{"id":6298,"date":"2025-01-16T10:54:27","date_gmt":"2025-01-16T09:54:27","guid":{"rendered":"https:\/\/rideyourfuture.org\/?page_id=6298"},"modified":"2025-01-16T11:00:45","modified_gmt":"2025-01-16T10:00:45","slug":"formulaire-stage-ride-your-future","status":"publish","type":"page","link":"http:\/\/rideyourfuture.org\/nl\/formulaire-stage-ride-your-future\/","title":{"rendered":"Formulaire stage Ride Your Future"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6298\" class=\"elementor elementor-6298\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4a45302 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4a45302\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0a814d2\" data-id=\"0a814d2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b1a278c elementor-widget elementor-widget-text-editor\" data-id=\"b1a278c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b725b48 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b725b48\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8cf970e\" data-id=\"8cf970e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8a2390f elementor-widget elementor-widget-heading\" data-id=\"8a2390f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Formulaire d'inscription au stage de v\u00e9lo du 14 au 18 avril 2025 (Contrat \u00e9cole Drootbeek)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8f11db6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8f11db6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7f01ead\" data-id=\"7f01ead\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-98f1673 elementor-widget elementor-widget-text-editor\" data-id=\"98f1673\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-6224\"><form id=\"wpforms-form-6224\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"6224\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/nl\/wp-json\/wp\/v2\/pages\/6298\" data-token=\"51a5c5da90e78b74b9a1d51cfad11ba7\" data-token-time=\"1777424539\"><noscript class=\"wpforms-error-noscript\">Schakel JavaScript in je browser in om dit formulier in te vullen.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-6224-field_4-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Nom de l&#039;enfant <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-6224-field_4\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][4][first]\" required><label for=\"wpforms-6224-field_4\" class=\"wpforms-field-sublabel after\">Voornaam<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-6224-field_4-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][4][last]\" required><label for=\"wpforms-6224-field_4-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><\/div><div id=\"wpforms-6224-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><label class=\"wpforms-field-label\">Nom de l&#039;adulte responsable <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-6224-field_10\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][10][first]\" required><label for=\"wpforms-6224-field_10\" class=\"wpforms-field-sublabel after\">Voornaam<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-6224-field_10-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][10][last]\" required><label for=\"wpforms-6224-field_10-last\" class=\"wpforms-field-sublabel after\">Achternaam<\/label><\/div><\/div><\/div><div id=\"wpforms-6224-field_5-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-6224-field_5\">Num\u00e9ro de t\u00e9l\u00e9phone de l&#039;adulte responsable <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-6224-field_5\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][5]\" aria-label=\"Num\u00e9ro de t\u00e9l\u00e9phone de l&#039;adulte responsable\" required><\/div><div id=\"wpforms-6224-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-6224-field_7\">E-mail de l&#039;adulte responsable <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-6224-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-6224-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-6224-field_19\">Age de l&#039;enfant <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6224-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-6224-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-6224-field_21\">Date de naissance de l&#039;enfant (format xx\/xx\/xxxx) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6224-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><\/div><div id=\"wpforms-6224-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-6224-field_22\">Adresse de l&#039;enfant (Rue, num\u00e9ro, commune) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6224-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-6224-field_25-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-6224-field_25\">Code postal <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-6224-field_25\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][25]\" step=\"any\" required><\/div><div id=\"wpforms-6224-field_23-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"23\"><label class=\"wpforms-field-label\">Ecole de l&#039;enfant <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6224-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6224-field_23_1\" name=\"wpforms[fields][23]\" value=\"Ecole De Zenne\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6224-field_23_1\">Ecole De Zenne<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6224-field_23_2\" name=\"wpforms[fields][23]\" value=\"Ecole