{"id":8562,"date":"2014-09-30T09:17:50","date_gmt":"2014-09-30T08:17:50","guid":{"rendered":"https:\/\/atelierduregard.ch\/fiche-client\/"},"modified":"2023-09-14T14:43:33","modified_gmt":"2023-09-14T13:43:33","slug":"fiche-client","status":"publish","type":"page","link":"https:\/\/atelierduregard.ch\/it\/fiche-client\/","title":{"rendered":"FICHE CLIENT"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#440024&#8243; da_disable_devices=&#8221;off|off|off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.22.1&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;37px&#8221; header_letter_spacing=&#8221;8px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\">FICHE CLIENT<\/span><\/h1>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/atelierduregard.ch\/wp-content\/uploads\/2023\/08\/logos-bas-page.png&#8221; title_text=&#8221;logos-bas-page&#8221; align=&#8221;center&#8221; _builder_version=&#8221;4.22.1&#8243; _module_preset=&#8221;default&#8221; width=&#8221;26%&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.22.1&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class='fluentform ff-default fluentform_wrapper_6 ffs_custom_wrap'><form data-form_id=\"6\" id=\"fluentform_6\" class=\"frm-fluent-form fluent_form_6 ff-el-form-top ff_form_instance_6_1 ff-form-loading ff-form-has-steps ffs_custom\" data-form_instance=\"ff_form_instance_6_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">FICHE CLIENT<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"6\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><input type='hidden' name='__fluent_form_embded_post_id' value='8562' \/><input type=\"hidden\" id=\"_fluentform_6_fluentformnonce\" name=\"_fluentform_6_fluentformnonce\" value=\"d21e55838e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/it\/wp-json\/wp\/v2\/pages\/8562\" \/><div class='ff-step-container' data-name=\"step_start-6_9\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"yes\" data-enable_step_page_resume=\"yes\" data-animation_type=\"slide\" data-progress_layout=\"top\" data-progress_indicator=\"progress-bar\" ><div class='ff-step-header ff-step-header--progress'><div class='ff-step-progress-wrap'><div class='ff-el-progress-status' aria-live='polite'><\/div><div class='ff-el-progress'><div role='progressbar' class='ff-el-progress-bar'><span><\/span><\/div><\/div><ul style='display: none' class='ff-el-progress-title'><li>Step 1<\/li><li>Step 2<\/li><\/ul><\/div><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-6_9\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"yes\" data-enable_step_page_resume=\"yes\" data-animation_type=\"slide\" data-progress_layout=\"top\" data-progress_indicator=\"progress-bar\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_1\" ><h3 class='ff-el-section-title'>IDENTIT\u00c9<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_names_first_name_' id='label_ff_6_names_first_name_' >Pr\u00e9nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_6_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div data-type=\"name-element\" data-name=\"names_2\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_names_2_last_name_' id='label_ff_6_names_2_last_name_' >Nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_2[last_name]\" id=\"ff_6_names_2_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address ff_map_autocomplete\" data-type=\"address-element\" data-name=\"address_1\" data-ff_with_auto_locate=\"no\" ><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_address_1_address_line_1_' id='label_ff_6_address_1_address_line_1_' aria-label=\"Adresse\">Adresse<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_6_address_1_address_line_1_\" class=\"ff-el-form-control\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_address_1_city_' id='label_ff_6_address_1_city_' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_6_address_1_city_\" class=\"ff-el-form-control\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_address_1_zip_' id='label_ff_6_address_1_zip_' aria-label=\"Code postal\">Code postal<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_6_address_1_zip_\" class=\"ff-el-form-control\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_address_1_country_' id='label_ff_6_address_1_country_' aria-label=\"Pays\">Pays<\/label><\/div><div class='ff-el-input--content'><select name=\"address_1[country]\" id=\"ff_6_address_1_country_\" class=\"ff-el-form-control\" placeholder=\"S\u00e9lectionner le pays\" data-key_name=\"country\" data-autocomplete_restrictions=\"[]\" aria-invalid='false' aria-required=false><option value=''>S\u00e9lectionner le pays<\/option><option value='AF' >Afganistan<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antartide<\/option><option value='AG' >Antigua e Barbuda<\/option><option value='SA' >Arabia Saudita<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaigian<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrein<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BE' >Belgio<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BY' >Bielorussia<\/option><option value='MM' >Birmania<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sant&#039;Eustazio e Saba<\/option><option value='BA' >Bosnia ed Erzegovina<\/option><option value='BW' >Botswana<\/option><option value='BR' >Brasile<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambogia<\/option><option value='CM' >Camerun<\/option><option value='CA' >Canada<\/option><option value='CV' >Capo Verde<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >Cina<\/option><option value='CY' >Cipro<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comore<\/option><option value='KR' >Corea del Sud<\/option><option value='KP' >Corea del nord<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >Costa d&#039;Avorio<\/option><option value='HR' >Croazia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='DK' >Danimarca<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egitto<\/option><option value='SV' >El Salvador<\/option><option value='AE' >Emirati Arabi Uniti<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Etiopia<\/option><option value='FJ' >Figi<\/option><option value='PH' >Filippine<\/option><option value='FI' >Finlandia<\/option><option value='FR' >Francia<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='GS' >Georgia del Sud\/Isole Sandwich<\/option><option value='DE' >Germania<\/option><option value='GH' >Ghana<\/option><option value='JM' >Giamaica<\/option><option value='JP' >Giappone<\/option><option value='GI' >Gibilterra<\/option><option value='DJ' >Gibuti<\/option><option value='JO' >Giordania<\/option><option value='GR' >Grecia<\/option><option value='GD' >Grenada<\/option><option value='GL' >Groenlandia<\/option><option value='GP' >Guadalupa<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea Bissau<\/option><option value='GQ' >Guinea Equatoriale<\/option><option value='GY' >Guyana<\/option><option value='GF' >Guyana francese<\/option><option value='HT' >Haiti<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='BT' >Il Bhutan<\/option><option value='PY' >Il Paraguay<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Irlanda<\/option><option value='IS' >Islanda<\/option><option value='BV' >Isola Bouvet<\/option><option value='NF' >Isola Norfolk<\/option><option value='IM' >Isola di Man<\/option><option value='CX' >Isola di Natale<\/option><option value='KY' >Isole Cayman<\/option><option value='CC' >Isole Cocos (Keeling)<\/option><option value='CK' >Isole Cook<\/option><option value='FK' >Isole Falkland<\/option><option value='FO' >Isole Faroe<\/option><option value='HM' >Isole Heard e McDonald<\/option><option value='MP' >Isole Marianne Settentrionali<\/option><option value='MH' >Isole Marshall<\/option><option value='SB' >Isole Salomone<\/option><option value='TC' >Isole Turks e Caicos<\/option><option value='VG' >Isole Vergini Britanniche<\/option><option