{"id":22313,"date":"2020-07-05T17:20:29","date_gmt":"2020-07-05T22:20:29","guid":{"rendered":"https:\/\/www.erdheim-chester.org\/rejoignez-nous\/"},"modified":"2026-03-11T16:55:38","modified_gmt":"2026-03-11T21:55:38","slug":"rejoignez-nous","status":"publish","type":"page","link":"https:\/\/www.erdheim-chester.org\/fr\/rejoignez-nous\/","title":{"rendered":"Rejoignez-nous"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/www.erdheim-chester.org\/wp-content\/uploads\/2024\/12\/Untitled-design-96-1.png\u00a0\u00bb background_position=\u00a0\u00bbbottom_center\u00a0\u00bb background_vertical_offset=\u00a0\u00bb20%\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb background_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb background_position_tablet=\u00a0\u00bbbottom_right\u00a0\u00bb background_position_phone=\u00a0\u00bbcenter_right\u00a0\u00bb global_module=\u00a0\u00bb28071&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_dmb_breadcrumbs _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb body_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb body_font_size=\u00a0\u00bb12px\u00a0\u00bb link_text_color=\u00a0\u00bb#35A4BB\u00a0\u00bb custom_margin=\u00a0\u00bb||5px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb12px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb10px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_dmb_breadcrumbs][et_pb_heading title=\u00a0\u00bb@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6IiIsImFmdGVyIjoiIn19@\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _dynamic_attributes=\u00a0\u00bbtitle\u00a0\u00bb _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_font=\u00a0\u00bb&#8211;et_global_heading_font|300|||||||\u00a0\u00bb title_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb title_font_size=\u00a0\u00bb40px\u00a0\u00bb custom_margin=\u00a0\u00bb||3px|||\u00a0\u00bb title_font_size_tablet=\u00a0\u00bb\u00a0\u00bb title_font_size_phone=\u00a0\u00bb25px\u00a0\u00bb title_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_heading][et_pb_button button_url=\u00a0\u00bbhttps:\/\/www.erdheim-chester.org\/fr\/contactez-nous\/\u00a0\u00bb button_text=\u00a0\u00bbContactez nous\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb15px\u00a0\u00bb button_text_color=\u00a0\u00bb#C02E43&Prime; button_bg_color=\u00a0\u00bbrgba(10,22,64,0.53)\u00a0\u00bb button_border_width=\u00a0\u00bb0px\u00a0\u00bb button_icon=\u00a0\u00bb&#xe60f;||divi||400&Prime; button_icon_color=\u00a0\u00bb#C02E43&Prime; button_icon_placement=\u00a0\u00bbleft\u00a0\u00bb button_on_hover=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb filter_opacity__hover_enabled=\u00a0\u00bbon|hover\u00a0\u00bb filter_opacity__hover=\u00a0\u00bb70%\u00a0\u00bb][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_2,1_2&Prime; disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb admin_label=\u00a0\u00bbrang\u00e9e\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2&Prime; disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text disabled_on=\u00a0\u00bbon|on|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb||20px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3>Rejoignez l&rsquo;Alliance mondiale ECD !<\/h3>\n<p>Nous vous remercions d&rsquo;envisager de vous inscrire aupr\u00e8s de notre organisation. Les membres de l&rsquo;ECDGA forment une communaut\u00e9 de personnes qui s&rsquo;unissent pour lutter contre cette maladie un jour apr\u00e8s l&rsquo;autre.<\/p>\n<p><strong>Pourquoi rejoindre l&rsquo;Alliance mondiale pour le DPE ?<\/strong><\/p>\n<ul>\n<li>L&rsquo;autonomisation : \u00ab\u00a0Seul, nous sommes rares. Ensemble, nous sommes forts. &#8211; Organisation nationale des maladies rares (NORD)<\/li>\n<li>Rencontrez d&rsquo;autres personnes : Sortez de l&rsquo;isolement et faites-vous de nouveaux amis.<\/li>\n<li>Trouvez les derni\u00e8res informations sur les traitements : Nouveaux traitements, astuces et informations disponibles aupr\u00e8s de l&rsquo;organisation et de ses membres.<\/li>\n<li>Amusez-vous : Entourez-vous de personnes qui \u00ab\u00a0comprennent\u00a0\u00bb et trouvez des moyens d&rsquo;incorporer ce que vous aimez dans la recherche d&rsquo;un rem\u00e8de.<\/li>\n<li>Acqu\u00e9rir de nouvelles comp\u00e9tences : Les possibilit\u00e9s de b\u00e9n\u00e9volat sont illimit\u00e9es.<\/li>\n<li>Acc\u00e9dez aux experts : L&rsquo;organisation vous permet d&rsquo;acc\u00e9der aux experts de ECD.<\/li>\n<li>Aidez les autres : \u00ab\u00a0Soyez le changement que vous voulez voir dans le monde\u00a0\u00bb.<\/li>\n<li>\u00c9liminez un obstacle dans votre vie : Trouvez un moyen de rendre votre vie et celle des autres plus facile.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_video src=\u00a0\u00bbhttps:\/\/www.erdheim-chester.org\/wp-content\/uploads\/2025\/05\/Bringing-Hope.mp4&Prime; disabled_on=\u00a0\u00bbon|on|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_video][et_pb_image src=\u00a0\u00bbhttps:\/\/www.erdheim-chester.org\/wp-content\/uploads\/2024\/01\/shutterstock_635793713.jpg\u00a0\u00bb disabled_on=\u00a0\u00bbon|on|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text disabled_on=\u00a0\u00bbon|on|off\u00a0\u00bb admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Nous sommes convaincus que la voix de la communaut\u00e9 d&rsquo;Erdheim-Chester devient plus forte lorsque nous nous unissons tous. Nous vous invitons \u00e0 rejoindre la communaut\u00e9 d\u00e8s aujourd&rsquo;hui.