{"id":572,"date":"2017-12-07T04:12:41","date_gmt":"2017-12-07T04:12:41","guid":{"rendered":"https:\/\/www.fabricedini.com\/?page_id=572"},"modified":"2018-02-08T17:52:13","modified_gmt":"2018-02-08T17:52:13","slug":"sign-up-for-a-course","status":"publish","type":"page","link":"https:\/\/www.fabricedini.com\/en\/sign-up-for-a-course\/","title":{"rendered":"Sign up for a course"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[mk_page_section bg_image=&#8221;https:\/\/www.fabricedini.com\/wp-content\/uploads\/2018\/01\/home-yoga-1.jpg&#8221; bg_position=&#8221;center center&#8221; bg_stretch=&#8221;true&#8221; enable_3d=&#8221;true&#8221; min_height=&#8221;600&#8243; padding_top=&#8221;0&#8243; margin_bottom=&#8221;40&#8243; section_id=&#8221;body&#8221; sidebar=&#8221;sidebar-1&#8243;][vc_column][vc_row_inner][vc_column_inner][mk_fancy_title tag_name=&#8221;h1&#8243; color=&#8221;#ffffff&#8221; size=&#8221;60&#8243; line_height=&#8221;120&#8243; font_weight=&#8221;300&#8243; margin_top=&#8221;300&#8243; font_family=&#8221;Bree+Serif&#8221; font_type=&#8221;google&#8221; align=&#8221;center&#8221;]Fabrice Dini &#8211; cours de pleine conscience MBSR[\/mk_fancy_title][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/mk_page_section][mk_page_section padding_top=&#8221;0&#8243; padding_bottom=&#8221;40&#8243; sidebar=&#8221;sidebar-1&#8243;][vc_column][vc_column_text css=&#8221;.vc_custom_1514607196964{margin-bottom: 0px !important;}&#8221;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f571-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"571\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/572#wpcf7-f571-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"571\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f571-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p><label> Pr\u00e9nom et nom (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><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=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Age (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><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=\"age\" \/><\/span> <\/label>\n<\/p>\n<p><label> Adresse<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"adresse\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> N\u00b0 t\u00e9l.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tel\" \/><\/span> <\/label>\n<\/p>\n<p><label> E-mail<br \/>\n<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> <\/label>\n<\/p>\n<p><label> Profession<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"profession\"><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=\"profession\" \/><\/span> <\/label>\n<\/p>\n<p><label> Raison principale de votre participation au programme MBSR (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"field1\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"field1\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Remarques, questions, commentaires<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"field3\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"field3\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label>Le cours MBSR convient \u00e0 une grande vari\u00e9t\u00e9 de personnes et de situations. Il existe cependant des circonstances dans lesquelles il n\u2019est pas recommand\u00e9 de suivre ce cours.<br \/>\nContre-indications : d\u00e9pression en phase aigu\u00eb ; trouble bipolaire non stabilis\u00e9 ; troubles psychotiques (hallucinations, d\u00e9lires) ; d\u00e9pendance \u00e0 une substance ; trouble de la personnalit\u00e9 borderline non stabilis\u00e9 ou tout diagnostic impliquant des tendances suicidaires.<\/label>\n<\/p>\n<p><label><strong>Merci de confirmer en cochant les cases ci-dessous:<\/strong><\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"field4\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"field4[]\" value=\"a. Je confirme ne pas avoir de contre-indications\" \/><span class=\"wpcf7-list-item-label\">a. Je confirme ne pas avoir de contre-indications<\/span><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"field5\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"field5[]\" value=\"b. Je comprends que le cours n\u2019est pas un substitut de traitement m\u00e9dical, ni de psychoth\u00e9rapie, et qu&#039;il ne convient pas aux situations de crises\" \/><span class=\"wpcf7-list-item-label\">b. Je comprends que le cours n\u2019est pas un substitut de traitement m\u00e9dical, ni de psychoth\u00e9rapie, et qu&#039;il ne convient pas aux situations de crises<\/span><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"field6\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"field6[]\" value=\"c. Je prends la responsabilit\u00e9 de ne pratiquer les \u00e9tirements, les mouvements et autres exercices faisant partie du MBSR que dans le respect de mes limites\" \/><span class=\"wpcf7-list-item-label\">c. Je prends la responsabilit\u00e9 de ne pratiquer les \u00e9tirements, les mouvements et autres exercices faisant partie du MBSR que dans le respect de mes limites<\/span><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"field7\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"field7[]\" value=\"d.Je m\u2019engage dans la mesure du possible \u00e0 \u00eatre pr\u00e9sent(e) aux s\u00e9ances, ainsi qu\u2019\u00e0 la journ\u00e9e de