value='VI' >Isole Vergini americane (USA)<\/option><option value='UM' >Isole minori esterne degli Stati Uniti (USA)<\/option><option value='AX' >Isole \u00c5land<\/option><option value='IL' >Israele<\/option><option value='IT' >Italia<\/option><option value='KZ' >Kazakistan<\/option><option value='KE' >Kenia<\/option><option value='KG' >Kirghizistan<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='IR' >L&#039;Iran<\/option><option value='NA' >La Namibia<\/option><option value='DM' >La dominica<\/option><option value='LA' >Laos<\/option><option value='SC' >Le Seychelles<\/option><option value='LS' >Lesoto<\/option><option value='LV' >Lettonia<\/option><option value='LB' >Libano<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libia<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lituania<\/option><option value='LU' >Lussemburgo<\/option><option value='MO' >Macao S.A.R., Cina<\/option><option value='MK' >Macedonia<\/option><option value='MG' >Madagascar<\/option><option value='JE' >Maglia<\/option><option value='YT' >Majotte<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldive<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MA' >Marocco<\/option><option value='MQ' >Martinica<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Maurizio<\/option><option value='MX' >Messico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldavia<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mozambico<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NO' >Norvegia<\/option><option value='NC' >Nuova Caledonia<\/option><option value='NZ' >Nuova Zelanda<\/option><option value='OM' >Oman<\/option><option value='NL' >Paesi Bassi<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua Nuova Guinea<\/option><option value='PE' >Per\u00f9<\/option><option value='PN' >Pitcairn<\/option><option value='PF' >Polinesia francese<\/option><option value='PL' >Polonia<\/option><option value='PT' >Portogallo<\/option><option value='PR' >Portorico<\/option><option value='QA' >Qatar<\/option><option value='GB' >Regno Unito (UK)<\/option><option value='CZ' >Repubblica Ceca<\/option><option value='CF' >Repubblica Centrafricana<\/option><option value='CD' >Repubblica Democratica del Congo (Kinshasa)<\/option><option value='DO' >Repubblica Dominicana<\/option><option value='CG' >Repubblica del Congo (Brazzaville)<\/option><option value='RE' >Riunione<\/option><option value='RO' >Romania<\/option><option value='RW' >Ruanda<\/option><option value='RU' >Russia<\/option><option value='EH' >Sahara Occidentale<\/option><option value='KN' >Saint Kitts e Nevis<\/option><option value='MF' >Saint Martin (parte francese)<\/option><option value='SX' >Saint Martin (parte olandese)<\/option><option value='PM' >Saint Pierre e Miquelon<\/option><option value='VC' >Saint Vincent e Grenadine<\/option><option value='BL' >Saint-Barth\u00e9lemy<\/option><option value='WS' >Samoa<\/option><option value='AS' >Samoa americane<\/option><option value='SM' >San Marino<\/option><option value='SH' >Sant&#039;Elena<\/option><option value='LC' >Santa Lucia<\/option><option value='ST' >Sao Tome e Principe<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SY' >Siria<\/option><option value='SK' >Slovacchia<\/option><option value='SI' >Slovenia<\/option><option value='SO' >Somalia<\/option><option value='ES' >Spagna<\/option><option value='LK' >Sri Lanka<\/option><option value='US' >Stati Uniti (USA)<\/option><option value='ZA' >Sudafrica<\/option><option value='SD' >Sudan<\/option><option value='SS' >Sudan del Sud<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard e Jan Mayen<\/option><option value='SE' >Svezia<\/option><option value='CH' >Svizzera<\/option><option value='TJ' >Tagikistan<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tanzania<\/option><option value='TF' >Territori francesi australi<\/option><option value='IO' >Territorio britannico dell&#039;Oceano Indiano<\/option><option value='PS' >Territorio palestinese<\/option><option value='TH' >Thailandia<\/option><option value='TL' >Timor Est<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad e Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UA' >Ucraina<\/option><option value='UG' >Uganda<\/option><option value='HU' >Ungheria<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vaticano<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis e Futuna<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_phone_1' id='label_ff_6_phone_1' aria-label=\"Mobile\">Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"phone_1\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"phone_1\" id=\"ff_6_phone_1\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_phone' id='label_ff_6_phone' aria-label=\"T\u00e9l\u00e9phone Priv\u00e9\">T\u00e9l\u00e9phone Priv\u00e9<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"phone\" id=\"ff_6_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_email' id='label_ff_6_email' aria-label=\"Courriel priv\u00e9\">Courriel priv\u00e9<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_6_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_input_text_11' id='label_ff_6_input_text_11' aria-label=\"Code postal bureau\">Code postal bureau<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_11\" class=\"ff-el-form-control\" data-name=\"input_text_11\" id=\"ff_6_input_text_11\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_input_text_12' id='label_ff_6_input_text_12' aria-label=\"Profession\">Profession<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_12\" class=\"ff-el-form-control\" data-name=\"input_text_12\" id=\"ff_6_input_text_12\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_datetime_2' id='label_ff_6_datetime_2' aria-label=\"Date de naissance\">Date de naissance<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date de naissance Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_2\" id=\"ff_6_datetime_2\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Date de naissance\" data-name=\"datetime_2\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Comment nous avez-vous connu ?\">Comment nous avez-vous connu ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_9d44ffb08ad21798e55ec43446669f28'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Google\"  id='checkbox_9d44ffb08ad21798e55ec43446669f28' aria-label='Google' aria-invalid='false' aria-required=false> <span>Google<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_a9f6391af090c8932ed4f0895a7e0b8f'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Instagram\"  id='checkbox_a9f6391af090c8932ed4f0895a7e0b8f' aria-label='Instagram' aria-invalid='false' aria-required=false> <span>Instagram<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_7490541cc4886b837a0fff30b6afa1a7'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Influenceurs\"  id='checkbox_7490541cc4886b837a0fff30b6afa1a7' aria-label='Influenceurs' aria-invalid='false' aria-required=false> <span>Influenceurs<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_f2745cdbd49b802795d5bef3acfc0f04'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Facebook\"  id='checkbox_f2745cdbd49b802795d5bef3acfc0f04' aria-label='Facebook' aria-invalid='false' aria-required=false> <span>Facebook<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_a1aede7faf6889b948da45c0670ec640'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Bouche \u00e0 oreille\"  id='checkbox_a1aede7faf6889b948da45c0670ec640' aria-label='Bouche \u00e0 oreille' aria-invalid='false' aria-required=false> <span>Bouche \u00e0 oreille<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_15762c9c4ec84153c7c522391cca368e'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Autres\"  id='checkbox_15762c9c4ec84153c7c522391cca368e' aria-label='Autres' aria-invalid='false' aria-required=false> <span>Autres<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_description' id='label_ff_6_description' aria-label=\"Une personne en particulier \u00e0 nous citer ?