<\/p>\n<p>Que vous ou un proche ayez \u00e9t\u00e9 r\u00e9cemment diagnostiqu\u00e9 avec la maladie d&rsquo;Erdheim-Chester, que vous soyez scientifique ou m\u00e9decin, ou que vous soyez int\u00e9ress\u00e9 par le travail de l&rsquo;Alliance mondiale ECD, vous pouvez rejoindre l&rsquo;organisation pour rester inform\u00e9 et faire partie d&rsquo;un groupe de personnes passionn\u00e9es qui s&rsquo;engagent \u00e0 am\u00e9liorer la vie de ceux qui font partie de la communaut\u00e9 ECD.<\/p>\n<p>Pourquoi devriez-vous rejoindre notre communaut\u00e9 ?<\/p>\n<ul>\n<li>Restez inform\u00e9 de ce qui se passe au sein de la communaut\u00e9 en fonction de vos centres d&rsquo;int\u00e9r\u00eat.<\/li>\n<li>Tenez-vous au courant des derni\u00e8res d\u00e9couvertes scientifiques, y compris des nouvelles informations concernant les traitements et la gestion des ECD.<\/li>\n<li>Rencontrez d&rsquo;autres personnes qui partagent vos int\u00e9r\u00eats et vos exp\u00e9riences.<\/li>\n<li>Impliquez-vous pour faire une diff\u00e9rence positive dans la vie de tous ceux qui sont concern\u00e9s par le d\u00e9veloppement du jeune enfant.<\/li>\n<li>C&rsquo;est rapide, facile et gratuit !<\/li>\n<\/ul>\n<p>Les patients et les membres de leur famille peuvent prendre des mesures positives pour apprendre \u00e0 mieux vivre avec l&rsquo;ECD en adh\u00e9rant \u00e0 l&rsquo;ECDGA.<\/p>\n<p>Les soignants et les amis peuvent manifester leur soutien et en apprendre davantage sur l&rsquo;ECD en adh\u00e9rant \u00e0 l&rsquo;ECDGA.<\/p>\n<p>Les m\u00e9decins et les scientifiques peuvent faire partie d&rsquo;un groupe collaboratif de professionnels hautement qualifi\u00e9s qui s&rsquo;efforcent d&rsquo;en savoir plus sur l&rsquo;ECD et de trouver les moyens de la traiter au mieux.<\/p>\n<p>Ne tardez pas, inscrivez-vous d\u00e8s aujourd&rsquo;hui !<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_1' style='display:none'><style>#gform_wrapper_1[data-form-index=\"0\"].gform-theme,[data-parent-form=\"1_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/fr\/wp-json\/wp\/v2\/pages\/22313' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_20\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>L'enregistrement suivant est destin\u00e9 \u00e0 :<\/h3><\/div><div id=\"field_1_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_6'>Type d&#039;individu<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_1_6' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Aide-soignant' >Aide-soignant<\/option><option value='Famille' >Famille<\/option><option value='Ami' >Ami<\/option><option value='Professionnel de la sant\u00e9' >Professionnel de la sant\u00e9<\/option><option value='Patient' >Patient<\/option><option value='Pharma' >Pharma<\/option><option value='\u00c0 la recherche d&#039;un diagnostic' >\u00c0 la recherche d&#039;un diagnostic<\/option><\/select><\/div><\/div><fieldset id=\"field_1_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_3'>Courriel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_1_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_1_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_33'>\n\t\t\t<div class='gchoice gchoice_1_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Num\u00e9ro de t\u00e9l\u00e9phone aux \u00c9tats-Unis'  id='choice_1_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_33_0' id='label_1_33_0' class='gform-field-label gform-field-label--type-inline'>Num\u00e9ro de t\u00e9l\u00e9phone aux \u00c9tats-Unis<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Num\u00e9ro de t\u00e9l\u00e9phone international'  id='choice_1_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_33_1' id='label_1_33_1' class='gform-field-label gform-field-label--type-inline'>Num\u00e9ro de t\u00e9l\u00e9phone international<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_4'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_1_4' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_32\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_32'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_32' id='input_1_32' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_26'>Nom de l&#039;institution\/de l&#039;h\u00f4pital\/de l&#039;employeur<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_1_26' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_5\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_1_5' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_5_1_container' >\n                                        <label for='input_1_5_1' id='input_1_5_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                        <input type='text' name='input_5.1' id='input_1_5_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_1_5_2_container' >\n                                        <label for='input_1_5_2' id='input_1_5_2_label' class='gform-field-label gform-field-label--type-sub '>Adresse ligne 2<\/label>\n                                        <input type='text' name='input_5.2' id='input_1_5_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_5_3_container' >\n                                    <label for='input_1_5_3' id='input_1_5_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_5.3' id='input_1_5_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_1_5_4_container' >\n                                        <label for='input_1_5_4' id='input_1_5_4_label' class='gform-field-label gform-field-label--type-sub '>\u00c9tat\/Province\/R\u00e9gion<\/label>\n                                        <input type='text' name='input_5.4' id='input_1_5_4' value=''      aria-required='true'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_1_5_5_container' >\n                                    <label for='input_1_5_5' id='input_1_5_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_5.5' id='input_1_5_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_1_5_6_container' >\n                                        <label for='input_1_5_6' id='input_1_5_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                        <select name='input_5.6' id='input_1_5_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><input type=\"hidden\" name=\"gpaa_place_5\" class=\"gform_hidden\" value=\"\"><\/fieldset><div id=\"field_1_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_7'>Genre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_1_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Femme' >Femme<\/option><option value='Homme' >Homme<\/option><option value='Inconnu' >Inconnu<\/option><\/select><\/div><\/div><div id=\"field_1_15\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_15'>Date de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_15' id='input_1_15' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_1_15_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_15_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_15' class='gform_hidden' value='https:\/\/www.erdheim-chester.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_9\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_9'>Date du diagnostic<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_1_9' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_1_9_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_9_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_9' class='gform_hidden' value='https:\/\/www.erdheim-chester.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_27\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_27'>Sp\u00e9cialit\u00e9 m\u00e9dicale<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_27'>Choisissez toutes les r\u00e9ponses qui s'appliquent. Conseil : Pour s\u00e9lectionner plusieurs options, maintenez la touche \"CTRL\" (Windows) ou la touche \"Commande\" (Mac) enfonc\u00e9e tout en cliquant sur vos choix. <\/div><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_27[]' id='input_1_27' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" aria-describedby=\"gfield_description_1_27\"><option value='Administrateur' >Administrateur<\/option><option value='Surr\u00e9nales' >Surr\u00e9nales<\/option><option value='Avocat' >Avocat<\/option><option value='Vieillissement' >Vieillissement<\/option><option value='Pathologie anatomique et clinique' >Pathologie anatomique et clinique<\/option><option value='Anesth\u00e9siste' >Anesth\u00e9siste<\/option><option value='Maladies auto-immunes' >Maladies auto-immunes<\/option><option value='Bioinfomatique' >Bioinfomatique<\/option><option value='Sp\u00e9cialiste des greffes de sang et de moelle' >Sp\u00e9cialiste des greffes de sang et de moelle<\/option><option value='M\u00e9tabolisme osseux et min\u00e9ral' >M\u00e9tabolisme osseux et min\u00e9ral<\/option><option value='Cardiologue' >Cardiologue<\/option><option value='Endocrinologie cardiovasculaire' >Endocrinologie cardiovasculaire<\/option><option value='Immunologue clinique' >Immunologue clinique<\/option><option value='Travailleur social clinique' >Travailleur social clinique<\/option><option value='Dermatologue' >Dermatologue<\/option><option value='Sp\u00e9cialiste des troubles du d\u00e9veloppement' >Sp\u00e9cialiste des troubles du d\u00e9veloppement<\/option><option value='D\u00e9veloppement de m\u00e9dicaments' >D\u00e9veloppement de m\u00e9dicaments<\/option><option value='Endocrinologue' >Endocrinologue<\/option><option value='ENT' >ENT<\/option><option value='\u00c9pid\u00e9miologiste' >\u00c9pid\u00e9miologiste<\/option><option value='M\u00e9decine familiale' >M\u00e9decine familiale<\/option><option value='Sant\u00e9 et biologie de la reproduction f\u00e9minine' >Sant\u00e9 et biologie de la reproduction f\u00e9minine<\/option><option value='Conseiller financier' >Conseiller financier<\/option><option value='Gastro-ent\u00e9rologie' >Gastro-ent\u00e9rologie<\/option><option value='Th\u00e9rapie g\u00e9nique' >Th\u00e9rapie g\u00e9nique<\/option><option value='M\u00e9decin g\u00e9n\u00e9raliste' >M\u00e9decin g\u00e9n\u00e9raliste<\/option><option value='G\u00e9n\u00e9tique' >G\u00e9n\u00e9tique<\/option><option value='Disparit\u00e9s et \u00e9quit\u00e9 en mati\u00e8re de sant\u00e9' >Disparit\u00e9s et \u00e9quit\u00e9 en mati\u00e8re