{"id":350,"date":"2025-01-07T14:38:35","date_gmt":"2025-01-07T13:38:35","guid":{"rendered":"https:\/\/coeur-et-travail.com\/?page_id=350"},"modified":"2025-12-10T11:27:18","modified_gmt":"2025-12-10T10:27:18","slug":"bulletin-dinscription","status":"publish","type":"page","link":"https:\/\/coeur-et-travail.com\/index.php\/bulletin-dinscription\/","title":{"rendered":"Formulaire \u00e9lectronique d&rsquo;inscription &#8211; 8\u00e8me Journ\u00e9e Jean BERTRAN"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>SEPTI\u00c8ME JOURN\u00c9E JEAN BERTRAN<\/strong> <strong>\u00ab&nbsp;L\u2019indispensable en cardiologie pour votre exercice en sant\u00e9 travail&nbsp;\u00bb<\/strong><br><strong>Ath\u00e8nes services, 8 rue d\u2019Ath\u00e8nes &#8211; Paris 9<sup>\u00e8me<\/sup> &#8211; Jeudi 23 septembre 2027<\/strong><\/h2>\n\n\n\n<p>(Le nombre d\u2019inscriptions \u00e9tant limit\u00e9, les inscriptions seront enregistr\u00e9es dans l\u2019ordre d\u2019arriv\u00e9e)<\/p>\n\n\n\n<p><strong>INSCRIPTION&nbsp;<\/strong>:<\/p>\n\n\n\n<p>M\u00e9decins&nbsp;: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Avant le 31 juillet 2027&nbsp;: 435,00 Euros H.T. (522,00 T.T.C.)<\/p>\n\n\n\n<p>Apr\u00e8s le 31 juillet 2027 : 470,00 Euros H.T. (564,00 T.T.C.)<\/p>\n\n\n\n<p>Param\u00e9dicaux&nbsp;: &nbsp; Avant le 31 juillet 2027&nbsp;: 320,00 Euros H.T. (384,00 T.T.C.)<\/p>\n\n\n\n<p>Apr\u00e8s le 31 juillet 2027&nbsp;: 340,00 Euros H.T. (408,00 T.T.C.)<\/p>\n\n\n\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f352-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"352\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/350#wpcf7-f352-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"352\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f352-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"select-129\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-129\"><option value=\"\">Indiquer votre mode de participation<\/option><option value=\"Participation en mode pr\u00e9sentiel\">Participation en mode pr\u00e9sentiel<\/option><option value=\"Participation en mode distanciel\">Participation en mode distanciel<\/option><\/select><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-968\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-968\" value=\"Docteur\" \/><span class=\"wpcf7-list-item-label\">Docteur<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-968\" value=\"Professeur\" \/><span class=\"wpcf7-list-item-label\">Professeur<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-968\" value=\"Param\u00e9dicaux infirmi\u00e8re infirmier\" \/><span class=\"wpcf7-list-item-label\">Param\u00e9dicaux infirmi\u00e8re infirmier<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> *champs obligatoires <\/label>\n<\/p>\n<p><label> Votre nom*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label><br \/>\n<label> Votre Pr\u00e9nom*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-prenom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"prenom\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-prenom\" \/><\/span> <\/label><br \/>\n<label> Votre e-mail*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label><br \/>\n<label><span class=\"wpcf7-form-control-wrap\" data-name=\"handicap2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"handicap2[]\" value=\"Vous \u00eates en situation de handicap\" \/><span class=\"wpcf7-list-item-label\">Vous \u00eates en situation de handicap<\/span><\/label><\/span><\/span><\/span><br \/>\nAvez-vous des \u00e9l\u00e9ments en lien avec votre sant\u00e9 que vous voulez porter \u00e0 notre connaissance ?<br \/>\nNous vous proposons un entretien afin de prendre en compte les sp\u00e9cificit\u00e9s de votre handicap ou de votre \u00e9tat de sant\u00e9 et de d\u00e9terminer les \u00e9ventuels am\u00e9nagements ou dispositions \u00e0 mettre en place. Notre r\u00e9f\u00e9rent handicap se tient \u00e0 votre disposition pour r\u00e9pondre \u00e0 l\u2019ensemble de vos questions. <\/label>\n<\/p>\n<p><label> Service ou entreprise*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-service\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"service\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-service\" \/><\/span> <\/label><br \/>\n<label> Adresse professionnelle*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"votre-adresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"votre-adresse\" \/><\/span> <\/label><br \/>\n<label> Code postal*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"votre-codepostal\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"votre-codepostal\" \/><\/span> <\/label><br \/>\n<label> Ville*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"votre-ville\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"votre-ville\" \/><\/span> <\/label>\n<\/p>\n<p><label> Votre num\u00e9ro de t\u00e9l\u00e9phone <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-696\"><input size=\"40\" maxlength=\"15\" minlength=\"10\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"tel\" name=\"tel-696\" \/><\/span>\n<\/p>\n<p><label> Remplir les coordonn\u00e9es du destinataire de la convention uniquement si elles sont diff\u00e9rentes de celles du participant : <\/label><br \/>\n<label> Coordonn\u00e9es de l'entreprise ou nom et pr\u00e9nom de l\u2019employeur du stagiaire inscrit (destinataire de la