\">Une personne en particulier \u00e0 nous citer ?<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_6_description\" name=\"description\" id=\"ff_6_description\" class=\"ff-el-form-control\" rows=\"1\" cols=\"1\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_description_2' id='label_ff_6_description_2' aria-label=\"Lequel :\">Lequel :<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_6_description_2\" name=\"description_2\" id=\"ff_6_description_2\" class=\"ff-el-form-control\" rows=\"1\" cols=\"1\" data-name=\"description_2\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_description_1' id='label_ff_6_description_1' aria-label=\"Pr\u00e9ciser :\">Pr\u00e9ciser :<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_6_description_1\" name=\"description_1\" id=\"ff_6_description_1\" class=\"ff-el-form-control\" rows=\"1\" cols=\"1\" data-name=\"description_1\" ><\/textarea><\/div><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_2\" ><h3 class='ff-el-section-title'>SOINS<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Dans quel Atelier allez-vous effectuer votre traitement ?\">Dans quel Atelier allez-vous effectuer votre traitement ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_2e7d511cffe4c0e9c1cafb114e0408ac'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gen\u00e8ve Rh\u00f4ne\"  id='input_radio_27_2e7d511cffe4c0e9c1cafb114e0408ac' aria-label='Gen\u00e8ve Rh\u00f4ne' aria-invalid='false' aria-required=true> <span>Gen\u00e8ve Rh\u00f4ne<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_21eef2b3ccfbeb50b3320d6688d6fb5b'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gen\u00e8ve Cornavin\"  id='input_radio_27_21eef2b3ccfbeb50b3320d6688d6fb5b' aria-label='Gen\u00e8ve Cornavin' aria-invalid='false' aria-required=true> <span>Gen\u00e8ve Cornavin<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_3aa9b47c29c106e014bb1dd583c9c96f'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Lausanne\"  id='input_radio_27_3aa9b47c29c106e014bb1dd583c9c96f' aria-label='Lausanne' aria-invalid='false' aria-required=true> <span>Lausanne<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_08fa498a20918159810ad23338831752'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Sion\"  id='input_radio_27_08fa498a20918159810ad23338831752' aria-label='Sion' aria-invalid='false' aria-required=true> <span>Sion<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_8d0ec178f6133946db210abed505ef1b'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Fribourg\"  id='input_radio_27_8d0ec178f6133946db210abed505ef1b' aria-label='Fribourg' aria-invalid='false' aria-required=true> <span>Fribourg<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Pour quel traitement venez-vous ?\">Pour quel traitement venez-vous ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_1e433336586ece4d93ccd1dfa21f6704'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Extension de cils\"  id='checkbox_4_1e433336586ece4d93ccd1dfa21f6704' aria-label='Extension de cils' aria-invalid='false' aria-required=true> <span>Extension de cils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_94bf676caf0a7cedc34023f436e945b8'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Rehaussement des cils\"  id='checkbox_4_94bf676caf0a7cedc34023f436e945b8' aria-label='Rehaussement des cils' aria-invalid='false' aria-required=true> <span>Rehaussement des cils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_6054ba2702351a7b751671f40b1a8e25'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Rehaussement des sourcils\"  id='checkbox_4_6054ba2702351a7b751671f40b1a8e25' aria-label='Rehaussement des sourcils' aria-invalid='false' aria-required=true> <span>Rehaussement des sourcils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_537751020e6c2754a26be4479153b976'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Mascara semi-permanent\"  id='checkbox_4_537751020e6c2754a26be4479153b976' aria-label='Mascara semi-permanent' aria-invalid='false' aria-required=true> <span>Mascara semi-permanent<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_2f352e28f92d022827cdf790c0ec5c4e'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Plasma Lift\"  id='checkbox_4_2f352e28f92d022827cdf790c0ec5c4e' aria-label='Plasma Lift' aria-invalid='false' aria-required=true> <span>Plasma Lift<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_292483512a9667baa1151a2e37c0bb6d'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Soin contour des yeux\"  id='checkbox_4_292483512a9667baa1151a2e37c0bb6d' aria-label='Soin contour des yeux' aria-invalid='false' aria-required=true> <span>Soin contour des yeux<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_c339e4291d84a0176e3f4b912a38112b'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Epilation des sourcils\"  id='checkbox_4_c339e4291d84a0176e3f4b912a38112b' aria-label='Epilation des sourcils' aria-invalid='false' aria-required=true> <span>Epilation des sourcils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_6045132f139345456920383567828682'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Teinture\"  id='checkbox_4_6045132f139345456920383567828682' aria-label='Teinture' aria-invalid='false' aria-required=true> <span>Teinture<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_21657bc34d0407b14ec23c9b6fc93fb4'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Maquillage sourcils\"  id='checkbox_4_21657bc34d0407b14ec23c9b6fc93fb4' aria-label='Maquillage sourcils' aria-invalid='false' aria-required=true> <span>Maquillage sourcils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_b34146ac2d1698f9573c857c070feffb'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Eyeliner - Entre-cils\"  id='checkbox_4_b34146ac2d1698f9573c857c070feffb' aria-label='Eyeliner - Entre-cils' aria-invalid='false' aria-required=true> <span>Eyeliner - Entre-cils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_4111a27bc9433994326ef35d8f26a4fb'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Maquillage l\u00e8vres\"  id='checkbox_4_4111a27bc9433994326ef35d8f26a4fb' aria-label='Maquillage l\u00e8vres' aria-invalid='false' aria-required=true> <span>Maquillage l\u00e8vres<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_3\" ><h3 class='ff-el-section-title'>CONSENTEMENT<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Conditions de r\u00e9alisation\">Conditions de r\u00e9alisation<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_24_e5a13b982176711297ead77f3b343752'><input  type=\"radio\" name=\"input_radio_24\" data-name=\"input_radio_24\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"oui\"  id='input_radio_24_e5a13b982176711297ead77f3b343752' aria-label='oui' aria-invalid='false' aria-required=true> <span>oui<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_datetime_1' id='label_ff_6_datetime_1' aria-label=\"Date :\">Date :<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date : Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_6_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-6_4\" ><p><span style=\"color: #ffffff\"><em>*<\/em><em>J'accepte les conditions du traitement. <\/em><em>Pour les prestations de maquillage semi-permanent ou permanent, j'ai lu, j'ai compris et j'accepte les conditions de r\u00e9alisation du traitement contenu dans le questionnaire de sant\u00e9 et dans la fiche\u00a0<\/em><em>Consentement et D\u00e9charge<\/em>\u00a0-<\/span>\u00a0<em><a href=\"https:\/\/atelierduregard.ch\/pdf\/CONSENTEMENT-ECLAIRE-MAQUILLAGE-SEMI-PERMANENT.pdf\" target=\"_blank\" rel=\"noopener\">Atelier du Regard<\/a> - <a href=\"http:\/\/atelierdeslevres.ch\/pdf\/CONSENTEMENT-ECLAIRE-MAQUILLAGE-PERMANENT-LEVRES.pdf\" target=\"_blank\" rel=\"noopener\">Atelier des L\u00e8vres<\/a><br \/><span style=\"color: #666666\"><i><br \/><\/i><\/span><span style=\"color: #666666\"><i><strong><span style=\"color: #ffffff\">Protection des donn\u00e9es<\/span><\/strong><br \/><span style=\"color: #ffffff\">Pour en savoir plus sur notre politique de protection des donn\u00e9es, rendez-vous ici :<\/span>\u00a0<a href=\"https:\/\/atelierduregard.ch\/politique-de-confidentialite\/\" target=\"_blank\" rel=\"noopener\">https:\/\/atelierduregard.ch\/politique-de-confidentialite\/<\/a>\u00a0<span style=\"color: #ffffff\">ou<\/span>\u00a0<a href=\"https:\/\/atelierdeslevres.ch\/politique-de-confidentialite\/\" target=\"_blank\" rel=\"noopener\">https:\/\/atelierdeslevres.ch\/politique-de-confidentialite\/<\/a><\/i><\/span><br \/><\/em><\/p><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_5\" ><h3 class='ff-el-section-title'>PHOTO<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Par la pr\u00e9sente, j\u2019autorise les professionnels de l&#039;Atelier du Regard SARL et\/ou ADR Development SA \u00e0 prendre des photos de mon visage, de mes yeux, de mes cils ou de mes l\u00e8vres et de les publier \u00e0 des fins de formations, promotionnelles ou autre, incluant le droit de retoucher ces photos si cela \u00e9tait n\u00e9cessaire. De plus, je suis d\u2019accord de c\u00e9der ces photos gratuitement libres de droit d&#039;exploitation.\">Par la pr\u00e9sente, j\u2019autorise les professionnels de l'Atelier du Regard SARL et\/ou ADR Development SA \u00e0 prendre des photos de mon visage, de mes yeux, de mes cils ou de mes l\u00e8vres et de les publier \u00e0 des fins de formations, promotionnelles ou autre, incluant le droit de retoucher ces photos si cela \u00e9tait n\u00e9cessaire. De plus, je suis d\u2019accord de c\u00e9der ces photos gratuitement libres de droit d'exploitation.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_26_11c12f6bf53f10743cc6afacb9af8fdc'><input  type=\"radio\" name=\"input_radio_26\" data-name=\"input_radio_26\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_26_11c12f6bf53f10743cc6afacb9af8fdc' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_26_a18b28a22374d2aed29184faa162e545'><input  type=\"radio\" name=\"input_radio_26\" data-name=\"input_radio_26\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_26_a18b28a22374d2aed29184faa162e545' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_6\" ><h3 class='ff-el-section-title'>PROGRAMME DE FID\u00c9LIT\u00c9<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Je souhaite participer au programme de fid\u00e9lit\u00e9 et b\u00e9n\u00e9ficier d&#039;une remise permanente sur toutes mes prestations futures. J&#039;autorise l&#039;envoi de courriels et d&#039;offres exclusives sur mon adresse mail (si vous acceptez, vous recevrez votre carte de fid\u00e9lit\u00e9 \u00e0 conserver sur l&#039;adresse mail fournie).\">Je souhaite participer au programme de fid\u00e9lit\u00e9 et b\u00e9n\u00e9ficier d'une remise permanente sur toutes mes prestations futures. J'autorise l'envoi de courriels et d'offres exclusives sur mon adresse mail (si vous acceptez, vous recevrez votre carte de fid\u00e9lit\u00e9 \u00e0 conserver sur l'adresse mail fournie).<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_23_4ff046c26c159c1307d619074c63ef9d'><input  type=\"radio\" name=\"input_radio_23\" data-name=\"input_radio_23\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_23_4ff046c26c159c1307d619074c63ef9d' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_23_2fe9cccf7ac16d41b033cce8105f8cd2'><input  type=\"radio\" name=\"input_radio_23\" data-name=\"input_radio_23\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_23_2fe9cccf7ac16d41b033cce8105f8cd2' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Choisir un Atelier de r\u00e9f\u00e9rence\">Choisir un Atelier de r\u00e9f\u00e9rence<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_ee2b15d16b91ec80364631dd0ffb392c'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gen\u00e8ve Rh\u00f4ne\"  id='input_radio_ee2b15d16b91ec80364631dd0ffb392c' aria-label='Gen\u00e8ve Rh\u00f4ne' aria-invalid='false' aria-required=true> <span>Gen\u00e8ve Rh\u00f4ne<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_07fbc02f4fd71e0520bb1aa0dab8292e'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gen\u00e8ve Cornavin\"  id='input_radio_07fbc02f4fd71e0520bb1aa0dab8292e' aria-label='Gen\u00e8ve Cornavin' aria-invalid='false' aria-required=true> <span>Gen\u00e8ve Cornavin<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_a64d71284c1b380c093e80c642b15511'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Lausanne\"  id='input_radio_a64d71284c1b380c093e80c642b15511' aria-label='Lausanne' aria-invalid='false' aria-required=true> <span>Lausanne<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8b1d7cb6f87bf43365ce7783a531550e'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Sion\"  id='input_radio_8b1d7cb6f87bf43365ce7783a531550e' aria-label='Sion' aria-invalid='false' aria-required=true> <span>Sion<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_74752355eeb38da0db7d396a49cfaa94'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Fribourg\"  id='input_radio_74752355eeb38da0db7d396a49cfaa94' aria-label='Fribourg' aria-invalid='false' aria-required=true> <span>Fribourg<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Pr\u00e9c\u00e9dent'>Pr\u00e9c\u00e9dent<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Suivant'>Suivant<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-6_7\" ><div class=\"ff-el-group  has-conditions ff-el-section-break  ff_left\" data-name=\"section_break-6_8\" ><h3 class='ff-el-section-title'>PROGRAMME DE FID\u00c9LIT\u00c9<\/h3><div class='ff-section_break_desk'><h4><span style=\"color: #ff0000\">\u00c0 remplir par l'EyeDesigner ou la LipsDesigner<\/span><\/h4><\/div><hr \/><\/div><div class='ff-el-group has-conditions ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Cat\u00e9gorie de la cliente :\">Cat\u00e9gorie de la cliente :<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_25_f3191619fce006d13c2872a75bfef8dc'><input  type=\"radio\" name=\"input_radio_25\" data-name=\"input_radio_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"STARLETTE 1 \u00e0 300 points\"  id='input_radio_25_f3191619fce006d13c2872a75bfef8dc' aria-label='STARLETTE 1 \u00e0 300 points' aria-invalid='false' aria-required=false> <span>STARLETTE 1 \u00e0 300 points<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_25_56914c9ba201a693512097eabbab5db0'><input  type=\"radio\" name=\"input_radio_25\" data-name=\"input_radio_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"STAR 301 \u00e0 1000 points\"  id='input_radio_25_56914c9ba201a693512097eabbab5db0' aria-label='STAR 301 \u00e0 1000 points' aria-invalid='false' aria-required=false> <span>STAR 301 \u00e0 1000 points<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_25_a14927ef38ff737f71de25661584c71f'><input  type=\"radio\" name=\"input_radio_25\" data-name=\"input_radio_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"SUPER STAR 1001 \u00e0 2000 points\"  id='input_radio_25_a14927ef38ff737f71de25661584c71f' aria-label='SUPER STAR 1001 \u00e0 2000 points' aria-invalid='false' aria-required=false> <span>SUPER STAR 1001 \u00e0 2000 points<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_25_01dea91b6099a411d25c57256722169e'><input  type=\"radio\" name=\"input_radio_25\" data-name=\"input_radio_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"DIVA \u00e0 partir de 2001 points\"  id='input_radio_25_01dea91b6099a411d25c57256722169e' aria-label='DIVA \u00e0 partir de 2001 points' aria-invalid='false' aria-required=false> <span>DIVA \u00e0 partir de 2001 points<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-hidden'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_datetime' id='label_ff_6_datetime' aria-label=\"Date de validit\u00e9\">Date de validit\u00e9<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date