de sant\u00e9<\/option><option value='H\u00e9matologue' >H\u00e9matologue<\/option><option value='H\u00e9matopathologiste' >H\u00e9matopathologiste<\/option><option value='Histiocytose' >Histiocytose<\/option><option value='HLH' >HLH<\/option><option value='G\u00e9n\u00e9tique humaine' >G\u00e9n\u00e9tique humaine<\/option><option value='Immunologue' >Immunologue<\/option><option value='Soins intensifs' >Soins intensifs<\/option><option value='M\u00e9decine interne' >M\u00e9decine interne<\/option><option value='Radiologue interventionnel' >Radiologue interventionnel<\/option><option value='Sant\u00e9 et biologie de la reproduction masculine' >Sant\u00e9 et biologie de la reproduction masculine<\/option><option value='Formation m\u00e9dicale et communication' >Formation m\u00e9dicale et communication<\/option><option value='Biologie mol\u00e9culaire' >Biologie mol\u00e9culaire<\/option><option value='Pathologie g\u00e9n\u00e9tique mol\u00e9culaire' >Pathologie g\u00e9n\u00e9tique mol\u00e9culaire<\/option><option value='N\u00e9phrologue' >N\u00e9phrologue<\/option><option value='Neurologue' >Neurologue<\/option><option value='Neurochirurgien' >Neurochirurgien<\/option><option value='M\u00e9decine nucl\u00e9aire' >M\u00e9decine nucl\u00e9aire<\/option><option value='Infirmi\u00e8re' >Infirmi\u00e8re<\/option><option value='Infirmi\u00e8re praticienne' >Infirmi\u00e8re praticienne<\/option><option value='La nutrition' >La nutrition<\/option><option value='Ob\u00e9sit\u00e9' >Ob\u00e9sit\u00e9<\/option><option value='Ergoth\u00e9rapeute' >Ergoth\u00e9rapeute<\/option><option value='Oncologue' >Oncologue<\/option><option value='Ophtalmologue' >Ophtalmologue<\/option><option value='Chirurgie orale et maxillo-faciale' >Chirurgie orale et maxillo-faciale<\/option><option value='Chirurgien orthop\u00e9dique' >Chirurgien orthop\u00e9dique<\/option><option value='OT' >OT<\/option><option value='Pathologiste' >Pathologiste<\/option><option value='Coordinateur de l&#039;acc\u00e8s aux patients' >Coordinateur de l&#039;acc\u00e8s aux patients<\/option><option value='Superviseur de la navigation des patients' >Superviseur de la navigation des patients<\/option><option value='P\u00e9diatre' >P\u00e9diatre<\/option><option value='Pharma' >Pharma<\/option><option value='Repr\u00e9sentant pharmaceutique\/scientifique' >Repr\u00e9sentant pharmaceutique\/scientifique<\/option><option value='Chirurgie plastique' >Chirurgie plastique<\/option><option value='Psychologue' >Psychologue<\/option><option value='Pneumologue' >Pneumologue<\/option><option value='Radiologue' >Radiologue<\/option><option value='Renvoi' >Renvoi<\/option><option value='Assistant de recherche' >Assistant de recherche<\/option><option value='Conformit\u00e9 de la recherche' >Conformit\u00e9 de la recherche<\/option><option value='Services d&#039;information sur la recherche' >Services d&#039;information sur la recherche<\/option><option value='Chercheur' >Chercheur<\/option><option value='R\u00e9sident' >R\u00e9sident<\/option><option value='Rhumatologue' >Rhumatologue<\/option><option value='Travailleur social' >Travailleur social<\/option><option value='Personnel' >Personnel<\/option><option value='Chirurgien' >Chirurgien<\/option><option value='Thyro\u00efde' >Thyro\u00efde<\/option><option value='M\u00e9decine transgenre' >M\u00e9decine transgenre<\/option><option value='N\u00e9phrologie de transplantation' >N\u00e9phrologie de transplantation<\/option><option value='Acc\u00e8s au traitement' >Acc\u00e8s au traitement<\/option><option value='Inconnu' >Inconnu<\/option><option value='Urologue' >Urologue<\/option><\/select><\/div><\/div><div id=\"field_1_17\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_17'>Langues parl\u00e9es<\/label><div class='gfield_description' id='gfield_description_1_17'>Choisissez toutes les r\u00e9ponses qui s'appliquent. Conseil : Pour s\u00e9lectionner plusieurs options, maintenez la touche \"CTRL\" (Windows) ou la touche \"Commande\" (Mac) enfonc\u00e9e tout en cliquant sur vos choix. <\/div><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_17[]' id='input_1_17' class='large gfield_select'   aria-invalid=\"false\"  aria-describedby=\"gfield_description_1_17\"><option value='Anglais' >Anglais<\/option><option value='Afrikaans' >Afrikaans<\/option><option value='Albanais' >Albanais<\/option><option value='L&#039;arabe' >L&#039;arabe<\/option><option value='Arm\u00e9nien' >Arm\u00e9nien<\/option><option value='Basque' >Basque<\/option><option value='Bengali' >Bengali<\/option><option value='Bulgare' >Bulgare<\/option><option value='Catalan' >Catalan<\/option><option value='Cambodgien' >Cambodgien<\/option><option value='Chinois (mandarin)' >Chinois (mandarin)<\/option><option value='Croate' >Croate<\/option><option value='Tch\u00e8que' >Tch\u00e8que<\/option><option value='Danois' >Danois<\/option><option value='N\u00e9erlandais' >N\u00e9erlandais<\/option><option value='Anglais' >Anglais<\/option><option value='Estonien' >Estonien<\/option><option value='Fidji' >Fidji<\/option><option value='Finlandais' >Finlandais<\/option><option value='Fran\u00e7ais' >Fran\u00e7ais<\/option><option value='G\u00e9orgien' >G\u00e9orgien<\/option><option