{"id":5099,"date":"2020-11-24T12:10:34","date_gmt":"2020-11-24T12:10:34","guid":{"rendered":"https:\/\/borkyou.com\/?page_id=5099"},"modified":"2020-11-24T12:10:34","modified_gmt":"2020-11-24T12:10:34","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/borkyou.com\/fr\/registration-form\/","title":{"rendered":"Registration form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-5097\"><form id=\"wpforms-form-5097\" class=\"wpforms-validate wpforms-form\" data-formid=\"5097\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/wp-json\/wp\/v2\/pages\/5099\" data-token=\"eeefddd8ccfbbe458c7eeb5bee49e17f\" data-token-time=\"1779332454\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-5097-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_3\">Trip name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5097-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required\/><div class=\"wpforms-field-description\">Enter the name of the trip you will take part<\/div><\/div><div id=\"wpforms-5097-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_4\">Trip start date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5097-field_4\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][4]\" required\/><\/div><div id=\"wpforms-5097-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-5097-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required\/><label for=\"wpforms-5097-field_0\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-5097-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required\/><label for=\"wpforms-5097-field_0-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/div><div id=\"wpforms-5097-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_17\">Tax number<\/label><input type=\"text\" id=\"wpforms-5097-field_17\" class=\"wpforms-field-small\" name=\"wpforms[fields][17]\"\/><div class=\"wpforms-field-description\">Please fill in your tax number for invoicing purposes<\/div><\/div><div id=\"wpforms-5097-field_18-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"18\"><label class=\"wpforms-field-label\">Prefered payment mode<\/label><ul id=\"wpforms-5097-field_18\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5097-field_18_1\" name=\"wpforms[fields][18]\" value=\"Bank transfer\"\/><label class=\"wpforms-field-label-inline\" for=\"wpforms-5097-field_18_1\">Bank transfer<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5097-field_18_2\" name=\"wpforms[fields][18]\" value=\"Credit Card\"\/><label class=\"wpforms-field-label-inline\" for=\"wpforms-5097-field_18_2\">Credit Card<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-5097-field_18_3\" name=\"wpforms[fields][18]\" value=\"Onsite at our office\"\/><label class=\"wpforms-field-label-inline\" for=\"wpforms-5097-field_18_3\">Onsite at our office<\/label><\/li><\/ul><\/div><div id=\"wpforms-5097-field_13-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Accommodation preference <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5097-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5097-field_13_1\" name=\"wpforms[fields][13]\" value=\"Shared twin room\" required\/><label class=\"wpforms-field-label-inline\" for=\"wpforms-5097-field_13_1\">Shared twin room<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5097-field_13_2\" name=\"wpforms[fields][13]\" value=\"Single room\" required\/><label class=\"wpforms-field-label-inline\" for=\"wpforms-5097-field_13_2\">Single room<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please note that the single room option adds a supplement<\/div><\/div><div id=\"wpforms-5097-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_15\">Name of your roommate<\/label><input type=\"text\" id=\"wpforms-5097-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\"\/><div class=\"wpforms-field-description\">In case you chose the shared twin room option and you know your roommate<\/div><\/div><div id=\"wpforms-5097-field_16-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"16\"><label class=\"wpforms-field-label\">Pre and post trip room<\/label><ul id=\"wpforms-5097-field_16\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-5097-field_16_1\" name=\"wpforms[fields][16][]\" value=\"Pre-trip room single\"\/><label class=\"wpforms-field-label-inline\" for=\"wpforms-5097-field_16_1\">Pre-trip room single<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-5097-field_16_2\" name=\"wpforms[fields][16][]\" value=\"Pre-trip room shared twin\"\/><label class=\"wpforms-field-label-inline\" for=\"wpforms-5097-field_16_2\">Pre-trip room shared twin<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-5097-field_16_3\" name=\"wpforms[fields][16][]\" value=\"Post-trip room single\"\/><label class=\"wpforms-field-label-inline\" for=\"wpforms-5097-field_16_3\">Post-trip room single<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-5097-field_16_4\" name=\"wpforms[fields][16][]\" value=\"Post-trip room shared twin\"\/><label class=\"wpforms-field-label-inline\" for=\"wpforms-5097-field_16_4\">Post-trip room shared twin<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please check what option applies. In case you don\u00b4t want us to book any option for you, leave empty.