de validit\u00e9 Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_6_datetime\" class=\"ff-el-form-control ff-el-datepicker validity\" data-name=\"datetime\"  aria-invalid='false' aria-required=false><\/div><\/div>        <div class=\"ff-step-t-container ff-inner_submit_container ff-column-container ff_columns_total_2\">\n            <div class=\"ff-t-cell ff-t-column-1\"><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Pr\u00e9c\u00e9dent'>Pr\u00e9c\u00e9dent<\/button><\/div><\/div>\n            <div class=\"ff-t-cell ff-t-column-2\">\n                <div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-lg ff_btn_style\"  aria-label=\"FINALISER\">FINALISER<\/button><\/div>            <\/div>\n        <\/div>\n        <\/div><\/div><\/div>\n   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ffs_custom_wrap'><form data-form_id=\"6\" id=\"fluentform_6\" class=\"frm-fluent-form fluent_form_6 ff-el-form-top ff_form_instance_6_2 ff-form-loading ff-form-has-steps ffs_custom\" data-form_instance=\"ff_form_instance_6_2\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">FICHE CLIENT<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_2\" name=\"ak_js\" value=\"221\"\/><script>\ndocument.getElementById( \"ak_js_2\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><input type='hidden' name='__fluent_form_embded_post_id' value='8562' \/><input type=\"hidden\" id=\"_fluentform_6_fluentformnonce\" name=\"_fluentform_6_fluentformnonce\" value=\"d21e55838e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/it\/wp-json\/wp\/v2\/pages\/8562\" \/><div class='ff-step-container' data-name=\"step_start-6_9\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"yes\" data-enable_step_page_resume=\"yes\" data-animation_type=\"slide\" data-progress_layout=\"top\" data-progress_indicator=\"progress-bar\" ><div class='ff-step-header ff-step-header--progress'><div class='ff-step-progress-wrap'><div class='ff-el-progress-status' aria-live='polite'><\/div><div class='ff-el-progress'><div role='progressbar' class='ff-el-progress-bar'><span><\/span><\/div><\/div><ul style='display: none' class='ff-el-progress-title'><li>Step 1<\/li><li>Step 2<\/li><\/ul><\/div><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-6_9\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"yes\" data-enable_step_page_resume=\"yes\" data-animation_type=\"slide\" data-progress_layout=\"top\" data-progress_indicator=\"progress-bar\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_1\" ><h3 class='ff-el-section-title'>IDENTIT\u00c9<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_2_names_first_name_' id='label_ff_6_2_names_first_name_' >Pr\u00e9nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_6_2_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div data-type=\"name-element\" data-name=\"names_2\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_2_names_2_last_name_' id='label_ff_6_2_names_2_last_name_' >Nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_2[last_name]\" id=\"ff_6_2_names_2_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address ff_map_autocomplete\" data-type=\"address-element\" data-name=\"address_1\" data-ff_with_auto_locate=\"no\" ><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_address_1_address_line_1_' id='label_ff_6_2_address_1_address_line_1_' aria-label=\"Adresse\">Adresse<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_6_2_address_1_address_line_1_\" class=\"ff-el-form-control\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_address_1_city_' id='label_ff_6_2_address_1_city_' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_6_2_address_1_city_\" class=\"ff-el-form-control\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_address_1_zip_' id='label_ff_6_2_address_1_zip_' aria-label=\"Code postal\">Code postal<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_6_2_address_1_zip_\" class=\"ff-el-form-control\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_address_1_country_' id='label_ff_6_2_address_1_country_' aria-label=\"Pays\">Pays<\/label><\/div><div class='ff-el-input--content'><select name=\"address_1[country]\" id=\"ff_6_2_address_1_country_\" class=\"ff-el-form-control\" placeholder=\"S\u00e9lectionner le pays\" data-key_name=\"country\" data-autocomplete_restrictions=\"[]\" aria-invalid='false' aria-required=false><option value=''>S\u00e9lectionner le pays<\/option><option value='AF' >Afganistan<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antartide<\/option><option value='AG' >Antigua e Barbuda<\/option><option value='SA' >Arabia Saudita<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaigian<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrein<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BE' >Belgio<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BY' >Bielorussia<\/option><option value='MM' >Birmania<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sant&#039;Eustazio e Saba<\/option><option value='BA' >Bosnia ed Erzegovina<\/option><option value='BW' >Botswana<\/option><option value='BR' >Brasile<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambogia<\/option><option value='CM' >Camerun<\/option><option value='CA' >Canada<\/option><option value='CV' >Capo Verde<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >Cina<\/option><option value='CY' >Cipro<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comore<\/option><option value='KR' >Corea del Sud<\/option><option value='KP' >Corea del nord<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >Costa d&#039;Avorio<\/option><option value='HR' >Croazia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='DK' >Danimarca<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egitto<\/option><option value='SV' >El Salvador<\/option><option value='AE' >Emirati Arabi Uniti<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Etiopia<\/option><option value='FJ' >Figi<\/option><option value='PH' >Filippine<\/option><option value='FI' >Finlandia<\/option><option value='FR' >Francia<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='GS' >Georgia del Sud\/Isole Sandwich<\/option><option value='DE' >Germania<\/option><option value='GH' >Ghana<\/option><option value='JM' >Giamaica<\/option><option value='JP' >Giappone<\/option><option value='GI' >Gibilterra<\/option><option value='DJ' >Gibuti<\/option><option value='JO' >Giordania<\/option><option value='GR' >Grecia<\/option><option value='GD' >Grenada<\/option><option value='GL' >Groenlandia<\/option><option value='GP' >Guadalupa<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea Bissau<\/option><option value='GQ' >Guinea Equatoriale<\/option><option value='GY' >Guyana<\/option><option value='GF' >Guyana francese<\/option><option value='HT' >Haiti<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='BT' >Il Bhutan<\/option><option value='PY' >Il Paraguay<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Irlanda<\/option><option value='IS' >Islanda<\/option><option value='BV' >Isola Bouvet<\/option><option value='NF' >Isola Norfolk<\/option><option value='IM' >Isola di Man<\/option><option value='CX' >Isola di Natale<\/option><option value='KY' >Isole Cayman<\/option><option value='CC' >Isole Cocos (Keeling)<\/option><option value='CK' >Isole Cook<\/option><option value='FK' >Isole Falkland<\/option><option value='FO' >Isole Faroe<\/option><option value='HM' >Isole Heard e McDonald<\/option><option value='MP' >Isole Marianne Settentrionali<\/option><option value='MH' >Isole Marshall<\/option><option value='SB' >Isole Salomone<\/option><option value='TC' >Isole Turks e Caicos<\/option><option value='VG' >Isole Vergini Britanniche<\/option><option value='VI' >Isole Vergini americane (USA)<\/option><option value='UM' >Isole minori esterne degli Stati Uniti (USA)<\/option><option value='AX' >Isole \u00c5land<\/option><option