value='Allemand' >Allemand<\/option><option value='Grecque' >Grecque<\/option><option value='Gujarati' >Gujarati<\/option><option value='H\u00e9breu' >H\u00e9breu<\/option><option value='Hindi' >Hindi<\/option><option value='Hongrois' >Hongrois<\/option><option value='islandais' >islandais<\/option><option value='Indon\u00e9sien' >Indon\u00e9sien<\/option><option value='Irlandais' >Irlandais<\/option><option value='Italien' >Italien<\/option><option value='Japonais' >Japonais<\/option><option value='Javanais' >Javanais<\/option><option value='Cor\u00e9en' >Cor\u00e9en<\/option><option value='Latin' >Latin<\/option><option value='Letton' >Letton<\/option><option value='Lituanien' >Lituanien<\/option><option value='Mac\u00e9donien' >Mac\u00e9donien<\/option><option value='Malais' >Malais<\/option><option value='Malayalam' >Malayalam<\/option><option value='Maltais' >Maltais<\/option><option value='Maori' >Maori<\/option><option value='Marathi' >Marathi<\/option><option value='Mongol' >Mongol<\/option><option value='N\u00e9palais' >N\u00e9palais<\/option><option value='Norv\u00e9gien' >Norv\u00e9gien<\/option><option value='Persan' >Persan<\/option><option value='Polonais' >Polonais<\/option><option value='Portugais' >Portugais<\/option><option value='Pendjabi' >Pendjabi<\/option><option value='Quechua' >Quechua<\/option><option value='Roumain' >Roumain<\/option><option value='Russie' >Russie<\/option><option value='Samoan' >Samoan<\/option><option value='Serbe' >Serbe<\/option><option value='Slovaque' >Slovaque<\/option><option value='Slov\u00e8ne' >Slov\u00e8ne<\/option><option value='Espagnol' >Espagnol<\/option><option value='Swahili' >Swahili<\/option><option value='Su\u00e9dois' >Su\u00e9dois<\/option><option value='Tamoul' >Tamoul<\/option><option value='Tatar' >Tatar<\/option><option value='Telugu' >Telugu<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='tib\u00e9tain' >tib\u00e9tain<\/option><option value='Tonga' >Tonga<\/option><option value='Turc' >Turc<\/option><option value='Ukrainien' >Ukrainien<\/option><option value='Urdu' >Urdu<\/option><option value='Ouzbek' >Ouzbek<\/option><option value='Vietnamien' >Vietnamien<\/option><option value='Gallois' >Gallois<\/option><option value='Xhosa' >Xhosa<\/option><\/select><\/div><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_8'>Langue pr\u00e9f\u00e9r\u00e9e<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_1_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Anglais' >Anglais<\/option><option value='Afrikaans' >Afrikaans<\/option><option value='Albanais' >Albanais<\/option><option value='L&#039;arabe' >L&#039;arabe<\/option><option value='Arm\u00e9nien' >Arm\u00e9nien<\/option><option value='Basque' >Basque<\/option><option value='Bengali' >Bengali<\/option><option value='Bulgare' >Bulgare<\/option><option value='Catalan' >Catalan<\/option><option value='Cambodgien' >Cambodgien<\/option><option value='Chinois (mandarin)' >Chinois (mandarin)<\/option><option value='Croate' >Croate<\/option><option value='Tch\u00e8que' >Tch\u00e8que<\/option><option value='Danois' >Danois<\/option><option value='N\u00e9erlandais' >N\u00e9erlandais<\/option><option value='Anglais' >Anglais<\/option><option value='Estonien' >Estonien<\/option><option value='Fidji' >Fidji<\/option><option value='Finlandais' >Finlandais<\/option><option value='Fran\u00e7ais' >Fran\u00e7ais<\/option><option value='G\u00e9orgien' >G\u00e9orgien<\/option><option value='Allemand' >Allemand<\/option><option value='Grecque' >Grecque<\/option><option value='Gujarati' >Gujarati<\/option><option value='H\u00e9breu' >H\u00e9breu<\/option><option value='Hindi' >Hindi<\/option><option value='Hongrois' >Hongrois<\/option><option value='islandais' >islandais<\/option><option value='Indon\u00e9sien' >Indon\u00e9sien<\/option><option value='Irlandais' >Irlandais<\/option><option value='Italien' >Italien<\/option><option value='Japonais' >Japonais<\/option><option value='Javanais' >Javanais<\/option><option value='Cor\u00e9en' >Cor\u00e9en<\/option><option value='Latin' >Latin<\/option><option value='Letton' >Letton<\/option><option value='Lituanien' >Lituanien<\/option><option value='Mac\u00e9donien' >Mac\u00e9donien<\/option><option value='Malais' >Malais<\/option><option value='Malayalam' >Malayalam<\/option><option value='Maltais' >Maltais<\/option><option value='Maori' >Maori<\/option><option value='Marathi' >Marathi<\/option><option value='Mongol' >Mongol<\/option><option value='N\u00e9palais' >N\u00e9palais<\/option><option value='Norv\u00e9gien' >Norv\u00e9gien<\/option><option value='Persan' >Persan<\/option><option value='Polonais' >Polonais<\/option><option value='Portugais' >Portugais<\/option><option value='Pendjabi' >Pendjabi<\/option><option value='Quechua' >Quechua<\/option><option value='Roumain' >Roumain<\/option><option value='Russie' >Russie<\/option><option value='Samoan' >Samoan<\/option><option value='Serbe' >Serbe<\/option><option value='Slovaque' >Slovaque<\/option><option value='Slov\u00e8ne' >Slov\u00e8ne<\/option><option value='Espagnol' >Espagnol<\/option><option value='Swahili' >Swahili<\/option><option value='Su\u00e9dois' >Su\u00e9dois<\/option><option value='Tamoul' >Tamoul<\/option><option