{"id":517,"date":"2026-03-05T18:54:19","date_gmt":"2026-03-05T18:54:19","guid":{"rendered":"http:\/\/nouveau.faunessenew.be\/?page_id=517"},"modified":"2026-03-10T21:35:45","modified_gmt":"2026-03-10T21:35:45","slug":"formulaire-de-parrainage-2","status":"publish","type":"page","link":"https:\/\/faunessence.be\/index.php\/formulaire-de-parrainage-2\/","title":{"rendered":"Formulaire de parrainage"},"content":{"rendered":"<style id=\"wpforms-css-vars-503-block-d92ff811-1425-49b0-9240-96b237c346b8\">\n\t\t\t\t#wpforms-503.wpforms-block-d92ff811-1425-49b0-9240-96b237c346b8 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-d92ff811-1425-49b0-9240-96b237c346b8 wpforms-render-modern\" id=\"wpforms-503\"><form id=\"wpforms-form-503\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"503\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/517\" data-token=\"994d7732ac8c6b83f20edbbc131b71ea\" data-token-time=\"1776962264\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-503-field_17-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"17\"><fieldset><legend class=\"wpforms-field-label\">Nom <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-503-field_17\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][17][first]\" aria-errormessage=\"wpforms-503-field_17-error\" required><label for=\"wpforms-503-field_17\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-503-field_17-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][17][last]\" aria-errormessage=\"wpforms-503-field_17-last-error\" required><label for=\"wpforms-503-field_17-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-503-field_18-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-503-field_18\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-503-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" spellcheck=\"false\" aria-errormessage=\"wpforms-503-field_18-error\" required><\/div>\t\t<div id=\"wpforms-503-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-503-field_1\" >t\u00e9l\u00e9phone Animal Adresse<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-503-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-503-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-503-field_19\">Adresse postale <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-503-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-503-field_19-error\" required><\/div><div id=\"wpforms-503-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-503-field_20\">Code postale + Localit\u00e9 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-503-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-503-field_20-error\" required><\/div><div id=\"wpforms-503-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-503-field_21\">Num\u00e9ro de t\u00e9l\u00e9phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-503-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-503-field_21-error\" required><\/div><div id=\"wpforms-503-field_23-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-503-field_23\">Animal parrain\u00e9 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-503-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212; S\u00e9lectionner un choix &#8212;<\/option><option value=\"Tyla, aigle des steppes\"  class=\"choice-1 depth-1\"  >Tyla, aigle des steppes<\/option><option value=\"Nira, effraie des clochers\"  class=\"choice-2 depth-1\"  >Nira, effraie des clochers<\/option><option value=\"Bourriquet, \u00e2ne\"  class=\"choice-3 depth-1\"  >Bourriquet, \u00e2ne<\/option><option value=\"Olaf, Harfang des neige\"  class=\"choice-23 depth-1\"  >Olaf, Harfang des neige<\/option><option value=\"Keisha, Leptogramme d\u2019Asie\"  class=\"choice-22 depth-1\"  >Keisha, Leptogramme d\u2019Asie<\/option><option value=\"Sushi, buse de Harris\"  class=\"choice-21 depth-1\"  >Sushi, buse de Harris<\/option><option value=\"Apophis, Grand duc europ\u00e9en\"  class=\"choice-20 depth-1\"  >Apophis, Grand duc europ\u00e9en<\/option><option value=\"Ziggy, Urubu \u00e0 t\u00eate rouge\"  class=\"choice-19 depth-1\"  >Ziggy, Urubu \u00e0 t\u00eate rouge<\/option><option value=\"Jack, boeuf de Highland\"  class=\"choice-18 depth-1\"  >Jack, boeuf de Highland<\/option><option value=\"Malice, Milan noir\"  class=\"choice-17 depth-1\"  >Malice, Milan noir<\/option><option value=\"Draco, pogona\"  class=\"choice-16 depth-1\"  >Draco, pogona<\/option><option value=\"Kio, cr\u00e9cerelle europ\u00e9en\"  class=\"choice-15 depth-1\"  >Kio, cr\u00e9cerelle europ\u00e9en<\/option><option value=\"Timon, cochon vietnamien\"  class=\"choice-14 depth-1\"  >Timon, cochon vietnamien<\/option><option value=\"Rosita, cigogne\"  class=\"choice-13 depth-1\"  >Rosita, cigogne<\/option><option value=\"Barney, effraie des clochers\"  class=\"choice-12 depth-1\"  >Barney, effraie des clochers<\/option><option value=\"Manny, Mainate de Java\"  class=\"choice-11 depth-1\"  >Manny, Mainate de Java<\/option><option value=\"Buzz, buse de Harris\"  class=\"choice-10 depth-1\"  >Buzz, buse de Harris<\/option><option value=\"Cute, cr\u00e9cerelle am\u00e9ricain\"  class=\"choice-9 depth-1\"  >Cute, cr\u00e9cerelle am\u00e9ricain<\/option><option value=\"Nala, cochon vietnamien\"  class=\"choice-8 depth-1\"  >Nala, cochon vietnamien<\/option><option value=\"Darwin, buse tricolore\"  class=\"choice-7 depth-1\"  >Darwin, buse tricolore<\/option><option value=\"Isis, Grand duc africain\"  class=\"choice-6 depth-1\"  >Isis, Grand duc africain<\/option><option value=\"Peeter, bouc Saanen\"  class=\"choice-5 depth-1\"  >Peeter, bouc Saanen<\/option><option value=\"Makuu, corbeau\"  class=\"choice-4 depth-1\"  >Makuu, corbeau<\/option><option value=\"L\u00e9o, cacato\u00e8s alba\"  class=\"choice-26 depth-1\"  >L\u00e9o, cacato\u00e8s alba<\/option><option value=\"Siam, cr\u00e9cerelle europ\u00e9en\"  class=\"choice-25 depth-1\"  >Siam, cr\u00e9cerelle europ\u00e9en<\/option><option value=\"Kiara, ara ararauna\"  class=\"choice-24 depth-1\"  >Kiara, ara ararauna<\/option><option value=\"Greta, mouton Ouessant\"  class=\"choice-27 depth-1\"  >Greta, mouton Ouessant<\/option><option value=\"Indra, \u00e9tourneau de Rothschild\"  class=\"choice-28 depth-1\"  >Indra, \u00e9tourneau de Rothschild<\/option><option value=\"Col\u00e8re, ninoxe boubouk\"  class=\"choice-29 depth-1\"  >Col\u00e8re, ninoxe boubouk<\/option><option value=\"Yuzu, buse de Harris\"  class=\"choice-30 depth-1\"  >Yuzu, buse de Harris<\/option><option value=\"Choqu\u00e9e, ninoxe boubouk\"  class=\"choice-31 depth-1\"  >Choqu\u00e9e, ninoxe boubouk<\/option><option value=\"Flora, mouton Ouessant\"  class=\"choice-32 depth-1\"  >Flora, mouton Ouessant<\/option><option value=\"Les piranhas\"  class=\"choice-33 depth-1\"  >Les piranhas<\/option><option value=\"Caroline, tortue de steppes\"  class=\"choice-34 depth-1\"  >Caroline, tortue de steppes<\/option><option value=\"L\u00e9on, paon bleu\"  class=\"choice-35 depth-1\"  >L\u00e9on, paon bleu<\/option><option value=\"Edouard, corbeau \u00e0 nuque blanche\"  class=\"choice-36 depth-1\"  >Edouard, corbeau \u00e0 nuque blanche<\/option><option value=\"G\u00e9raldine, cistude d\u2019europe\"  class=\"choice-37 depth-1\"  >G\u00e9raldine, cistude d\u2019europe<\/option><\/select><\/div><div id=\"wpforms-503-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">Formule de parrainage choisie <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-503-field_22\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-503-field_22_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][22][]\" value=\"Donateur \u2013 25\u20ac \/ an\" aria-errormessage=\"wpforms-503-field_22_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-503-field_22_1\">Donateur \u2013 25\u20ac \/ an<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-503-field_22_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][22][]\" value=\"Bienfaiteur \u2013 50\u20ac \/ an ou 5\u20ac \/ mois\" aria-errormessage=\"wpforms-503-field_22_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-503-field_22_2\">Bienfaiteur \u2013 50\u20ac \/ an ou 5\u20ac \/ mois<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-503-field_22_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][22][]\" value=\"Protecteur \u2013 100\u20ac \/ an ou 10\u20ac \/ mois\" aria-errormessage=\"wpforms-503-field_22_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-503-field_22_3\">Protecteur \u2013 100\u20ac \/ an ou 10\u20ac \/ mois<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-503-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><fieldset><legend class=\"wpforms-field-label\">Mode de paiement <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul 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