value='IL' >Israele<\/option><option value='IT' >Italia<\/option><option value='KZ' >Kazakistan<\/option><option value='KE' >Kenia<\/option><option value='KG' >Kirghizistan<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='IR' >L&#039;Iran<\/option><option value='NA' >La Namibia<\/option><option value='DM' >La dominica<\/option><option value='LA' >Laos<\/option><option value='SC' >Le Seychelles<\/option><option value='LS' >Lesoto<\/option><option value='LV' >Lettonia<\/option><option value='LB' >Libano<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libia<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lituania<\/option><option value='LU' >Lussemburgo<\/option><option value='MO' >Macao S.A.R., Cina<\/option><option value='MK' >Macedonia<\/option><option value='MG' >Madagascar<\/option><option value='JE' >Maglia<\/option><option value='YT' >Majotte<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldive<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MA' >Marocco<\/option><option value='MQ' >Martinica<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Maurizio<\/option><option value='MX' >Messico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldavia<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mozambico<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NO' >Norvegia<\/option><option value='NC' >Nuova Caledonia<\/option><option value='NZ' >Nuova Zelanda<\/option><option value='OM' >Oman<\/option><option value='NL' >Paesi Bassi<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua Nuova Guinea<\/option><option value='PE' >Per\u00f9<\/option><option value='PN' >Pitcairn<\/option><option value='PF' >Polinesia francese<\/option><option value='PL' >Polonia<\/option><option value='PT' >Portogallo<\/option><option value='PR' >Portorico<\/option><option value='QA' >Qatar<\/option><option value='GB' >Regno Unito (UK)<\/option><option value='CZ' >Repubblica Ceca<\/option><option value='CF' >Repubblica Centrafricana<\/option><option value='CD' >Repubblica Democratica del Congo (Kinshasa)<\/option><option value='DO' >Repubblica Dominicana<\/option><option value='CG' >Repubblica del Congo (Brazzaville)<\/option><option value='RE' >Riunione<\/option><option value='RO' >Romania<\/option><option value='RW' >Ruanda<\/option><option value='RU' >Russia<\/option><option value='EH' >Sahara Occidentale<\/option><option value='KN' >Saint Kitts e Nevis<\/option><option value='MF' >Saint Martin (parte francese)<\/option><option value='SX' >Saint Martin (parte olandese)<\/option><option value='PM' >Saint Pierre e Miquelon<\/option><option value='VC' >Saint Vincent e Grenadine<\/option><option value='BL' >Saint-Barth\u00e9lemy<\/option><option value='WS' >Samoa<\/option><option value='AS' >Samoa americane<\/option><option value='SM' >San Marino<\/option><option value='SH' >Sant&#039;Elena<\/option><option value='LC' >Santa Lucia<\/option><option value='ST' >Sao Tome e Principe<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SY' >Siria<\/option><option value='SK' >Slovacchia<\/option><option value='SI' >Slovenia<\/option><option value='SO' >Somalia<\/option><option value='ES' >Spagna<\/option><option value='LK' >Sri Lanka<\/option><option value='US' >Stati Uniti (USA)<\/option><option value='ZA' >Sudafrica<\/option><option value='SD' >Sudan<\/option><option value='SS' >Sudan del Sud<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard e Jan Mayen<\/option><option value='SE' >Svezia<\/option><option value='CH' >Svizzera<\/option><option value='TJ' >Tagikistan<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tanzania<\/option><option value='TF' >Territori francesi australi<\/option><option value='IO' >Territorio britannico dell&#039;Oceano Indiano<\/option><option value='PS' >Territorio palestinese<\/option><option value='TH' >Thailandia<\/option><option value='TL' >Timor Est<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad e Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UA' >Ucraina<\/option><option value='UG' >Uganda<\/option><option value='HU' >Ungheria<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vaticano<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis e Futuna<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_2_phone_1' id='label_ff_6_2_phone_1' aria-label=\"Mobile\">Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"phone_1\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"phone_1\" id=\"ff_6_2_phone_1\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_phone' id='label_ff_6_2_phone' aria-label=\"T\u00e9l\u00e9phone Priv\u00e9\">T\u00e9l\u00e9phone Priv\u00e9<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"phone\" id=\"ff_6_2_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_2_email' id='label_ff_6_2_email' aria-label=\"Courriel priv\u00e9\">Courriel priv\u00e9<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_6_2_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_input_text_11' id='label_ff_6_2_input_text_11' aria-label=\"Code postal bureau\">Code postal bureau<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_11\" class=\"ff-el-form-control\" data-name=\"input_text_11\" id=\"ff_6_2_input_text_11\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_input_text_12' id='label_ff_6_2_input_text_12' aria-label=\"Profession\">Profession<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_12\" class=\"ff-el-form-control\" data-name=\"input_text_12\" id=\"ff_6_2_input_text_12\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_datetime_2' id='label_ff_6_2_datetime_2' aria-label=\"Date de naissance\">Date de naissance<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date de naissance Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_2\" id=\"ff_6_2_datetime_2\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Date de naissance\" data-name=\"datetime_2\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Comment nous avez-vous connu ?\">Comment nous avez-vous connu ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5178f27382fcd0b2d23990538c5b887a'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Google\"  id='checkbox_5178f27382fcd0b2d23990538c5b887a' aria-label='Google' aria-invalid='false' aria-required=false> <span>Google<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_7dcbfb8fe23f6c81813e0dd775e5dc24'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Instagram\"  id='checkbox_7dcbfb8fe23f6c81813e0dd775e5dc24' aria-label='Instagram' aria-invalid='false' aria-required=false> <span>Instagram<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_06d09eae2066cf1294ad42ca34bfbaab'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Influenceurs\"  id='checkbox_06d09eae2066cf1294ad42ca34bfbaab' aria-label='Influenceurs' aria-invalid='false' aria-required=false> <span>Influenceurs<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_56feda7da53f3a6776d8238063671cad'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Facebook\"  id='checkbox_56feda7da53f3a6776d8238063671cad' aria-label='Facebook' aria-invalid='false' aria-required=false> <span>Facebook<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_b723af3b8e3217f4f487f87ff6d42347'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Bouche \u00e0 oreille\"  id='checkbox_b723af3b8e3217f4f487f87ff6d42347' aria-label='Bouche \u00e0 oreille' aria-invalid='false' aria-required=false> <span>Bouche \u00e0 oreille<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_c38b093eeaa438bbe0e172fe06d27912'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Autres\"  id='checkbox_c38b093eeaa438bbe0e172fe06d27912' aria-label='Autres' aria-invalid='false' aria-required=false> <span>Autres<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_description' id='label_ff_6_2_description' aria-label=\"Une personne en particulier \u00e0 nous citer ?\">Une personne en particulier \u00e0 nous citer ?