{"id":1114,"date":"2026-03-10T18:58:06","date_gmt":"2026-03-10T18:58:06","guid":{"rendered":"https:\/\/ccao-dev.mazarol-gate.org\/?page_id=1114"},"modified":"2026-03-30T08:52:28","modified_gmt":"2026-03-30T13:52:28","slug":"devenir-membre-registration","status":"publish","type":"page","link":"https:\/\/ccao.mazarol-gate.org\/index.php\/devenir-membre-registration\/","title":{"rendered":"Devenir membre\/registration"},"content":{"rendered":"<div id=\"wpmem_reg\"><a id=\"register\"><\/a><form name=\"form\" method=\"post\" enctype=\"multipart\/form-data\" action=\"https:\/\/ccao.mazarol-gate.org\/index.php\/devenir-membre-registration\/\" id=\"wpmem_register_form\" class=\"form\"><input type=\"hidden\" id=\"_wpmem_register_nonce\" name=\"_wpmem_register_nonce\" value=\"60076fd93a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/1114\" \/><fieldset><legend>Inscription nouvel utilisateur<\/legend><label for=\"first_name\" class=\"text\">Pr\u00e9nom\/Given name<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"first_name\" type=\"text\" id=\"first_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"last_name\" class=\"text\">Nom de famille\/Family name<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"last_name\" type=\"text\" id=\"last_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_address_1\" class=\"text\">Adresse\/Address<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_address_1\" type=\"text\" id=\"billing_address_1\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_address_2\" class=\"text\">Address 2<\/label><div class=\"div_text\"><input name=\"billing_address_2\" type=\"text\" id=\"billing_address_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"billing_city\" class=\"text\">Ville\/City<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_city\" type=\"text\" id=\"billing_city\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_state\" class=\"select\">Province\/Province<span class=\"req\">*<\/span><\/label><div class=\"div_select\"><select name=\"billing_state\" id=\"billing_state\" class=\"dropdown\" required ><option value=\"\">---- S\u00e9lectionnez une option\/Select One ----<\/option><option value=\"ON\">On<\/option><option value=\"QCautre\/other\">Qc<\/option><\/select><\/div><label for=\"billing_postcode\" class=\"text\">Code Postal\/Postal code<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_postcode\" type=\"text\" id=\"billing_postcode\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_phone\" class=\"text\">T\u00e9l\u00e9phone\/Phone<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_phone\" type=\"text\" id=\"billing_phone\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"user_email\" class=\"text\">Courriel\/E-mail<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"user_email\" type=\"email\" id=\"user_email\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"photo\" class=\"file\">Photo de profil\/profile picture<\/label><div class=\"div_file\"><input name=\"photo\" type=\"file\" id=\"photo\" value=\"\" class=\"file\" accept=\".jpg,.jpeg,.png,.gif,.pdf\" \/><\/div><label for=\"dog_name_1\" class=\"text\">Nom du chien #1\/Dog #1 name<\/label><div class=\"div_text\"><input name=\"dog_name_1\" type=\"text\" id=\"dog_name_1\" value=\"\" class=\"textbox\" placeholder=\"Aucune\/None\" \/><\/div><label for=\"dog_breed_1\" class=\"select\">Race de chien #1 \/Dog #1 breed<\/label><div class=\"div_select\"><select name=\"dog_breed_1\" id=\"dog_breed_1\" class=\"dropdown\"><option value=\"\">---- S\u00e9lectionnez une option\/Select One ----<\/option><option value=\"GSP\">BA-PC - Braque allemand \u00e0 poil court - GSP<\/option><option value=\"GLP\">BA-PL - Braque allemand \u00e0 poil long - GLP<\/option><option value=\"BAR\">BAr - Braque d\u2019ari\u00e8ge