pratique, et \u00e0 pratiquer r\u00e9guli\u00e8rement les exercices \u00e0 domicile (de 45 \u00e0 60 minutes 5 fois par semaine)\" \/><span class=\"wpcf7-list-item-label\">d.Je m\u2019engage dans la mesure du possible \u00e0 \u00eatre pr\u00e9sent(e) aux s\u00e9ances, ainsi qu\u2019\u00e0 la journ\u00e9e de pratique, et \u00e0 pratiquer r\u00e9guli\u00e8rement les exercices \u00e0 domicile (de 45 \u00e0 60 minutes 5 fois par semaine)<\/span><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"field8\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"field8[]\" value=\"e. J&#039;accepte les conditions suivantes : un premier paiement de 200 frs est effectu\u00e9 avant le d\u00e9but des cours et fait office d&#039;inscription d\u00e9finitive. La somme de 620 frs est payable avant la fin du cours. Une annulation sans frais est possible jusqu\u2019\u00e0 14 jours avant le d\u00e9but du programme. En cas d\u2019annulation au-del\u00e0 de ce d\u00e9lai, uniquement 50% du montant sera rembours\u00e9. Si l\u2019inscription est annul\u00e9e \u00e0 moins de 3 jours avant le d\u00e9but du cours, l\u2019int\u00e9gralit\u00e9 du montant sera factur\u00e9e (pas de remboursement en cas d&#039;arr\u00eat en cours de programme).\" \/><span class=\"wpcf7-list-item-label\">e. J&#039;accepte les conditions suivantes : un premier paiement de 200 frs est effectu\u00e9 avant le d\u00e9but des cours et fait office d&#039;inscription d\u00e9finitive. La somme de 620 frs est payable avant la fin du cours. Une annulation sans frais est possible jusqu\u2019\u00e0 14 jours avant le d\u00e9but du programme. En cas d\u2019annulation au-del\u00e0 de ce d\u00e9lai, uniquement 50% du montant sera rembours\u00e9. Si l\u2019inscription est annul\u00e9e \u00e0 moins de 3 jours avant le d\u00e9but du cours, l\u2019int\u00e9gralit\u00e9 du montant sera factur\u00e9e (pas de remboursement en cas d&#039;arr\u00eat en cours de programme).<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> Date et lieu du cours de pleine conscience auquel vous voulez participer<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"field9\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"field9\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Photo (pas obligatoire)<br \/>\n<img decoding=\"async\" src=\"https:\/\/www.fabricedini.com\/wp-content\/uploads\/2018\/09\/user-icon.png\" \/><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"image\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.png,.gif\" aria-invalid=\"false\" type=\"file\" name=\"image\" \/><\/span> <\/label>\n<\/p>\n<p><label>\n\t<span class=\"wpcf7-form-control-wrap recaptcha\" data-name=\"recaptcha\"><span data-sitekey=\"6LeDPtoUAAAAAGZtCHCsXivUaTgprjhzSUbP9TEY\" class=\"wpcf7-form-control wpcf7-recaptcha g-recaptcha\"><\/span>\r\n<noscript>\r\n\t<div class=\"grecaptcha-noscript\">\r\n\t\t<iframe loading=\"lazy\" src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6LeDPtoUAAAAAGZtCHCsXivUaTgprjhzSUbP9TEY\" frameborder=\"0\" scrolling=\"no\" width=\"310\" height=\"430\">\r\n\t\t<\/iframe>\r\n\t\t<textarea name=\"g-recaptcha-response\" rows=\"3\" cols=\"40\" placeholder=\"reCaptcha Response Here\">\r\n\t\t<\/textarea>\r\n\t<\/div>\r\n<\/noscript>\r\n<\/span><\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column_text][\/vc_column][\/mk_page_section]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[mk_page_section bg_image=&#8221;https:\/\/www.fabricedini.com\/wp-content\/uploads\/2018\/01\/home-yoga-1.jpg&#8221; bg_position=&#8221;center center&#8221; bg_stretch=&#8221;true&#8221; enable_3d=&#8221;true&#8221; min_height=&#8221;600&#8243; padding_top=&#8221;0&#8243; margin_bottom=&#8221;40&#8243; section_id=&#8221;body&#8221; sidebar=&#8221;sidebar-1&#8243;][vc_column][vc_row_inner][vc_column_inner][mk_fancy_title tag_name=&#8221;h1&#8243; color=&#8221;#ffffff&#8221; size=&#8221;60&#8243; line_height=&#8221;120&#8243; font_weight=&#8221;300&#8243; margin_top=&#8221;300&#8243; font_family=&#8221;Bree+Serif&#8221; font_type=&#8221;google&#8221; align=&#8221;center&#8221;]Fabrice Dini &#8211; cours de pleine conscience MBSR[\/mk_fancy_title][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/mk_page_section][mk_page_section padding_top=&#8221;0&#8243; padding_bottom=&#8221;40&#8243; sidebar=&#8221;sidebar-1&#8243;][vc_column][vc_column_text css=&#8221;.vc_custom_1514607196964{margin-bottom: 0px !important;}&#8221;][\/vc_column_text][\/vc_column][\/mk_page_section]<\/p>\n","protected":false},"author":1,"featured_media":548,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-572","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/www.fabricedini.com\/en\/wp-json\/wp\/v2\/pages\/572","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fabricedini.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.fabricedini.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.fabricedini.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fabricedini.com\/en\/wp-json\/wp\/v2\/comments?post=572"}],"version-history":[{"count":0,"href":"https:\/\/www.fabricedini.com\/en\/wp-json\/wp\/v2\/pages\/572\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fabricedini.com\/en\/wp-json\/wp\/v2\/media\/548"}],"wp:attachment":[{"href":"https:\/\/www.fabricedini.com\/en\/wp-json\/wp\/v2\/media?parent=572"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}