convention)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-204\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-204\" \/><\/span> <\/label>\n<\/p>\n<p><label> Adresse de l\u2019employeur du stagiaire inscrit<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-513\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-513\" \/><\/span> <\/label>\n<\/p>\n<p><label> Code postal<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-843\"><input size=\"40\" maxlength=\"10\" minlength=\"4\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-843\" \/><\/span><\/label><br \/>\n<label> Ville<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-844\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-844\" \/><\/span> <\/label>\n<\/p>\n<p><label> Num\u00e9ro de t\u00e9l\u00e9phone du correspondant formation <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-18\"><input size=\"40\" maxlength=\"15\" minlength=\"10\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-18\" \/><\/span>\n<\/p>\n<p><label> Adresse e-mail du correspondant formation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-363\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-363\" \/><\/span>\n<\/p>\n<p><label> Organisme payeur et adresse de facturation <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-667\"><textarea cols=\"40\" rows=\"10\" maxlength=\"200\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea-667\"><\/textarea><\/span>\n<\/p>\n<p><label> Avez-vous des besoins sp\u00e9cifiques et particuliers en ajout au programme propos\u00e9 ? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-372\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-372\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-372\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Un formulaire de pr\u00e9paration de la formation vous sera envoy\u00e9 avant le d\u00e9roulement de la formation.<br \/>\nVous pouvez ajouter ici un message compl\u00e9mentaire (facultatif)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-440\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-440\" value=\"Envoyer la convention uniquement au r\u00e9f\u00e9rent formation\" \/><span class=\"wpcf7-list-item-label\">Envoyer la convention uniquement au r\u00e9f\u00e9rent formation<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-440\" value=\"Envoyer la convention au participant et au r\u00e9f\u00e9rent formation\" \/><span class=\"wpcf7-list-item-label\">Envoyer la convention au participant et au r\u00e9f\u00e9rent formation<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n<\/p>\n<p><label> Conform\u00e9ment au R\u00e8glement G\u00e9n\u00e9ral sur la Protection des Donn\u00e9es ((UE) 2016\/679) en vigueur au 25 mai 2018, nous vous informons que les informations recueillies vous concernant font l\u2019objet d\u2019un traitement destin\u00e9 \u00e0 l'organisme de formation Coeur-et-travail pour les finalit\u00e9s suivantes: op\u00e9rations relatives \u00e0 la gestion des clients et prospects. Dur\u00e9e de conservation 3 ans pour les prospects \u00e0 compter de leur collecte et 10 ans pour les clients (Article L123-22 alin\u00e9a 2 du Code de commerce Norme simplifi\u00e9e n\u00b048). Nous tenons \u00e9galement \u00e0 vous informer que vous disposez \u00e0 tout moment d\u2019un droit d\u2019acc\u00e8s \u00e0 vos donn\u00e9es et que vous pouvez demander leur retrait, leur rectification ou leur suppression en vous adressant \u00e0 contact @ coeur-et-travail . com<br \/>\nUne question en rapport avec le traitement de vos donn\u00e9es personnelles, contactez le correspondant \u00e0 la protection des donn\u00e9es \u00e0 contact @ coeur-et-travail . com<\/label>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>SEPTI\u00c8ME JOURN\u00c9E JEAN BERTRAN \u00ab&nbsp;L\u2019indispensable en cardiologie pour votre exercice en sant\u00e9 travail&nbsp;\u00bbAth\u00e8nes services, 8 rue d\u2019Ath\u00e8nes &#8211; Paris 9\u00e8me &#8211; Jeudi 23 septembre 2027 (Le nombre d\u2019inscriptions \u00e9tant limit\u00e9, les inscriptions seront enregistr\u00e9es dans l\u2019ordre d\u2019arriv\u00e9e) INSCRIPTION&nbsp;: M\u00e9decins&nbsp;: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Avant le 31 juillet 2027&nbsp;: 435,00 Euros H.T. (522,00 T.T.C.) Apr\u00e8s le 31 juillet 2027 &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/coeur-et-travail.com\/index.php\/bulletin-dinscription\/\" class=\"more-link\">Lire la suite de<span class=\"screen-reader-text\">\u00ab\u00a0Formulaire \u00e9lectronique d&rsquo;inscription &#8211; 8\u00e8me Journ\u00e9e Jean BERTRAN\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-350","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/coeur-et-travail.com\/index.php\/wp-json\/wp\/v2\/pages\/350","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coeur-et-travail.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/coeur-et-travail.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/coeur-et-travail.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coeur-et-travail.com\/index.php\/wp-json\/wp\/v2\/comments?post=350"}],"version-history":[{"count":12,"href":"https:\/\/coeur-et-travail.com\/index.php\/wp-json\/wp\/v2\/pages\/350\/revisions"}],"predecessor-version":[{"id":731,"href":"https:\/\/coeur-et-travail.com\/index.php\/wp-json\/wp\/v2\/pages\/350\/revisions\/731"}],"wp:attachment":[{"href":"https:\/\/coeur-et-travail.com\/index.php\/wp-json\/wp\/v2\/media?parent=350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}