t\t\t\tclass=\"jet-form__field radio-field checkradio-field\"\n\t\t\t\t\tvalue=\"uniquement pour les personnes suivantes :\"\n\t\t\t\t\tdata-field-name=\"f4-radio\"\n\t\t\t\t\t\t\t\t\t\trequired=\"required\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\tuniquement pour les personnes suivantes :\t\t\t<\/label>\n\t\t<\/div>\n\t\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-textarea mar-top-30 jet-form-field-container\" data-field=\"f4-textarea\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;f4-radio&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;uniquement pour les personnes suivantes :&quot;,&quot;set_value&quot;:&quot;uniquement pour les personnes suivantes :&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Nom et Pr\u00e9nom<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><textarea class=\"jet-form__field textarea-field\" required=\"required\" name=\"f4-textarea\" data-field-name=\"f4-textarea\" id=\"f4-textarea\"><\/textarea><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-heading mar-top-30 jet-form-field-container\" data-field=\"heading_copy_copy\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019annonce de d\\u00e9part \\u00e0 l\\u2019\\u00e9tranger&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019annonce de d\\u00e9part \\u00e0 l\\u2019\\u00e9tranger&quot;}]\"><div class=\"jet-form__heading\">\n\t<span class=\"jet-form__label-text\" ><h2>Lieu du d\u00e9part<\/h2><\/span>\n\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"f5-adresse\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019annonce de d\\u00e9part \\u00e0 l\\u2019\\u00e9tranger&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019annonce de d\\u00e9part \\u00e0 l\\u2019\\u00e9tranger&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Adresse<\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" name=\"f5-adresse\" id=\"f5-adresse\" type=\"text\" data-field-name=\"f5-adresse\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"f5-npa\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019annonce de d\\u00e9part \\u00e0 l\\u2019\\u00e9tranger&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019annonce de d\\u00e9part \\u00e0 l\\u2019\\u00e9tranger&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >NPA Lieu<\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" name=\"f5-npa\" id=\"f5-npa\" type=\"text\" data-field-name=\"f5-npa\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"f5-pays\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019annonce de d\\u00e9part \\u00e0 l\\u2019\\u00e9tranger&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019annonce de d\\u00e9part \\u00e0 l\\u2019\\u00e9tranger&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Pays<\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" name=\"f5-pays\" id=\"f5-pays\" type=\"text\" data-field-name=\"f5-pays\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-date  jet-form-field-container\" data-field=\"f5-date-de-depart\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation d\\u2019annonce de d\\u00e9part \\u00e0 l\\u2019\\u00e9tranger&quot;,&quot;set_value&quot;:&quot;Attestation d\\u2019annonce de d\\u00e9part \\u00e0 l\\u2019\\u00e9tranger&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Date de d\u00e9part<\/span>\n\t<\/div><input class=\"jet-form__field date-field\" value=\"\" name=\"f5-date-de-depart\" type=\"date\" data-field-name=\"f5-date-de-depart\" id=\"f5-date-de-depart\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-heading mar-top-30 jet-form-field-container\" data-field=\"heading_copy_copy_copy\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation sortie de territoire&quot;,&quot;set_value&quot;:&quot;Attestation sortie de territoire&quot;}]\"><div class=\"jet-form__heading\">\n\t<span class=\"jet-form__label-text\" ><h2>Autres renseignements<\/h2><\/span>\n\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-text  jet-form-field-container\" data-field=\"f6-enfant-concerne\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation sortie de territoire&quot;,&quot;set_value&quot;:&quot;Attestation sortie de territoire&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Enfant concern\u00e9<\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" name=\"f6-enfant-concerne\" id=\"f6-enfant-concerne\" type=\"text\" data-field-name=\"f6-enfant-concerne\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-text  jet-form-field-container\" data-field=\"f6-lieu-de-destination\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation sortie de territoire&quot;,&quot;set_value&quot;:&quot;Attestation sortie de territoire&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Lieu de destination<\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" name=\"f6-lieu-de-destination\" id=\"f6-lieu-de-destination\" type=\"text\" data-field-name=\"f6-lieu-de-destination\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-date  jet-form-field-container\" data-field=\"f6-date-de-depart\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation sortie de territoire&quot;,&quot;set_value&quot;:&quot;Attestation sortie de territoire&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Date de d\u00e9part<\/span>\n\t<\/div><input class=\"jet-form__field date-field\" value=\"\" name=\"f6-date-de-depart\" type=\"date\" data-field-name=\"f6-date-de-depart\" id=\"f6-date-de-depart\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-date  jet-form-field-container\" data-field=\"f6-date-de-retour\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation sortie de territoire&quot;,&quot;set_value&quot;:&quot;Attestation sortie de territoire&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Date de retour<\/span>\n\t<\/div><input class=\"jet-form__field