<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_6_2_description\" name=\"description\" id=\"ff_6_2_description\" class=\"ff-el-form-control\" rows=\"1\" cols=\"1\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_description_2' id='label_ff_6_2_description_2' aria-label=\"Lequel :\">Lequel :<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_6_2_description_2\" name=\"description_2\" id=\"ff_6_2_description_2\" class=\"ff-el-form-control\" rows=\"1\" cols=\"1\" data-name=\"description_2\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_description_1' id='label_ff_6_2_description_1' aria-label=\"Pr\u00e9ciser :\">Pr\u00e9ciser :<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_6_2_description_1\" name=\"description_1\" id=\"ff_6_2_description_1\" class=\"ff-el-form-control\" rows=\"1\" cols=\"1\" data-name=\"description_1\" ><\/textarea><\/div><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_2\" ><h3 class='ff-el-section-title'>SOINS<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Dans quel Atelier allez-vous effectuer votre traitement ?\">Dans quel Atelier allez-vous effectuer votre traitement ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_6fe8f4bed54a9b91bc1b7316f175f0d3'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gen\u00e8ve Rh\u00f4ne\"  id='input_radio_27_6fe8f4bed54a9b91bc1b7316f175f0d3' aria-label='Gen\u00e8ve Rh\u00f4ne' aria-invalid='false' aria-required=true> <span>Gen\u00e8ve Rh\u00f4ne<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_e424ebf03eb87fc02ee52aef71b66adb'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gen\u00e8ve Cornavin\"  id='input_radio_27_e424ebf03eb87fc02ee52aef71b66adb' aria-label='Gen\u00e8ve Cornavin' aria-invalid='false' aria-required=true> <span>Gen\u00e8ve Cornavin<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_64fe6480df270761c2aaad1fd1f35925'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Lausanne\"  id='input_radio_27_64fe6480df270761c2aaad1fd1f35925' aria-label='Lausanne' aria-invalid='false' aria-required=true> <span>Lausanne<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_30738f2dd798f40016717942d709d59c'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Sion\"  id='input_radio_27_30738f2dd798f40016717942d709d59c' aria-label='Sion' aria-invalid='false' aria-required=true> <span>Sion<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_47cc28ad8cc5557d13660624c094fd06'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Fribourg\"  id='input_radio_27_47cc28ad8cc5557d13660624c094fd06' aria-label='Fribourg' aria-invalid='false' aria-required=true> <span>Fribourg<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Pour quel traitement venez-vous ?\">Pour quel traitement venez-vous ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_e55d435cd8e7a4dccf9c71d7d2ea16bc'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Extension de cils\"  id='checkbox_4_e55d435cd8e7a4dccf9c71d7d2ea16bc' aria-label='Extension de cils' aria-invalid='false' aria-required=true> <span>Extension de cils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_b536d0e81ca3459f2ffa027aa0466f00'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Rehaussement des cils\"  id='checkbox_4_b536d0e81ca3459f2ffa027aa0466f00' aria-label='Rehaussement des cils' aria-invalid='false' aria-required=true> <span>Rehaussement des cils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_8836f49fd9532daae4afb51433e0b6f7'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Rehaussement des sourcils\"  id='checkbox_4_8836f49fd9532daae4afb51433e0b6f7' aria-label='Rehaussement des sourcils' aria-invalid='false' aria-required=true> <span>Rehaussement des sourcils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_d8b5a2d697bb087beb9108a43d62033d'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Mascara semi-permanent\"  id='checkbox_4_d8b5a2d697bb087beb9108a43d62033d' aria-label='Mascara semi-permanent' aria-invalid='false' aria-required=true> <span>Mascara semi-permanent<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_264924562885cda90ec5c3a3ac55b4e9'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Plasma Lift\"  id='checkbox_4_264924562885cda90ec5c3a3ac55b4e9' aria-label='Plasma Lift' aria-invalid='false' aria-required=true> <span>Plasma Lift<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_6b5b21a767c366e386a87a5cf8688553'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Soin contour des yeux\"  id='checkbox_4_6b5b21a767c366e386a87a5cf8688553' aria-label='Soin contour des yeux' aria-invalid='false' aria-required=true> <span>Soin contour des yeux<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_326f0956fafea14bb43755a7c452f97e'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Epilation des sourcils\"  id='checkbox_4_326f0956fafea14bb43755a7c452f97e' aria-label='Epilation des sourcils' aria-invalid='false' aria-required=true> <span>Epilation des sourcils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_4059b44932e1b9607bb7fa93a7b15085'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Teinture\"  id='checkbox_4_4059b44932e1b9607bb7fa93a7b15085' aria-label='Teinture' aria-invalid='false' aria-required=true> <span>Teinture<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_7e4ca3e2ff5dfccb9118572555f36c02'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Maquillage sourcils\"  id='checkbox_4_7e4ca3e2ff5dfccb9118572555f36c02' aria-label='Maquillage sourcils' aria-invalid='false' aria-required=true> <span>Maquillage sourcils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_b64c8e341c8583b277eeb2d7af5d7991'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Eyeliner - Entre-cils\"  id='checkbox_4_b64c8e341c8583b277eeb2d7af5d7991' aria-label='Eyeliner - Entre-cils' aria-invalid='false' aria-required=true> <span>Eyeliner - Entre-cils<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_d79ad238d270d4e8ef33b5a1ff7a24c0'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Maquillage l\u00e8vres\"  id='checkbox_4_d79ad238d270d4e8ef33b5a1ff7a24c0' aria-label='Maquillage l\u00e8vres' aria-invalid='false' aria-required=true> <span>Maquillage l\u00e8vres<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_3\" ><h3 class='ff-el-section-title'>CONSENTEMENT<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Conditions de r\u00e9alisation\">Conditions de r\u00e9alisation<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_24_59f260cc6d3c0661c1d7a20399248135'><input  type=\"radio\" name=\"input_radio_24\" data-name=\"input_radio_24\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"oui\"  id='input_radio_24_59f260cc6d3c0661c1d7a20399248135' aria-label='oui' aria-invalid='false' aria-required=true> <span>oui<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_2_datetime_1' id='label_ff_6_2_datetime_1' aria-label=\"Date :\">Date :<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date : Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_6_2_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-6_4\" ><p><span style=\"color: #ffffff\"><em>*<\/em><em>J'accepte les conditions du traitement. <\/em><em>Pour les prestations de maquillage semi-permanent ou permanent, j'ai lu, j'ai compris et j'accepte les conditions de r\u00e9alisation du traitement contenu dans le questionnaire de sant\u00e9 et dans la fiche\u00a0<\/em><em>Consentement et D\u00e9charge<\/em>\u00a0-<\/span>\u00a0<em><a href=\"https:\/\/atelierduregard.ch\/pdf\/CONSENTEMENT-ECLAIRE-MAQUILLAGE-SEMI-PERMANENT.pdf\" target=\"_blank\" rel=\"noopener\">Atelier du Regard<\/a> - <a href=\"http:\/\/atelierdeslevres.ch\/pdf\/CONSENTEMENT-ECLAIRE-MAQUILLAGE-PERMANENT-LEVRES.pdf\" target=\"_blank\" rel=\"noopener\">Atelier des L\u00e8vres<\/a><br \/><span style=\"color: #666666\"><i><br \/><\/i><\/span><span style=\"color: #666666\"><i><strong><span style=\"color: #ffffff\">Protection des donn\u00e9es<\/span><\/strong><br \/><span style=\"color: #ffffff\">Pour en savoir plus sur notre politique de protection des donn\u00e9es, rendez-vous ici :<\/span>\u00a0<a href=\"https:\/\/atelierduregard.ch\/politique-de-confidentialite\/\" target=\"_blank\" rel=\"noopener\">https:\/\/atelierduregard.ch\/politique-de-confidentialite\/<\/a>\u00a0<span style=\"color: #ffffff\">ou<\/span>\u00a0<a href=\"https:\/\/atelierdeslevres.ch\/politique-de-confidentialite\/\" target=\"_blank\" rel=\"noopener\">https:\/\/atelierdeslevres.ch\/politique-de-confidentialite\/<\/a><\/i><\/span><br \/><\/em><\/p><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_5\" ><h3 class='ff-el-section-title'>PHOTO<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Par la pr\u00e9sente, j\u2019autorise les professionnels de l&#039;Atelier du Regard SARL et\/ou ADR Development SA \u00e0 prendre des photos de mon visage, de mes yeux, de mes cils ou de mes l\u00e8vres et de les publier \u00e0 des fins de formations, promotionnelles ou autre, incluant le droit de retoucher ces photos si cela \u00e9tait n\u00e9cessaire. De plus, je suis d\u2019accord de c\u00e9der ces photos gratuitement libres de droit d&#039;exploitation.