value='Tatar' >Tatar<\/option><option value='Telugu' >Telugu<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='tib\u00e9tain' >tib\u00e9tain<\/option><option value='Tonga' >Tonga<\/option><option value='Turc' >Turc<\/option><option value='Ukrainien' >Ukrainien<\/option><option value='Urdu' >Urdu<\/option><option value='Ouzbek' >Ouzbek<\/option><option value='Vietnamien' >Vietnamien<\/option><option value='Gallois' >Gallois<\/option><option value='Xhosa' >Xhosa<\/option><\/select><\/div><\/div><div id=\"field_1_28\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_28'>Nombre de patients ECD vus (par le clinicien)<\/label><div class='ginput_container ginput_container_number'><input name='input_28' id='input_1_28' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_1_10\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_10'>Nom du\/des m\u00e9decin(s) du patient<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_1_10' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_11\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_11'>Coordonn\u00e9es du(des) m\u00e9decin(s) du patient<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_1_11' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_12\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Traitements<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_12'>Choisissez toutes les r\u00e9ponses qui s'appliquent. Conseil : Pour s\u00e9lectionner plusieurs options, maintenez la touche \"CTRL\" (Windows) ou la touche \"Commande\" (Mac) enfonc\u00e9e tout en cliquant sur vos choix. <\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_12'><div class='gchoice gchoice_1_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='M\u00e9dicaments anti-inflammatoires (Anakinra Actemra Remicade Etc.)'  id='choice_1_12_1'   aria-describedby=\"gfield_description_1_12\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_1' id='label_1_12_1' class='gform-field-label gform-field-label--type-inline'>M\u00e9dicaments anti-inflammatoires (Anakinra Actemra Remicade Etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.2' type='checkbox'  value='Inhibiteurs BRAF et MEK (Zelboraf Tafinlar Mekinist Cotellic Etc.)'  id='choice_1_12_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_2' id='label_1_12_2' class='gform-field-label gform-field-label--type-inline'>Inhibiteurs BRAF et MEK (Zelboraf Tafinlar Mekinist Cotellic Etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.3' type='checkbox'  value='Chimioth\u00e9rapie (Cladribine Clofarabine Etc.)'  id='choice_1_12_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_3' id='label_1_12_3' class='gform-field-label gform-field-label--type-inline'>Chimioth\u00e9rapie (Cladribine Clofarabine Etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.4' type='checkbox'  value='Immunosuppresseurs (Rapamune Cellcept Imurane Methotrexate Etc.)'  id='choice_1_12_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_4' id='label_1_12_4' class='gform-field-label gform-field-label--type-inline'>Immunosuppresseurs (Rapamune Cellcept Imurane Methotrexate Etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.5' type='checkbox'  value='Immunoth\u00e9rapie (interf\u00e9ron, etc.)'  id='choice_1_12_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_5' id='label_1_12_5' class='gform-field-label gform-field-label--type-inline'>Immunoth\u00e9rapie (interf\u00e9ron, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.6' type='checkbox'  value='Pas de traitement'  id='choice_1_12_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_6' id='label_1_12_6' class='gform-field-label gform-field-label--type-inline'>Pas de traitement<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_12_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.7' type='checkbox'  value='St\u00e9ro\u00efdes (p. ex. Prednisone, etc.)'  id='choice_1_12_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_12_7' id='label_1_12_7' class='gform-field-label gform-field-label--type-inline'>St\u00e9ro\u00efdes (p. ex. Prednisone, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_16'>Statut de mutation<\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_1_16' class='large gfield_select'     aria-invalid=\"false\" ><option value='BRAF V600 E' >BRAF V600 E<\/option><option value='MAP2K1' >MAP2K1<\/option><option value='NRAS' >NRAS<\/option><option value='Je n&#039;ai PAS \u00e9t\u00e9 test\u00e9 pour une mutation.' >Je n&#039;ai PAS \u00e9t\u00e9 test\u00e9 pour une mutation.<\/option><option value='J&#039;ai fait des tests, mais aucune mutation n&#039;a \u00e9t\u00e9 trouv\u00e9e.' >J&#039;ai fait des tests, mais aucune mutation n&#039;a \u00e9t\u00e9 trouv\u00e9e.