{"id":6637,"date":"2025-08-14T14:48:14","date_gmt":"2025-08-14T12:48:14","guid":{"rendered":"https:\/\/cdscweb.fr\/poneys-blackstone-equitation\/?page_id=6637"},"modified":"2025-08-14T14:48:15","modified_gmt":"2025-08-14T12:48:15","slug":"pre-inscription-en-ligne-majeur","status":"publish","type":"page","link":"https:\/\/cdscweb.fr\/poneys-blackstone-equitation\/pre-inscription-en-ligne-majeur\/","title":{"rendered":"Pr\u00e9-inscription en ligne (majeur)"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f6636-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"6636\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/poneys-blackstone-equitation\/wp-json\/wp\/v2\/pages\/6637#wpcf7-f6636-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=\"6636\" \/><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-f6636-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<h5><strong>CAVALIER<\/strong>\n<\/h5>\n<p><label> Nom* <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> <\/label><label> Pr\u00e9nom* <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> <\/label>\n<\/p>\n<p><label> Date de naissance* <span class=\"wpcf7-form-control-wrap\" data-name=\"date-naissance\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"jj\/mm\/aaaa\" type=\"date\" name=\"date-naissance\" \/><\/span> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-genre\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-genre\" value=\"FEMME\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">FEMME<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-genre\" value=\"HOMME\" \/><span class=\"wpcf7-list-item-label\">HOMME<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<h5><strong>NIVEAU<\/strong>\n<\/h5>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"niveau1\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"niveau1[]\" value=\"D\u00e9butant\" \/><span class=\"wpcf7-list-item-label\">D\u00e9butant<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"niveau1[]\" value=\"Galop 1\" \/><span class=\"wpcf7-list-item-label\">Galop 1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"niveau1[]\" value=\"Galop 2\" \/><span class=\"wpcf7-list-item-label\">Galop 2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"niveau1[]\" value=\"Galop 3\" \/><span class=\"wpcf7-list-item-label\">Galop 3<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"niveau1[]\" value=\"Galop 4\" \/><span class=\"wpcf7-list-item-label\">Galop 4<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"niveau2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"niveau2[]\" value=\"Galop 5\" \/><span class=\"wpcf7-list-item-label\">Galop 5<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"niveau2[]\" value=\"Galop 6\" \/><span class=\"wpcf7-list-item-label\">Galop 6<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"niveau2[]\" value=\"Galop 7\" \/><span class=\"wpcf7-list-item-label\">Galop 7<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<h5><strong>DISPONIBILIT\u00c9S<\/strong>\n<\/h5>\n<p><em>Indiquer <b><u>tous<\/u><\/b> les cr\u00e9neaux possibles<\/em>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dispo2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"dispo2[]\" value=\"le mercredi matin\" \/><span class=\"wpcf7-list-item-label\">le mercredi matin<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"dispo2[]\" value=\"le mercredi apr\u00e8s-midi\" \/><span class=\"wpcf7-list-item-label\">le mercredi apr\u00e8s-midi<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dispo5\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"dispo5[]\" value=\"le samedi matin\" \/><span class=\"wpcf7-list-item-label\">le samedi matin<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"dispo5[]\" value=\"le samedi apr\u00e8s-midi\" \/><span class=\"wpcf7-list-item-label\">le samedi apr\u00e8s-midi<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Autre : <span class=\"wpcf7-form-control-wrap\" data-name=\"dispo-autre\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dispo-autre\" \/><\/span> <\/label>\n<\/p>\n<h5><strong>COORDONN\u00c9ES<\/strong>\n<\/h5>\n<p><label> Adresse* <span class=\"wpcf7-form-control-wrap\" data-name=\"adresse-resp1\"><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-resp1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Code postal* <span class=\"wpcf7-form-control-wrap\" data-name=\"cp-resp1\"><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=\"cp-resp1\" \/><\/span> <\/label><label> Commune* <span class=\"wpcf7-form-control-wrap\" data-name=\"commune-resp1\"><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=\"commune-resp1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Courriel* <span