<\/div><\/div><div id=\"wpforms-5097-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_5\">Phone number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5097-field_5\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][5]\" placeholder=\"(+country code) number\" required\/><\/div><div id=\"wpforms-5097-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-5097-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required\/><\/div><div id=\"wpforms-5097-field_19-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_19\">Address<\/label><textarea id=\"wpforms-5097-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\"><\/textarea><\/div><div id=\"wpforms-5097-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_20\">Country<\/label><input type=\"text\" id=\"wpforms-5097-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\"\/><\/div><div id=\"wpforms-5097-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_6\">Date of birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5097-field_6\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][6]\" placeholder=\"dd\/mm\/yyyy\" required\/><\/div><div id=\"wpforms-5097-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_7\">Height<\/label><input type=\"text\" id=\"wpforms-5097-field_7\" class=\"wpforms-field-small\" name=\"wpforms[fields][7]\"\/><\/div><div id=\"wpforms-5097-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_8\">Weight<\/label><input type=\"text\" id=\"wpforms-5097-field_8\" class=\"wpforms-field-small\" name=\"wpforms[fields][8]\"\/><\/div><div id=\"wpforms-5097-field_10-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_10\">Medical conditions<\/label><textarea id=\"wpforms-5097-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\"><\/textarea><div class=\"wpforms-field-description\">Anything you want to let us know that is relevant<\/div><\/div><div id=\"wpforms-5097-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_11\">Allergies<\/label><input type=\"text\" id=\"wpforms-5097-field_11\" class=\"wpforms-field-large\" name=\"wpforms[fields][11]\"\/><\/div><div id=\"wpforms-5097-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_12\">Emergency contact name and phone<\/label><input type=\"text\" id=\"wpforms-5097-field_12\" class=\"wpforms-field-large\" name=\"wpforms[fields][12]\"\/><\/div><div id=\"wpforms-5097-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-5097-field_2\">Comment or Message<\/label><textarea id=\"wpforms-5097-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\"><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-5097-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-5097-field-hp\" class=\"wpforms-field-medium\"\/><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"5097\"\/><input type=\"hidden\" name=\"page_title\" value=\"\"\/><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/borkyou.com\/fr\/wp-json\/wp\/v2\/pages\/5099\"\/><input type=\"hidden\" name=\"url_referer\" value=\"\"\/><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-5097\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.Trip name *Enter the name of the trip you will take partTrip start date *Name *Pr\u00e9nomNomTax numberPlease fill in your tax number for invoicing purposesPrefered payment modeBank transferCredit CardOnsite at our officeAccommodation preference *Shared twin roomSingle roomPlease note that the single room option adds a supplementName<div class=\"padding-top text-center\"><a href=\"https:\/\/borkyou.com\/fr\/registration-form\/\" class=\"atbtn atbtn--medium atbtn--rounded atbtn--transparent\">Read more<i class=\"atbtn__icon atbtn__icon--right fa fa-long-arrow-right\"><\/i><\/a><\/div>","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"content-type":"","footnotes":"","_wp_rev_ctl_limit":""},"class_list":["post-5099","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/borkyou.com\/fr\/wp-json\/wp\/v2\/pages\/5099","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/borkyou.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/borkyou.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/borkyou.com\/fr\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/borkyou.com\/fr\/wp-json\/wp\/v2\/comments?post=5099"}],"version-history":[{"count":0,"href":"https:\/\/borkyou.com\/fr\/wp-json\/wp\/v2\/pages\/5099\/revisions"}],"wp:attachment":[{"href":"https:\/\/borkyou.com\/fr\/wp-json\/wp\/v2\/media?parent=5099"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}