<\/option><\/select><\/div><\/div><fieldset id=\"field_1_24\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom du patient<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_24'>\n                            \n                            <span id='input_1_24_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_24_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_24.3' id='input_1_24_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_1_24_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_24_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_24.6' id='input_1_24_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_36\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_36'>Courriel du patient<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_36' id='input_1_36' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_1_36\" \/>\n                        <\/div><div class='gfield_description' id='gfield_description_1_36'>Si le patient n'a pas d'adresse \u00e9lectronique, veuillez ajouter votre adresse \u00e9lectronique en tant que soignant.<\/div><\/div><div id=\"field_1_25\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_25'>Date de naissance du patient<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_25' id='input_1_25' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_1_25_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_25_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_25' class='gform_hidden' value='https:\/\/www.erdheim-chester.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_23'>Votre relation avec le patient.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_1_23' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Vous souhaitez rejoindre le r\u00e9seau de centres de soins de r\u00e9f\u00e9rence ECD?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_29'>\n\t\t\t<div class='gchoice gchoice_1_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Oui'  id='choice_1_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_0' id='label_1_29_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Non'  id='choice_1_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_1' id='label_1_29_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_13'>Commentaires<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_1_13' class='textarea large'    placeholder='Toute remarque ou commentaire sur la mani\u00e8re dont nous pouvons vous aider au mieux.' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_22\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_22'>Date du jour<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_22' id='input_1_22' type='text' value='06\/03\/2026' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='06\/03\/2026' aria-describedby=\"input_1_22_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_22_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_22' class='gform_hidden' value='https:\/\/www.erdheim-chester.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_35'>URL de la page source<\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_35' id='input_1_35' type='text' value='https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/pages\/22313' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_34\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_34'>CAPTCHA<\/label><div id='input_1_34' class='ginput_container ginput_recaptcha' data-sitekey='6LfhQ2wpAAAAAIT2_BGV64BPz8p9O7_76bM_tz2s'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='DHAD2Q+yFSIjsoxyuYV+jekNnnhqGVeiTjLEYKUV\/vAuM+yg5JPceMeRKxerFDIJXTub2IxzpQF1LB2sAAvz983wPD9WF\/1AfnfeE2G\/h2GM0Qg=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 1, 'https:\/\/www.erdheim-chester.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_1').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_1');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_1').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_1').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_1').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_1').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_1').val();gformInitSpinner( 1, 'https:\/\/www.erdheim-chester.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery(document).trigger('gform_page_loaded', [1, current_page]);window['gf_submitting_1'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_1').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [1]);window['gf_submitting_1'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_1').text());}else{jQuery('#gform_1').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"1\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_1\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_1\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_1\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 1, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\n<p>[\/et_pb_text][et_pb_text disabled_on=\u00a0\u00bboff|off|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb||21px|||\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<h3>Rejoignez l&rsquo;Alliance mondiale ECD !<\/h3>\n<p>Nous vous remercions d&rsquo;envisager de vous inscrire aupr\u00e8s de notre organisation. Les membres de l&rsquo;ECDGA forment une communaut\u00e9 de personnes qui s&rsquo;unissent pour lutter contre cette maladie un jour apr\u00e8s l&rsquo;autre.<\/p>\n<p><strong>Pourquoi rejoindre l&rsquo;Alliance mondiale pour le DPE ?<\/strong><\/p>\n<ul>\n<li>L&rsquo;autonomisation : \u00ab\u00a0Seul, nous sommes rares. Ensemble, nous sommes forts. &#8211; Organisation nationale des maladies rares (NORD)<\/li>\n<li>Rencontrez d&rsquo;autres personnes : Sortez de l&rsquo;isolement et faites-vous de nouveaux amis.