BAr<\/option><option value=\"BA\">BAU - Braque d\u2019auvergne - BA<\/option><option value=\"WM\">BW - Braque de Weimar - WM<\/option><option value=\"BB\">BB - Braque du Bourbonnais - BB<\/option><option value=\"BF\">BF - Braque Fran\u00e7ais - BF<\/option><option value=\"VI\">BH - Braque Hongrois (VIZLA) - VI<\/option><option value=\"BG\">BSG - Braque saint-germain - BG<\/option><option value=\"DR\">DRAT - Drathaar - DR<\/option><option value=\"BP\">EBP - \u00c9pagneul bleu de picardie - BP<\/option><option value=\"EB\">EB - \u00c9pagneul breton - EB<\/option><option value=\"FS\">EF - \u00c9pagneul fran\u00e7ais - FS<\/option><option value=\"EPIEPA - \u00c9pagneul Pont-audemer - EP\">EPI - \u00c9pagneul Picard - EPI<\/option><option value=\"GR\">GK - Le Griffon Korthals - GR<\/option><option value=\"IRLA - Le Langhaar - LA\">IR - Irish Red &amp; White Setter - IR<\/option><option value=\"SM\">PM - Le petit M\u00fcnsterl\u00e4nder - SM<\/option><option value=\"PT\">PA - Pointer anglais - PT<\/option><option value=\"ES\">SA - Setter anglais -ES<\/option><option value=\"GO\">SG - Setter Gordon - GO<\/option><option value=\"IS\">SI - Setter irlandais - IS<\/option><option value=\"AU\">autre<\/option><\/select><\/div><label for=\"couleur_1\" class=\"text\">Couleur #1\/ #1 Color<\/label><div class=\"div_text\"><input name=\"couleur_1\" type=\"text\" id=\"couleur_1\" value=\"\" class=\"textbox\" placeholder=\"Aucune\/None\" \/><\/div><label for=\"sex_dog_1\" class=\"radio\">Sexe chien(ne) #1\/Sex dog #1:<\/label><div class=\"div_radio\"><input type=\"radio\" name=\"sex_dog_1\" id=\"sex_dog_1_1\" value=\"F\" > <label for=\"sex_dog_1_1\" id=\"label_sex_dog_1_1\" class=\"radio\">F<\/label><br \/><input type=\"radio\" name=\"sex_dog_1\" id=\"sex_dog_1_2\" value=\"M\" > <label for=\"sex_dog_1_2\" id=\"label_sex_dog_1_2\" class=\"radio\">M<\/label><br \/><\/div><label for=\"organisme_id_dog_1\" class=\"radio\">Organisme d\u2019affiliation #1\/#1 Registration organization<\/label><div class=\"div_radio\"><input type=\"radio\" name=\"organisme_id_dog_1\" id=\"organisme_id_dog_1_1\" value=\"AKC\" > <label for=\"organisme_id_dog_1_1\" id=\"label_organisme_id_dog_1_1\" class=\"radio\">AKC<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_1\" id=\"organisme_id_dog_1_2\" value=\"CKC\" > <label for=\"organisme_id_dog_1_2\" id=\"label_organisme_id_dog_1_2\" class=\"radio\">CKC<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_1\" id=\"organisme_id_dog_1_3\" value=\"FDSB\" > <label for=\"organisme_id_dog_1_3\" id=\"label_organisme_id_dog_1_3\" class=\"radio\">FDSB<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_1\" id=\"organisme_id_dog_1_4\" value=\"NAVHDA\" > <label for=\"organisme_id_dog_1_4\" id=\"label_organisme_id_dog_1_4\" class=\"radio\">NAVHDA<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_1\" id=\"organisme_id_dog_1_5\" value=\"UKC\" > <label for=\"organisme_id_dog_1_5\" id=\"label_organisme_id_dog_1_5\" class=\"radio\">UKC<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_1\" id=\"organisme_id_dog_1_6\" value=\"VDD\" > <label for=\"organisme_id_dog_1_6\" id=\"label_organisme_id_dog_1_6\" class=\"radio\">VDD<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_1\" id=\"organisme_id_dog_1_7\" value=\"Autre\" > <label for=\"organisme_id_dog_1_7\" id=\"label_organisme_id_dog_1_7\" class=\"radio\">Autre<\/label><br \/><\/div><label for=\"reg_certificate\" class=\"file\">Copie du certificat d\u2019enregistrement de votre chien #1\/ copy of your #1 dog registration certificate (jpeg, gif, pdf, png)<\/label><div class=\"div_file\"><input name=\"reg_certificate\" type=\"file\" id=\"reg_certificate\" value=\"\" class=\"file\" accept=\".jpg,.jpeg,.png,.gif,.pdf\" \/><\/div><label for=\"dog_name_2\" class=\"text\">Pr\u00e9nom