{"id":374,"date":"2016-06-16T17:59:05","date_gmt":"2016-06-16T16:59:05","guid":{"rendered":"http:\/\/test.club-nouvelle-mini.com\/?page_id=374"},"modified":"2025-11-02T21:31:55","modified_gmt":"2025-11-02T20:31:55","slug":"inscription-2","status":"publish","type":"page","link":"https:\/\/www.club-nouvelle-mini.com\/?page_id=374","title":{"rendered":"Inscription"},"content":{"rendered":"<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f372-o1\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F374#wpcf7-f372-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"372\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f372-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><!-- Informations personnelles --><\/p>\n<p>Civilit\u00e9 <span class=\"wpcf7-form-control-wrap civilite\"><select name=\"civilite\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"M.\">M.<\/option><option value=\"Mme\">Mme<\/option><\/select><\/span><\/p>\n<p>Pr\u00e9nom <span class=\"wpcf7-form-control-wrap prenom\"><input type=\"text\" name=\"prenom\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Nom <span class=\"wpcf7-form-control-wrap nom\"><input type=\"text\" name=\"nom\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Pseudo <span class=\"wpcf7-form-control-wrap pseudo\"><input type=\"text\" name=\"pseudo\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Adresse <span class=\"wpcf7-form-control-wrap adresse\"><input type=\"text\" name=\"adresse\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Adresse suite <span class=\"wpcf7-form-control-wrap adresse2\"><input type=\"text\" name=\"adresse2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Code postal <span class=\"wpcf7-form-control-wrap codepostal\"><input type=\"text\" name=\"codepostal\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Ville <span class=\"wpcf7-form-control-wrap ville\"><input type=\"text\" name=\"ville\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Pays <span class=\"wpcf7-form-control-wrap pays\"><input type=\"text\" name=\"pays\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Email <span class=\"wpcf7-form-control-wrap email\"><input type=\"email\" name=\"email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>T\u00e9l\u00e9phone <span class=\"wpcf7-form-control-wrap phone\"><input type=\"text\" name=\"phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p><!-- Informations sur la MINI --><\/p>\n<p>Mod\u00e8le de MINI <span class=\"wpcf7-form-control-wrap mini\"><select name=\"mini\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"MINI\">MINI<\/option><option value=\"MINI Cabrio\">MINI Cabrio<\/option><option value=\"MINI Clubman\">MINI Clubman<\/option><option value=\"MINI Coup\u00e9\">MINI Coup\u00e9<\/option><option value=\"MINI Roadster\">MINI Roadster<\/option><option value=\"MINI Countryman\">MINI Countryman<\/option><option value=\"MINI Paceman\">MINI Paceman<\/option><option value=\"MINI Aceman\">MINI Aceman<\/option><\/select><\/span><\/p>\n<p>Type de MINI <span class=\"wpcf7-form-control-wrap minitype\"><select name=\"minitype\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"One\">One<\/option><option value=\"Cooper\">Cooper<\/option><option value=\"Cooper S\">Cooper S<\/option><option value=\"JCW\">JCW<\/option><\/select><\/span><\/p>\n<p>Carburant <span class=\"wpcf7-form-control-wrap carburant\"><select name=\"carburant\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Essence\">Essence<\/option><option value=\"Diesel\">Diesel<\/option><option value=\"\u00c9lectrique\">\u00c9lectrique<\/option><option value=\"Hybride\">Hybride<\/option><\/select><\/span><\/p>\n<p>N\u00b0 immatriculation <span class=\"wpcf7-form-control-wrap immatriculation\"><input type=\"text\" name=\"immatriculation\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Avez-vous un commentaire \u00e0 donner au CNM ? <span class=\"wpcf7-form-control-wrap commentaire\"><textarea name=\"commentaire\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/p>\n<p><!-- Paiement par cases \u00e0 cocher --><\/p>\n<p>Mode de paiement (cochez une option) :<\/p>\n<p><span class=\"wpcf7-form-control-wrap paiement\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"paiement[]\" value=\"Ch\u00e8que\" \/><span class=\"wpcf7-list-item-label\">Ch\u00e8que<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"paiement[]\" value=\"Virement bancaire\" \/><span class=\"wpcf7-list-item-label\">Virement bancaire<\/span><\/label><\/span><\/span><\/span><\/p>\n<p><!