<\/li>\n<li>Trouvez les derni\u00e8res informations sur les traitements : Nouveaux traitements, astuces et informations disponibles aupr\u00e8s de l&rsquo;organisation et de ses membres.<\/li>\n<li>Amusez-vous : Entourez-vous de personnes qui \u00ab\u00a0comprennent\u00a0\u00bb et trouvez des moyens d&rsquo;incorporer ce que vous aimez dans la recherche d&rsquo;un rem\u00e8de.<\/li>\n<li>Acqu\u00e9rir de nouvelles comp\u00e9tences : Les possibilit\u00e9s de b\u00e9n\u00e9volat sont illimit\u00e9es.<\/li>\n<li>Acc\u00e9dez aux experts : L&rsquo;organisation vous permet d&rsquo;acc\u00e9der aux experts de ECD.<\/li>\n<li>Aidez les autres : \u00ab\u00a0Soyez le changement que vous voulez voir dans le monde\u00a0\u00bb.<\/li>\n<li>\u00c9liminez un obstacle dans votre vie : Trouvez un moyen de rendre votre vie et celle des autres plus facile.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_image src=\u00a0\u00bbhttps:\/\/www.erdheim-chester.org\/wp-content\/uploads\/2024\/01\/shutterstock_635793713.jpg\u00a0\u00bb disabled_on=\u00a0\u00bboff|off|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text disabled_on=\u00a0\u00bboff|off|on\u00a0\u00bb admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Nous sommes convaincus que la voix de la communaut\u00e9 d&rsquo;Erdheim-Chester devient plus forte lorsque nous nous unissons tous. Nous vous invitons \u00e0 rejoindre la communaut\u00e9 d\u00e8s aujourd&rsquo;hui.<\/p>\n<p>Que vous ou un proche ayez \u00e9t\u00e9 r\u00e9cemment diagnostiqu\u00e9 avec la maladie d&rsquo;Erdheim-Chester, que vous soyez scientifique ou m\u00e9decin, ou que vous soyez int\u00e9ress\u00e9 par le travail de l&rsquo;Alliance mondiale ECD, vous pouvez rejoindre l&rsquo;organisation pour rester inform\u00e9 et faire partie d&rsquo;un groupe de personnes passionn\u00e9es qui s&rsquo;engagent \u00e0 am\u00e9liorer la vie de ceux qui font partie de la communaut\u00e9 ECD.<\/p>\n<p>Pourquoi devriez-vous rejoindre notre communaut\u00e9 ?<\/p>\n<ul>\n<li>Restez inform\u00e9 de ce qui se passe au sein de la communaut\u00e9 en fonction de vos centres d&rsquo;int\u00e9r\u00eat.<\/li>\n<li>Tenez-vous au courant des derni\u00e8res d\u00e9couvertes scientifiques, y compris des nouvelles informations concernant les traitements et la gestion des ECD.<\/li>\n<li>Rencontrez d&rsquo;autres personnes qui partagent vos int\u00e9r\u00eats et vos exp\u00e9riences.<\/li>\n<li>Impliquez-vous pour faire une diff\u00e9rence positive dans la vie de tous ceux qui sont concern\u00e9s par le d\u00e9veloppement du jeune enfant.<\/li>\n<li>C&rsquo;est rapide, facile et gratuit !<\/li>\n<\/ul>\n<p>Les patients et les membres de leur famille peuvent prendre des mesures positives pour apprendre \u00e0 mieux vivre avec l&rsquo;ECD en adh\u00e9rant \u00e0 l&rsquo;ECDGA.<\/p>\n<p>Les soignants et les amis peuvent manifester leur soutien et en apprendre davantage sur l&rsquo;ECD en adh\u00e9rant \u00e0 l&rsquo;ECDGA.<\/p>\n<p>Les m\u00e9decins et les scientifiques peuvent faire partie d&rsquo;un groupe collaboratif de professionnels hautement qualifi\u00e9s qui s&rsquo;efforcent d&rsquo;en savoir plus sur l&rsquo;ECD et de trouver les moyens de la traiter au mieux.<\/p>\n<p>Ne tardez pas, inscrivez-vous d\u00e8s aujourd&rsquo;hui !<\/p>\n<p>[\/et_pb_text][et_pb_video src=\u00a0\u00bbhttps:\/\/www.erdheim-chester.org\/wp-content\/uploads\/2025\/05\/Bringing-Hope.mp4&Prime; disabled_on=\u00a0\u00bboff|off|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_video][et_pb_video src=\u00a0\u00bbhttps:\/\/www.erdheim-chester.org\/wp-content\/uploads\/2025\/05\/Bringing-Hope.mp4&Prime; disabled_on=\u00a0\u00bboff|off|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_video][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_dmb_breadcrumbs _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb body_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb body_font_size=\u00a0\u00bb12px\u00a0\u00bb link_text_color=\u00a0\u00bb#35A4BB\u00a0\u00bb custom_margin=\u00a0\u00bb||5px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb12px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb10px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_dmb_breadcrumbs]Rejoignez l&rsquo;Alliance mondiale ECD ! Nous vous remercions d&rsquo;envisager de vous inscrire aupr\u00e8s de notre organisation. Les membres de [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_wds_title":"","_wds_metadesc":"","_wds_focus-keywords":"","_wds_meta-robots-adv":"","_wds_meta-robots-noindex":false,"_wds_meta-robots-nofollow":false,"_wds_meta-robots-index":false,"_wds_meta-robots-follow":false,"_wds_autolinks-exclude":false,"_wds_canonical":"","_wds_redirect":"","_wds_opengraph":[],"_wds_twitter":[],"cybocfi_hide_featured_image":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-22313","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/pages\/22313","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/comments?post=22313"}],"version-history":[{"count":0,"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/pages\/22313\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erdheim-chester.org\/fr\/wp-json\/wp\/v2\/media?parent=22313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}