date-field\" value=\"\" name=\"f6-date-de-retour\" type=\"date\" data-field-name=\"f6-date-de-retour\" id=\"f6-date-de-retour\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-text  jet-form-field-container\" data-field=\"f6-personne-accomapagnante\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;c-form-id&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Attestation sortie de territoire&quot;,&quot;set_value&quot;:&quot;Attestation sortie de territoire&quot;}]\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Nom et pr\u00e9nom (complet) de la personne accompagnante<\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" name=\"f6-personne-accomapagnante\" id=\"f6-personne-accomapagnante\" type=\"text\" data-field-name=\"f6-personne-accomapagnante\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-heading mar-top-30 jet-form-field-container\" data-field=\"heading_copy\" data-conditional=\"false\"><div class=\"jet-form__heading\">\n\t<span class=\"jet-form__label-text\" ><h2>Remarque<\/h2><\/span>\n\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-textarea  jet-form-field-container\" data-field=\"message\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Message<\/span>\n\t<\/div><textarea class=\"jet-form__field textarea-field\" name=\"message\" data-field-name=\"message\" id=\"message\"><\/textarea><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-checkboxes mar-top-30 jet-form-field-container\" data-field=\"consent\" data-conditional=\"false\"><div class=\"jet-form__fields-group checkradio-wrap\">\t\t<div class=\"jet-form__field-wrap checkboxes-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\tname=\"consent\"\n\t\t\t\t\tclass=\"jet-form__field checkboxes-field checkradio-field checkboxes-required\"\n\t\t\t\t\tvalue=\"consent\"\n\t\t\t\t\tdata-field-name=\"consent\"\n\t\t\t\t\t\t\t\t\t\trequired=\"required\"\t\t\t\t\t\t\t\t\t>\n\t\t\t\t<div>Vous acceptez que vos donn\u00e9es soient utilis\u00e9es pour traiter votre demande. <a href=\"https:\/\/courtepin.millywilly.ch\/declaration-de-protection-de-donnees\/\" target=\"_blank\" rel=\"noopener\">La d\u00e9claration de protection des donn\u00e9es<\/a> s'applique.<\/div>\t\t\t<\/label>\n\t\t<\/div>\n\t\t<\/div><\/div><\/div><div  class=\"jet-form-row jet-form-row--submit\"><div class=\"jet-form-col jet-form-col-12  field-type-submit mar-top-30 jet-form-field-container\" data-field=\"Submit\" data-conditional=\"false\"><div class=\"jet-form__submit-wrap\">\n\t\t<button class=\"jet-form__submit submit-type-reload mar-top-30\" type=\"submit\">Envoyer<\/button>\n<\/div><\/div><\/div><script id=\"jet-engine-recaptcha-js\" src=\"https:\/\/www.google.com\/recaptcha\/api.js?render=6Lc7ev4hAAAAAGfF1nAqTD3Dvb3fGioazK0PKRWb\"><\/script>\t\t\t<input type=\"hidden\" class=\"captcha-token\" name=\"_captcha_token\" value=\"\">\n\t\t\t<script>\n\n\t\t\t\tif ( ! window.JetEngineFormCaptcha ) {\n\t\t\t\t\twindow.JetEngineFormCaptcha = function( formID ) {\n\t\t\t\t\t\tvar $script  = document.querySelector( 'script#jet-engine-recaptcha-js' ),\n\t\t\t\t\t\t\t$cpField = document.querySelector( 'form[data-form-id=\"' + formID + '\"] .captcha-token' );\n\n\t\t\t\t\t\tfunction setFormToken() {\n\t\t\t\t\t\t\tif ( window.JetEngineFormToken ) {\n\t\t\t\t\t\t\t\t$cpField.value = window.JetEngineFormToken;\n\t\t\t\t\t\t\t} else if ( window.grecaptcha ) {\n\t\t\t\t\t\t\t\twindow.grecaptcha.ready( function() {\n\t\t\t\t\t\t\t\t\tgrecaptcha.execute(\n\t\t\t\t\t\t\t\t\t\t'6Lc7ev4hAAAAAGfF1nAqTD3Dvb3fGioazK0PKRWb',\n\t\t\t\t\t\t\t\t\t\t{\n\t\t\t\t\t\t\t\t\t\t\taction: 'submit_form'\n\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t).then( 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);\n\n\t\t\t\t} );\n\t\t\t<\/script>\n\t\t\t<input class=\"jet-form__field hidden-field\" type=\"hidden\" name=\"_jet_engine_nonce\" value=\"a45d3b8c5f\" data-field-name=\"_jet_engine_nonce\"><\/form>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#D83030\" class=\"elementor-element elementor-element-c5c8bfc elementor-widget elementor-widget-heading\" data-id=\"c5c8bfc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/courtepin.ch\/\/guichet-virtuel\/\">retour au guichet virtuel<\/a><\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3fffbe6\" data-id=\"3fffbe6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Commande attestation domicileActe de bonnes m\u0153ursAttestation d\u2019\u00e9tablissementAnnonce changement adresse dans la communeAttestation d\u2019annonce de d\u00e9part \u00e0 l\u2019\u00e9trangerAttestation sortie de territoire Vos Coordonn\u00e9es Nom* Pr\u00e9nom* Date de naissance* Adresse* NPA Lieu* e-Mail* T\u00e9l\u00e9phone* Lieu du s\u00e9jour Nom* Pr\u00e9nom* Adresse* NPA Lieu* T\u00e9l\u00e9phone* Date de d\u00e9but du s\u00e9jour Date de fin du s\u00e9jour Nouvelle attestation Renouvellement attestation [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false},"class_list":["post-3476","page","type-page","status-publish","hentry","domaine-administration"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/courtepin.ch\/de\/wp-json\/wp\/v2\/pages\/3476","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courtepin.ch\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/courtepin.ch\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/courtepin.ch\/de\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/courtepin.ch\/de\/wp-json\/wp\/v2\/comments?post=3476"}],"version-history":[{"count":32,"href":"https:\/\/courtepin.ch\/de\/wp-json\/wp\/v2\/pages\/3476\/revisions"}],"predecessor-version":[{"id":3870,"href":"https:\/\/courtepin.ch\/de\/wp-json\/wp\/v2\/pages\/3476\/revisions\/3870"}],"wp:attachment":[{"href":"https:\/\/courtepin.ch\/de\/wp-json\/wp\/v2\/media?parent=3476"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}