class=\"wpcf7-form-control-wrap\" data-name=\"courriel-resp1\"><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=\"courriel-resp1\" \/><\/span> <\/label><label> T\u00e9l\u00e9phone* <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-resp1\"><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=\"tel-resp1\" \/><\/span> <\/label>\n<\/p>\n<h5><strong>PERSONNE \u00c0 PR\u00c9VENIR EN CAS D'URGENCE<\/strong>\n<\/h5>\n<p><label> Nom <span class=\"wpcf7-form-control-wrap\" data-name=\"nom-resp2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-resp2\" \/><\/span> <\/label><label> Pr\u00e9nom <span class=\"wpcf7-form-control-wrap\" data-name=\"prenom-resp2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom-resp2\" \/><\/span> <\/label>\n<\/p>\n<p><label> T\u00e9l\u00e9phone <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-resp2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-resp2\" \/><\/span> <\/label>\n<\/p>\n<p>Je soussign\u00e9(e)*\u00a0<span class=\"wpcf7-form-control-wrap\" data-name=\"soussigne-1\"><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=\"soussigne-1\" \/><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-reglement\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-reglement\" value=\"certifie avoir pris connaissance du r\u00e8glement int\u00e9rieur 2025-2026 de l\u2019association PONEYS BLACKSTONE \u00c9QUITATION et en accepter toutes les dispositions.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">certifie avoir pris connaissance du r\u00e8glement int\u00e9rieur 2025-2026 de l\u2019association PONEYS BLACKSTONE \u00c9QUITATION et en accepter toutes les dispositions.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-medical\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-medical\" value=\"certifie ne pr\u00e9senter aucune contre-indication \u00e0 la pratique de l\u2019\u00e9quitation.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">certifie ne pr\u00e9senter aucune contre-indication \u00e0 la pratique de l\u2019\u00e9quitation.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<h5><strong>ASSURANCES<\/strong>\n<\/h5>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-assurance1\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-assurance1\" value=\"Je reconnais devoir souscrire une licence aupr\u00e8s de la FFE.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Je reconnais devoir souscrire une licence aupr\u00e8s de la FFE.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-assurance2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-assurance2\" value=\"Je reconnais avoir pris connaissance des conditions d\u2019assurance offertes par la licence FFE, ainsi que des modalit\u00e9s permettant de souscrire des garanties compl\u00e9mentaires.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Je reconnais avoir pris connaissance des conditions d\u2019assurance offertes par la licence FFE, ainsi que des modalit\u00e9s permettant de souscrire des garanties compl\u00e9mentaires.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-assurance3\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-assurance3\" value=\"Je reconnais avoir parfaitement conscience de la diff\u00e9rence d\u2019indemnisation entre les garanties d\u2019assurance de base offertes dans la licence FFE et les garanties compl\u00e9mentaires payantes propos\u00e9es.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Je reconnais avoir parfaitement conscience de la diff\u00e9rence d\u2019indemnisation entre les garanties d\u2019assurance de base offertes dans la licence FFE et les garanties compl\u00e9mentaires payantes propos\u00e9es.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<h5><strong>DONN\u00c9ES PERSONNELLES<\/strong>\n<\/h5>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-donnees1\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-donnees1\" value=\"J\u2019accepte que les donn\u00e9es \u00e0 caract\u00e8re personnel soient collect\u00e9es et trait\u00e9es par le Club pour la gestion de l\u2019association.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">J\u2019accepte que les donn\u00e9es \u00e0 caract\u00e8re personnel soient collect\u00e9es et trait\u00e9es par le Club pour la gestion de l\u2019association.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-donnees2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first last\"><label><input type=\"radio\" name=\"radio-donnees2\" value=\"J\u2019accepte de recevoir des courriels de la part du club pour l\u2019ann\u00e9e 2025-2026.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">J\u2019accepte de recevoir des courriels de la part du club pour l\u2019ann\u00e9e 2025-2026.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<h5><strong>DROIT \u00c0 L'IMAGE<\/strong>\n<\/h5>\n<p><em>Dans le cadre de notre association, des photos ou vid\u00e9os peuvent \u00eatre utilis\u00e9es en vue de promouvoir nos activit\u00e9s.