-- Informations Ch\u00e8que --><\/p>\n<div style=\"border:1px solid #ccc; padding:10px; margin-bottom:10px;\">\n<p><strong>Si Ch\u00e8que :<\/strong><\/p>\n<p>Ch\u00e8que \u00e0 envoyer \u00e0 :<\/p>\n<p>Ghislaine TONNERIEUX<br><br \/>\n3, Chemin de l'\u00e9tang du moulin<br><br \/>\n55200 AULNOIS sous VERTUZEY<br><br \/>\nFrance\n<\/div>\n<p><!-- Informations Virement --><\/p>\n<div style=\"border:1px solid #ccc; padding:10px; margin-bottom:10px;\">\n<p><strong>Si Virement bancaire :<\/strong><\/p>\n<p>CLUB NOUVELLE MINI<br><br \/>\nIBAN : FR76 1027 8020 0100 0221 3310 133<br><br \/>\nBIC : CMCIFR2A\n<\/div>\n<p><b>Somme \u00e0 r\u00e9gler : 28 \u20ac<\/b><\/p>\n<p><!-- V\u00e9rification anti-robot --><\/p>\n<p>Afin de v\u00e9rifier que vous n'\u00eates pas un robot :<br><br \/>\n<span class=\"wpcf7-form-control-wrap quiz\"><label><span class=\"wpcf7-quiz-label\">Combien de c\u00f4t\u00e9s poss\u00e8de un triangle ?<\/span> <input type=\"text\" name=\"quiz\" size=\"40\" class=\"wpcf7-form-control wpcf7-quiz\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" \/><\/label><input type=\"hidden\" name=\"_wpcf7_quiz_answer_quiz\" value=\"2c136ca8467066dd780ec48999113ea2\" \/><\/span><\/p>\n<p><!-- R\u00e8gles d'adh\u00e9sion --><\/p>\n<h1 class=\"post-title\">R\u00e8gles d'adh\u00e9sion au Club<\/h1>\n<p>\nJe d\u00e9charge l\u2019association \u00ab Club Nouvelle Mini \u00bb et ses organisateurs de toute responsabilit\u00e9 en cas d\u2019incident ou d'accident, de sant\u00e9 ou de circulation, pouvant survenir aux tierces personnes, \u00e0 moi-m\u00eame, \u00e0 mon v\u00e9hicule et autres v\u00e9hicules pr\u00e9sents lors des rencontres organis\u00e9es par le club.<br><br \/>\nJe renonce \u00e0 toutes poursuites p\u00e9nales, civiles, administratives et judiciaires envers l\u2019association \u00ab Club Nouvelle Mini \u00bb et ses organisateurs, et je suis inform\u00e9(e) que les d\u00e9g\u00e2ts occasionn\u00e9s dans le cadre de ces journ\u00e9es rel\u00e8ve de ma seule responsabilit\u00e9.<br><br \/>\nJe d\u00e9clare \u00eatre en possession d\u2019un permis de conduire valide (cat\u00e9gorie B).<br><br \/>\nJe m\u2019engage \u00e0 respecter le code de la route et les consignes des responsables.<br><br \/>\nJe certifie que l\u2019assurance du v\u00e9hicule que j\u2019utilise est valide et couvre les risques de dommages et de responsabilit\u00e9.<br><br \/>\nTout participant ne respectant pas les r\u00e8gles sera exclu et ne pourra pr\u00e9tendre b\u00e9n\u00e9ficier d\u2019un quelconque remboursement.<br><br \/>\nCes journ\u00e9es ne rentrent pas dans la cat\u00e9gorie \u00ab des \u00e9preuves, courses ou comp\u00e9titions sportives soumises \u00e0 autorisation des Pouvoirs Publics \u00bb<br><br \/>\nEn cas de partage de conduite, le membre ayant accept\u00e9 les r\u00e8gles d\u2019adh\u00e9sion ci-dessus est tenu d\u2019en informer le conducteur occasionnel lors de la manifestation.<br><br \/>\nTout changement (ajout, modification etc.) dans la d\u00e9nomination des personnes ou v\u00e9hicule(s) devra \u00eatre signal\u00e9.\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap accept-this\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"accept-this\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> Je d\u00e9clare avoir pris connaissance des conditions g\u00e9n\u00e9rales \u00e9num\u00e9r\u00e9es ci-dessus dans le cadre de ma participation aux diff\u00e9rents meetings du Club Nouvelle Mini.<\/p>\n<p><input type=\"submit\" value=\"Envoyer\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.club-nouvelle-mini.com\/index.php?rest_route=\/wp\/v2\/pages\/374"}],"collection":[{"href":"https:\/\/www.club-nouvelle-mini.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.club-nouvelle-mini.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.club-nouvelle-mini.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.club-nouvelle-mini.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=374"}],"version-history":[{"count":2,"href":"https:\/\/www.club-nouvelle-mini.com\/index.php?rest_route=\/wp\/v2\/pages\/374\/revisions"}],"predecessor-version":[{"id":1613,"href":"https:\/\/www.club-nouvelle-mini.com\/index.php?rest_route=\/wp\/v2\/pages\/374\/revisions\/1613"}],"wp:attachment":[{"href":"https:\/\/www.club-nouvelle-mini.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}