Sint-Ursula\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6224-field_23_2\">Ecole Sint-Ursula<\/label><\/li><\/ul><\/div><div id=\"wpforms-6224-field_29-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"29\"><label class=\"wpforms-field-label\">Tarifs &#8211; pour plus d&#039;informations, consulter la fiche d&#039;information sur les tarifs disponible sur notre page &quot;Stages de de pumptrack&quot; sous la section &quot;Stages en partenariat avec la Ville de Bruxelles&quot; <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6224-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6224-field_29_1\" name=\"wpforms[fields][29]\" value=\"Je paye le tarif plein - 65\u20ac\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6224-field_29_1\">Je paye le tarif plein &#8211; 65\u20ac<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6224-field_29_2\" name=\"wpforms[fields][29]\" value=\"Je remplis les conditions pour le tarif pr\u00e9f\u00e9rentiel - 20\u20ac\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6224-field_29_2\">Je remplis les conditions pour le tarif pr\u00e9f\u00e9rentiel &#8211; 20\u20ac<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-6224-field_29_3\" name=\"wpforms[fields][29]\" value=\"Je remplis les conditions pour le tarif social - 5\u20ac\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6224-field_29_3\">Je remplis les conditions pour le tarif social &#8211; 5\u20ac<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Info paiement &#038; tarifs : la Ville de Bruxelles vous enverra un mail vous demandant d&rsquo;effectuer le paiement pendant la premi\u00e8re semaine de mars 2025. \r\n\r\nLes tarifs pr\u00e9f\u00e9rentiels et sociaux sont applicables aux conditions suivantes : \r\n\r\nEnfants domicili\u00e9s sur le territoire de la Ville de Bruxelles (code postal : 1000, 1020, 1120 et 1130) \/\r\nParent membre du personnel communal (envoyer tout document probant \u00e0 infosport@brucity.be) AVANT de proc\u00e9der au paiement \/\r\nPour les enfants inscrits dans un club sportif bruxellois actif dans les infrastructures sportives de la Ville de Bruxelles (envoyer tout document probant \u00e0 infosport@brucity.be) AVANT de proc\u00e9der au paiement.\r\n\/\/\/\r\nLe tarif social d\u2019un montant de 5,00 EUR par semaine, peut \u00eatre accord\u00e9 aux enfants issus d\u2019un milieu d\u00e9favoris\u00e9 sur le plan socio-\u00e9conomique (= pour les personnes domicili\u00e9es sur le territoire communal de la Ville de Bruxelles (codes postaux : 1000, 1020, 1120 et 1130)). Pour en b\u00e9n\u00e9ficier, veuillez envoyer tout document probant (ex: attestation du CPAS) \u00e0 infosport@brucity.be AVANT de proc\u00e9der au paiement \/\/\/\r\n\r\n\r\n\u00c0 noter qu&rsquo;aucun remboursement n&rsquo;est envisageable. Seule une postposition \u00e0 un prochain stage pourrait \u00eatre envisag\u00e9e en guise de compensation, \u00e0 condition de nous informer (via infosport@brucity.be) de l&rsquo;absence AVANT le d\u00e9but du stage.<\/div><\/div><div id=\"wpforms-6224-field_30-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"30\"><label class=\"wpforms-field-label\">Autorisez-vous le Service des Sports de la Ville de Bruxelles et Ride Your Future \u00e0 prendre des photos lors du stage sportif ?<\/label><ul id=\"wpforms-6224-field_30\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6224-field_30_1\" name=\"wpforms[fields][30]\" value=\"Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6224-field_30_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6224-field_30_2\" name=\"wpforms[fields][30]\" value=\"Non\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6224-field_30_2\">Non<\/label><\/li><\/ul><\/div><div id=\"wpforms-6224-field_31-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"31\"><label class=\"wpforms-field-label\">Autorisez-vous le Service des Sports de la Ville de Bruxelles \u00e0 publier les photos prises lors du stage sportif ?<\/label><ul id=\"wpforms-6224-field_31\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6224-field_31_1\" name=\"wpforms[fields][31]\" value=\"Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6224-field_31_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6224-field_31_2\" name=\"wpforms[fields][31]\" value=\"Non\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6224-field_31_2\">Non<\/label><\/li><\/ul><\/div><div id=\"wpforms-6224-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-6224-field_33\">Votre enfant a-t-il des prescriptions m\u00e9dicales desquelles vous voulez nous faire part ?<\/label><input type=\"text\" id=\"wpforms-6224-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"6224\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"http:\/\/rideyourfuture.org\/nl\/wp-json\/wp\/v2\/pages\/6298\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-6224\" class=\"wpforms-submit\" data-alt-text=\"Envoi...\" data-submit-text=\"Envoyer\" aria-live=\"assertive\" value=\"wpforms-submit\">Envoyer<\/button><img decoding=\"async\" src=\"http:\/\/rideyourfuture.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Aan het laden\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>. Formulaire d&rsquo;inscription au stage de v\u00e9lo du 14 au 18 avril 2025 (Contrat \u00e9cole 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