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-autorisation-2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-autorisation-2\" value=\"J&#039;autorise l\u2019association PONEYS BLACKSTONE \u00c9QUITATION \u00e0 utiliser mon image afin de promouvoir les activit\u00e9s du poney-club pour l\u2019ann\u00e9e 2025-2026.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">J&#039;autorise l\u2019association PONEYS BLACKSTONE \u00c9QUITATION \u00e0 utiliser mon image afin de promouvoir les activit\u00e9s du poney-club pour l\u2019ann\u00e9e 2025-2026.<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-autorisation-2\" value=\"Je n\u2019autorise pas l\u2019association PONEYS BLACKSTONE \u00c9QUITATION \u00e0 utiliser mon image afin de promouvoir les activit\u00e9s du poney-club pour l\u2019ann\u00e9e 2025-2026.\" \/><span class=\"wpcf7-list-item-label\">Je n\u2019autorise pas l\u2019association PONEYS BLACKSTONE \u00c9QUITATION \u00e0 utiliser mon image afin de promouvoir les activit\u00e9s du poney-club pour l\u2019ann\u00e9e 2025-2026.<\/span><\/label><\/span><\/span><\/span><br \/>\n<label> Fait \u00e0 Laffite-Toupi\u00e8re, le* <span class=\"wpcf7-form-control-wrap\" data-name=\"date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"jj\/mm\/aaaa\" type=\"date\" name=\"date\" \/><\/span> <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap kc_captcha cf7ic-toggle\" data-name=\"kc_captcha\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"captcha-image\" style=\"display: none;\"><span class=\"cf7ic_instructions\">Veuillez prouver que vous \u00eates humain en s\u00e9lectionnant<span> le c\u0153ur<\/span>.<\/span><label><input aria-label=\"1\" type=\"radio\" name=\"kc_captcha\" value=\"kc_human\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 576 512\"><path fill=\"currentColor\" d=\"M415 24c-53 0-103 42-127 65-24-23-74-65-127-65C70 24 16 77 16 166c0 72 67 133 69 135l187 181c9 8 23 8 32 0l187-180c2-3 69-64 69-136 0-89-54-142-145-142z\"\/><\/svg><\/label><label><input aria-label=\"2\" type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 640 512\"><path fill=\"currentColor\" d=\"M192 384h192c53 0 96-43 96-96h32a128 128 0 000-256H120c-13 0-24 11-24 24v232c0 53 43 96 96 96zM512 96a64 64 0 010 128h-32V96h32zm48 384H48c-47 0-61-64-36-64h584c25 0 11 64-36 64z\"\/><\/svg><\/label><label><input aria-label=\"3\" type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg aria-hidden=\"true\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 384 512\"><path fill=\"currentColor\" d=\"M377 375l-83-87h34c21 0 32-25 17-40l-82-88h33c21 0 32-25 18-40L210 8c-10-11-26-11-36 0L70 120c-14 15-3 40 18 40h33l-82 88c-15 15-4 40 17 40h34L7 375c-15 16-4 41 17 41h120c0 33-11 49-34 68-12 9-5 28 10 28h144c15 0 22-19 10-28-20-16-34-32-34-68h120c21 0 32-25 17-41z\"\/><\/svg><\/label>\r\n    <\/span>\r\n    <span style=\"display:none\">\r\n        <input type=\"text\" name=\"kc_honeypot\">\r\n    <\/span><\/span><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/><\/em>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p class=\"continue-reading-button\"> <a class=\"continue-reading-link\" href=\"https:\/\/cdscweb.fr\/poneys-blackstone-equitation\/pre-inscription-en-ligne-majeur\/\">Lire<i class=\"crycon-right-dir\"><\/i><\/a><\/p>\n<div class='heateorSssClear'><\/div><div  class='heateor_sss_sharing_container heateor_sss_horizontal_sharing' data-heateor-sss-href='https:\/\/cdscweb.fr\/poneys-blackstone-equitation\/pre-inscription-en-ligne-majeur\/'><div class='heateor_sss_sharing_title' style=\"font-weight:bold\" >Partagez !<\/div><div class=\"heateor_sss_sharing_ul\"><a aria-label=\"Facebook\" class=\"heateor_sss_facebook\" href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Fcdscweb.fr%2Fponeys-blackstone-equitation%2Fpre-inscription-en-ligne-majeur%2F\" title=\"Facebook\" rel=\"nofollow noopener\" target=\"_blank\" style=\"font-size:32px!important;box-shadow:none;display:inline-block;vertical-align:middle\"><span class=\"heateor_sss_svg\" style=\"background-color:#0765FE;width:35px;height:35px;border-radius:999px;display:inline-block;opacity:1;float:left;font-size:32px;box-shadow:none;display:inline-block;font-size:16px;padding:0 4px;vertical-align:middle;background-repeat:repeat;overflow:hidden;padding:0;cursor:pointer;box-sizing:content-box\"><svg style=\"display:block;border-radius:999px;\" focusable=\"false\" aria-hidden=\"true\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"100%\" height=\"100%\" viewBox=\"0 0 32 32\"><path fill=\"#fff\" d=\"M28 16c0-6.627-5.373-12-12-12S4 9.373 4 16c0 5.628 3.875 10.35 9.101 11.647v-7.98h-2.474V16H13.1v-1.58c0-4.085 1.849-5.978 5.859-5.978.76 0 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