{"id":187,"date":"2019-01-31T12:52:31","date_gmt":"2019-01-31T12:52:31","guid":{"rendered":"http:\/\/myopinion.be\/?page_id=240"},"modified":"2019-03-07T16:12:46","modified_gmt":"2019-03-07T15:12:46","slug":"register","status":"publish","type":"page","link":"https:\/\/myopinion.be\/fr\/register\/","title":{"rendered":"Inscription"},"content":{"rendered":"\n\n<form name=\"form-register\"\n      id=\"form-register\"\n      class=\"form-register\"\n      action=\"\"\n      method=\"post\"\n      accept-charset=\"UTF-8\">\n\n    <p style=\"font-size: 15px !important\">Nous avons maintenant seulement besoin des informations suivantes de votre part.<br><br><\/p>\n\n    <div class=\"row\">\n        <div class=\"col-6\">\n            <p>Habitez-vous ou avez-vous une r\u00e9sidence valide en Belgique ?<\/p>\n            <div class=\"row\">\n                <div class=\"col-2\">\n                    <input type=\"radio\" id=\"belgianYes\" name=\"belgian\" value=\"belgianYes\" data-validation=\"required\"\n                           data-validation-error-msg=\"Ce champ est obligatoire\" >\n                    <label for=\"belgianYes\"><span>Oui<\/span><\/label>\n                <\/div>\n                <div class=\"col-2\">\n                    <input type=\"radio\" id=\"belgianNo\" name=\"belgian\" value=\"belgianNo\" data-validation=\"required\"\n                           data-validation-error-msg=\"Ce champ est obligatoire\">\n                    <label for=\"belgianNo\"><span>Non<\/span><\/label>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row sex-check\">\n        <div class=\"col-auto\">\n            <label for=\"vrouw\"\n                   class=\"text-center checkcontainer\">\n                <input type=\"radio\"\n                       id=\"vrouw\"\n                       name=\"sex\"\n                       value=\"0\"\n                       class=\"d-none\" checked>\n                <img src=\"https:\/\/myopinion.be\/wp-content\/themes\/profacts\/assets\/images\/content\/vrouw.png\">\n                <small class=\"form-text\">femme<\/small>\n                <span class=\"checkcontainer-bg\"><\/span>\n            <\/label>\n        <\/div>\n        <div class=\"col-auto\">\n            <label for=\"man\" class=\"text-center checkcontainer\">\n                <input type=\"radio\" id=\"man\" name=\"sex\" value=\"1\" class=\"d-none\">\n                <img src=\"https:\/\/myopinion.be\/wp-content\/themes\/profacts\/assets\/images\/content\/man.png\">\n                <small class=\"form-text\">homme<\/small>\n                <span class=\"checkcontainer-bg\"><\/span>\n            <\/label>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-md-6\">\n            <div class=\"form-group\">\n                <label for=\"voornaam\">Pr\u00e9nom:<\/label>\n                <input type=\"text\"\n                       name=\"firstname\"\n                       class=\"form-control\"\n                       id=\"voornaam\"\n                       size=\"65\"\n                       maxlength=\"50\"\n                       placeholder=\"Maria\"\n                       data-validation=\"required\"\n                       data-validation-error-msg=\"Ce champ est obligatoire\">\n            <\/div>\n        <\/div>\n        <div class=\"col-md-6\">\n            <div class=\"form-group\">\n                <label for=\"familienaam\">Nom de famille:<\/label>\n                <input type=\"text\"\n                       name=\"lastname\"\n                       class=\"form-control\"\n                       id=\"familienaam\"\n                       size=\"65\"\n                       maxlength=\"50\"\n                       placeholder=\"Visser\"\n                       data-validation=\"required\"\n                       data-validation-error-msg=\"Ce champ est obligatoire\">\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-md-6\">\n            <div class=\"form-group\">\n                <label for=\"geboortedatum\">Date de naissance:<\/label>\n                <input type=\"text\"\n                       name=\"dob\"\n                       class=\"form-control\"\n                       id=\"geboortedatum\"\n                       size=\"65\"\n                       placeholder=\"21\/08\/1983\"\n                       data-validation=\"required date10\"\n                       data-inputmask-alias=\"datetime\"\n                       data-inputmask-inputformat=\"dd\/mm\/yyyy\"\n                       maxlength=\"10\"\n                       data-validation-error-msg=\"Ce champ est obligatoire\">\n            <\/div>\n        <\/div>\n        <div class=\"col-md-6\">\n            <div class=\"form-group\">\n                <label for=\"huisnummer\">Adresse<\/label>\n                <input type=\"text\"\n                       name=\"address\"\n                       class=\"form-control\"\n                       id=\"huisnummer\"\n                       placeholder=\"Waterlooplein 26-2\"\n                       size=\"65\"\n                       maxlength=\"50\"\n                       data-validation=\"required\"\n                       data-validation-error-msg=\"Ce champ est obligatoire\">\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-md-6\">\n            <div class=\"form-group\">\n                <label for=\"postcode\">Code postal: <\/label>\n                <input type=\"text\"\n                       name=\"postcode\"\n                       class=\"form-control\"\n                       id=\"postcode\"\n                       size=\"65\"\n                       placeholder=\"1234\"\n                       data-inputmask=\"'mask': '9999'\"\n                       data-validation=\"required min4\"\n                       data-validation-error-msg=\"Ce champ est obligatoire\">\n            <\/div>\n        <\/div>\n        <div class=\"col-md-6\">\n            <div class=\"form-group\">\n                <label for=\"stad\">Ville:<\/label>\n                <input type=\"text\"\n                       name=\"city\"\n                       class=\"form-control\"\n                       id=\"stad\"\n                       size=\"65\"\n                       placeholder=\"Brussel\"\n                       