\">Par la pr\u00e9sente, j\u2019autorise les professionnels de l'Atelier du Regard SARL et\/ou ADR Development SA \u00e0 prendre des photos de mon visage, de mes yeux, de mes cils ou de mes l\u00e8vres et de les publier \u00e0 des fins de formations, promotionnelles ou autre, incluant le droit de retoucher ces photos si cela \u00e9tait n\u00e9cessaire. De plus, je suis d\u2019accord de c\u00e9der ces photos gratuitement libres de droit d'exploitation.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_26_b0475781bc3b834c1ae2c11c8358fbf4'><input  type=\"radio\" name=\"input_radio_26\" data-name=\"input_radio_26\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_26_b0475781bc3b834c1ae2c11c8358fbf4' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_26_a985f7586df473e2f99d44e4555a9eff'><input  type=\"radio\" name=\"input_radio_26\" data-name=\"input_radio_26\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_26_a985f7586df473e2f99d44e4555a9eff' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_6\" ><h3 class='ff-el-section-title'>PROGRAMME DE FID\u00c9LIT\u00c9<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Je souhaite participer au programme de fid\u00e9lit\u00e9 et b\u00e9n\u00e9ficier d&#039;une remise permanente sur toutes mes prestations futures. J&#039;autorise l&#039;envoi de courriels et d&#039;offres exclusives sur mon adresse mail (si vous acceptez, vous recevrez votre carte de fid\u00e9lit\u00e9 \u00e0 conserver sur l&#039;adresse mail fournie).\">Je souhaite participer au programme de fid\u00e9lit\u00e9 et b\u00e9n\u00e9ficier d'une remise permanente sur toutes mes prestations futures. J'autorise l'envoi de courriels et d'offres exclusives sur mon adresse mail (si vous acceptez, vous recevrez votre carte de fid\u00e9lit\u00e9 \u00e0 conserver sur l'adresse mail fournie).<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_23_50833dfaf49bcf364cb026388f785b69'><input  type=\"radio\" name=\"input_radio_23\" data-name=\"input_radio_23\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_23_50833dfaf49bcf364cb026388f785b69' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_23_6456f1f2115ede115f88dc6ee7f0e2fc'><input  type=\"radio\" name=\"input_radio_23\" data-name=\"input_radio_23\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_23_6456f1f2115ede115f88dc6ee7f0e2fc' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Choisir un Atelier de r\u00e9f\u00e9rence\">Choisir un Atelier de r\u00e9f\u00e9rence<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_e61d21b2bae55564d96f7b6f467fb44d'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gen\u00e8ve Rh\u00f4ne\"  id='input_radio_e61d21b2bae55564d96f7b6f467fb44d' aria-label='Gen\u00e8ve Rh\u00f4ne' aria-invalid='false' aria-required=true> <span>Gen\u00e8ve Rh\u00f4ne<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_d523d4294ad3ddaab3a2f78542ec3a0f'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gen\u00e8ve Cornavin\"  id='input_radio_d523d4294ad3ddaab3a2f78542ec3a0f' aria-label='Gen\u00e8ve Cornavin' aria-invalid='false' aria-required=true> <span>Gen\u00e8ve Cornavin<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_d6214212d074dba772b8cf600b2ebecf'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Lausanne\"  id='input_radio_d6214212d074dba772b8cf600b2ebecf' aria-label='Lausanne' aria-invalid='false' aria-required=true> <span>Lausanne<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_a714f07932ce200d4c955b423f81bf4f'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Sion\"  id='input_radio_a714f07932ce200d4c955b423f81bf4f' aria-label='Sion' aria-invalid='false' aria-required=true> <span>Sion<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_db637fa83ecabee3218aa9c54489cd22'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Fribourg\"  id='input_radio_db637fa83ecabee3218aa9c54489cd22' aria-label='Fribourg' aria-invalid='false' aria-required=true> <span>Fribourg<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Pr\u00e9c\u00e9dent'>Pr\u00e9c\u00e9dent<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Suivant'>Suivant<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-6_7\" ><div class=\"ff-el-group  has-conditions ff-el-section-break  ff_left\" data-name=\"section_break-6_8\" ><h3 class='ff-el-section-title'>PROGRAMME DE FID\u00c9LIT\u00c9<\/h3><div class='ff-section_break_desk'><h4><span style=\"color: #ff0000\">\u00c0 remplir par l'EyeDesigner ou la LipsDesigner<\/span><\/h4><\/div><hr \/><\/div><div class='ff-el-group has-conditions ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Cat\u00e9gorie de la cliente :\">Cat\u00e9gorie de la cliente :<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_25_486d59185046d0e6f2c5926046e870fd'><input  type=\"radio\" name=\"input_radio_25\" data-name=\"input_radio_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"STARLETTE 1 \u00e0 300 points\"  id='input_radio_25_486d59185046d0e6f2c5926046e870fd' aria-label='STARLETTE 1 \u00e0 300 points' aria-invalid='false' aria-required=false> <span>STARLETTE 1 \u00e0 300 points<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_25_f6f8e292477f471d1a9f1a973c1f9a56'><input  type=\"radio\" name=\"input_radio_25\" data-name=\"input_radio_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"STAR 301 \u00e0 1000 points\"  id='input_radio_25_f6f8e292477f471d1a9f1a973c1f9a56' aria-label='STAR 301 \u00e0 1000 points' aria-invalid='false' aria-required=false> <span>STAR 301 \u00e0 1000 points<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_25_81b699b3b32dcf6ec4b966b6b4bbe36b'><input  type=\"radio\" name=\"input_radio_25\" data-name=\"input_radio_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"SUPER STAR 1001 \u00e0 2000 points\"  id='input_radio_25_81b699b3b32dcf6ec4b966b6b4bbe36b' aria-label='SUPER STAR 1001 \u00e0 2000 points' aria-invalid='false' aria-required=false> <span>SUPER STAR 1001 \u00e0 2000 points<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_25_634b5a048db16d557c10aeded4f72c8f'><input  type=\"radio\" name=\"input_radio_25\" data-name=\"input_radio_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"DIVA \u00e0 partir de 2001 points\"  id='input_radio_25_634b5a048db16d557c10aeded4f72c8f' aria-label='DIVA \u00e0 partir de 2001 points' aria-invalid='false' aria-required=false> <span>DIVA \u00e0 partir de 2001 points<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-hidden'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_2_datetime' id='label_ff_6_2_datetime' aria-label=\"Date de validit\u00e9\">Date de validit\u00e9<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date de validit\u00e9 Use arrow keys to navigate dates. 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