maxlength=\"50\"\n                       data-validation=\"required\"\n                       data-validation-error-msg=\"Ce champ est obligatoire\">\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-md-6\">\n            <div class=\"form-group\">\n                <label for=\"email\">Email:<\/label>\n                <input type=\"email\"\n                       class=\"form-control\"\n                       id=\"email\"\n                       size=\"65\"\n                       maxlength=\"50\"\n                       name=\"email\"\n                       data-validation=\"email\"\n                       data-validation-error-msg=\"Cette adresse Email n'est pas correcte\"\n                       placeholder=\"voorbeeld@mail.com\">\n            <\/div>\n        <\/div>\n        <div class=\"col-md-6\">\n            <div class=\"form-group\">\n                <label for=\"confirm-email\">Confirmez votre adresse Email:<\/label>\n                <input type=\"email\"\n                       class=\"form-control\"\n                       id=\"confirm-email\"\n                       size=\"65\"\n                       placeholder=\"voorbeeld@mail.com\"\n                       maxlength=\"50\"\n                       data-validation=\"confirmation\"\n                       data-validation-error-msg=\"Les adresses Email ne correspondent pas\"\n                       data-validation-confirm=\"email\">\n                <small id=\"emailHelp\"\n                       class=\"form-text text-muted\">Veuillez r\u00e9introduire votre adresse Email afin de confirmer qu'elle est exacte.<\/small>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-md-6\">\n            <div class=\"form-group\">\n                <label for=\"user_pass\">Mot de passe pour MyOpinion:<\/label>\n                <input type=\"password\"\n                       class=\"form-control\"\n                       id=\"user_pass\"\n                       size=\"65\"\n                       autocomplete=\"user_pass\"\n                       data-validation-length=\"min7\"\n                       name=\"pwd\"\n                       data-validation=\"password_complexity\"\n                       data-validation-strength=\"2\">\n                <small id=\"passwordHelp\"\n                       class=\"form-text text-muted\">Le mot de passe doit contenir des lettres et des chiffres et se composer d'un minimum de sept caract\u00e8res.<\/small>\n            <\/div>\n        <\/div>\n        <div class=\"col-md-6\">\n            <div class=\"form-group\">\n                <label for=\"confirm-password\">Confirmez votre mot de passe:<\/label>\n                <input type=\"password\"\n                       class=\"form-control\"\n                       id=\"confirm-password\"\n                       autocomplete=\"user_pass\"\n                       size=\"65\"\n                       data-validation=\"confirmation\"\n                       data-validation-error-msg=\"Les mots de passe ne correspondent pas\"\n                       data-validation-confirm=\"pwd\">\n                <small id=\"confirm-passwordHelp\"\n                       class=\"form-text text-muted\">Veuillez r\u00e9introduire votre mot de passe afin de confirmer qu'il est exact.<\/small>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row terms-and-conditions\">\n        <div class=\"col-12\">\n            <div class=\"d-flex justify-content-start\">\n                <label class=\"d-flex align-items-center flex-wrap\">\n                    <input type=\"checkbox\"\n                           id=\"terms-and-conditions\"\n                           name=\"terms-and-conditions\"\n                           value=\"1\"\n                           data-validation=\"required\"\n                           data-validation-error-msg=\"Ce champ est obligatoire\">\n                    <span>Je suis d'accord avec les <a href=\"\/fr\/terms\" target=\"_blank\">conditions g\u00e9n\u00e9rales<\/a><\/span>\n                <\/label>\n            <\/div>\n        <\/div>\n        <div class=\"col-12\">\n            <div class=\"d-flex justify-content-start\">\n                <label class=\"d-flex align-items-center flex-wrap\">\n                    <input type=\"checkbox\"\n                           id=\"privacy-policy\"\n                           name=\"privacy-policy\"\n                           value=\"1\"\n                           data-validation=\"required\"\n                           data-validation-error-msg=\"Ce champ est obligatoire\">\n                    <span>Je suis d'accord avec la <a href=\"\/fr\/privacy\" target=\"_blank\">d\u00e9claration de confidentialit\u00e9<\/a><\/a><\/span>\n                <\/label>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <input type=\"hidden\" name=\"action\" value=\"register-user\"\/>\n\n    <button type=\"button\"\n            class=\"btn btn-primary btn-lg\"\n            title=\"Enregistrer \"\n            id=\"submit\"\n            disabled=\"disabled\">\n        <span>Enregistrer <\/span>\n    <\/button>\n<\/form>\n\n<script>\n    jQuery('#form-register').registration({\n        $form: '#form-register',\n        $btnSubmit: 'button#submit'\n    });\n<\/script>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"register.php","meta":[],"translation":{"provider":"WPGlobus","version":"2.8.11","language":"fr","enabled_languages":["nl","fr"],"languages":{"nl":{"title":true,"content":true,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/myopinion.be\/fr\/wp-json\/wp\/v2\/pages\/187"}],"collection":[{"href":"https:\/\/myopinion.be\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/myopinion.be\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/myopinion.be\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myopinion.be\/fr\/wp-json\/wp\/v2\/comments?post=187"}],"version-history":[{"count":3,"href":"https:\/\/myopinion.be\/fr\/wp-json\/wp\/v2\/pages\/187\/revisions"}],"predecessor-version":[{"id":611,"href":"https:\/\/myopinion.be\/fr\/wp-json\/wp\/v2\/pages\/187\/revisions\/611"}],"wp:attachment":[{"href":"https:\/\/myopinion.be\/fr\/wp-json\/wp\/v2\/media?parent=187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}