chien #2\/Dog #2 name<\/label><div class=\"div_text\"><input name=\"dog_name_2\" type=\"text\" id=\"dog_name_2\" value=\"\" class=\"textbox\" placeholder=\"Aucune\/None\" \/><\/div><label for=\"dog_breed_2\" class=\"select\">Race de chien #2 \/Dog #2 breed<\/label><div class=\"div_select\"><select name=\"dog_breed_2\" id=\"dog_breed_2\" class=\"dropdown\"><option value=\"\">---- S\u00e9lectionnez une option\/Select One ----<\/option><option value=\"GSP\">BA-PC - Braque allemand \u00e0 poil court - GSP<\/option><option value=\"GLP\">BA-PL - Braque allemand \u00e0 poil long - GLP<\/option><option value=\"BAR\">BAr - Braque d\u2019ari\u00e8ge BAr<\/option><option value=\"BA\">BAU - Braque d\u2019auvergne - BA<\/option><option value=\"WM\">BW - Braque de Weimar - WM<\/option><option value=\"BB\">BB - Braque du Bourbonnais - BB<\/option><option value=\"BF\">BF - Braque Fran\u00e7ais - BF<\/option><option value=\"VI\">BH - Braque Hongrois (VIZLA) - VI<\/option><option value=\"BG\">BSG - Braque saint-germain - BG<\/option><option value=\"DR\">DRAT - Drathaar - DR<\/option><option value=\"BP\">EBP - \u00c9pagneul bleu de picardie - BP<\/option><option value=\"EB\">EB - \u00c9pagneul breton - EB<\/option><option value=\"FS\">EF - \u00c9pagneul fran\u00e7ais - FS<\/option><option value=\"EPIEPA - \u00c9pagneul Pont-audemer - EP\">EPI - \u00c9pagneul Picard - EPI<\/option><option value=\"GR\">GK - Le Griffon Korthals - GR<\/option><option value=\"IRLA - Le Langhaar - LA\">IR - Irish Red &amp; White Setter - IR<\/option><option value=\"SM\">PM - Le petit M\u00fcnsterl\u00e4nder - SM<\/option><option value=\"PT\">PA - Pointer anglais - PT<\/option><option value=\"ES\">SA - Setter anglais -ES<\/option><option value=\"GO\">SG - Setter Gordon - GO<\/option><option value=\"IS\">SI - Setter irlandais - IS<\/option><option value=\"AU\">autre<\/option><\/select><\/div><label for=\"couleur_2\" class=\"text\">Couleur #2\/ #2 Color<\/label><div class=\"div_text\"><input name=\"couleur_2\" type=\"text\" id=\"couleur_2\" value=\"\" class=\"textbox\" placeholder=\"Aucune\/None\" \/><\/div><label for=\"sex_dog_2\" class=\"radio\">Sexe chien(ne) #2\/Sex dog #2<\/label><div class=\"div_radio\"><input type=\"radio\" name=\"sex_dog_2\" id=\"sex_dog_2_1\" value=\"F\" > <label for=\"sex_dog_2_1\" id=\"label_sex_dog_2_1\" class=\"radio\">F<\/label><br \/><input type=\"radio\" name=\"sex_dog_2\" id=\"sex_dog_2_2\" value=\"M\" > <label for=\"sex_dog_2_2\" id=\"label_sex_dog_2_2\" class=\"radio\">M<\/label><br \/><\/div><label for=\"organisme_id_dog_2\" class=\"radio\">Organisme d\u2019affiliation #2\/#2Registration organization<\/label><div class=\"div_radio\"><input type=\"radio\" name=\"organisme_id_dog_2\" id=\"organisme_id_dog_2_1\" value=\"AKC\" > <label for=\"organisme_id_dog_2_1\" id=\"label_organisme_id_dog_2_1\" class=\"radio\">AKC<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_2\" id=\"organisme_id_dog_2_2\" value=\"CKC\" > <label for=\"organisme_id_dog_2_2\" id=\"label_organisme_id_dog_2_2\" class=\"radio\">CKC<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_2\" id=\"organisme_id_dog_2_3\" value=\"FDSB\" > <label for=\"organisme_id_dog_2_3\" id=\"label_organisme_id_dog_2_3\" class=\"radio\">FDSB<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_2\" id=\"organisme_id_dog_2_4\" value=\"NAVHDA\" > <label for=\"organisme_id_dog_2_4\" id=\"label_organisme_id_dog_2_4\" class=\"radio\">NAVHDA<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_2\" id=\"organisme_id_dog_2_5\" value=\"UKC\" > <label for=\"organisme_id_dog_2_5\" id=\"label_organisme_id_dog_2_5\" class=\"radio\">UKC<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_2\" id=\"organisme_id_dog_2_6\" value=\"VDD\" > <label for=\"organisme_id_dog_2_6\" id=\"label_organisme_id_dog_2_6\" class=\"radio\">VDD<\/label><br \/><input type=\"radio\" name=\"organisme_id_dog_2\" id=\"organisme_id_dog_2_7\" value=\"Autre\" > <label for=\"organisme_id_dog_2_7\" id=\"label_organisme_id_dog_2_7\" class=\"radio\">Autre<\/label><br \/><\/div><label for=\"second_reg_certificate\" class=\"file\">Copie du certificat d\u2019enregistrement de votre chien #2\/ copy of your #2 dog registration certificate (jpeg, gif, pdf, png)<\/label><div class=\"div_file\"><input name=\"second_reg_certificate\" type=\"file\" id=\"second_reg_certificate\" value=\"\" class=\"file\" accept=\".jpg,.jpeg,.png,.gif,.pdf\" \/><\/div><label for=\"secourisme\" class=\"radio\">Avez-vous une formation de secourisme\/Do you have first aid training<span class=\"req\">*<\/span><\/label><div class=\"div_radio\"><input type=\"radio\" name=\"secourisme\" id=\"secourisme_1\" value=\"No\" required > <label for=\"secourisme_1\" id=\"label_secourisme_1\" class=\"radio\">Non\/No<\/label><br \/><input type=\"radio\" name=\"secourisme\" id=\"secourisme_2\" value=\"Oui\" required > <label for=\"secourisme_2\" id=\"label_secourisme_2\" class=\"radio\">Oui\/Yes<\/label><br \/><\/div><label for=\"membership\" class=\"select\">Choisir votre type d&#039;adh\u00e9sion\/Your membership type<span class=\"req\">*<\/span><\/label><div class=\"div_select\"><select name=\"membership\" id=\"membership\" class=\"dropdown\" required ><option value=\"\">---- S\u00e9lectionnez une option\/Select One ----<\/option><option value=\"Individuel CAN 135\">Individuel\/Individual(135$)<\/option><option value=\"Familiale  CAN 160\">Familiale\/Family *(160$)<\/option><option value=\"Jeune CAN 30\">Jeune Rel\u00e8ve\/Youth **(30$)<\/option><\/select><\/div><div class=\"div_checkbox\"><input name=\"family_fat\" type=\"checkbox\" id=\"family_fat\" value=\"FSAM_OUI\" \/> <label for=\"family_fat\"><label for=\"family_fat\" class=\"checkbox\">* Je comprend que l\u2019adh\u00e9sion de type familial ; les membres doivent habiter \u00e0 la m\u00eame adresse.<\/label><\/label><\/div><label for=\"paiement\" class=\"select\">Paiement\/Payment mode<span class=\"req\">*<\/span><\/label><div class=\"div_select\"><select name=\"paiement\" id=\"paiement\" class=\"dropdown\" required ><option value=\"\">---- S\u00e9lectionnez une option\/Select One ----<\/option><option value=\"Interact\">Interact<\/option><option value=\"Comptant\">Comptant\/Cash<\/option><\/select><\/div><label for=\"second_handler_family_name\" class=\"text\">Nom\/Family name<\/label><div class=\"div_text\"><input name=\"second_handler_family_name\" type=\"text\" id=\"second_handler_family_name\" value=\"\" class=\"textbox\" placeholder=\"Pour les adh\u00e9sions de type familial fournir les d\u00e9tails de la deuxi\u00e8me personne\/ For family type memberships provide details of the second person\" \/><\/div><label for=\"second_handler_given_name\" class=\"text\">Pr\u00e9nom\/Given name<\/label><div class=\"div_text\"><input name=\"second_handler_given_name\" type=\"text\" id=\"second_handler_given_name\" value=\"\" class=\"textbox\" placeholder=\"Pour les adh\u00e9sions de type familial fournir les d\u00e9tails de la deuxi\u00e8me personne\/ For family type memberships provide details of the second person\" \/><\/div><div class=\"div_checkbox\"><input name=\"photos\" type=\"checkbox\" id=\"photos\" value=\"YES\" required  \/> <label for=\"photos\"><label for=\"photos\" class=\"checkbox\">J\u2019accepte la publication de photos prisent lors d\u2019\u00e9v\u00e8nements organis\u00e9s au terrain du CCAO\/I accept the publication of photos taken during events organized at CCAO training facility<span class=\"req\">*<\/span><\/label><\/label><\/div><div class=\"div_checkbox\"><input name=\"signature\" type=\"checkbox\" id=\"signature\" value=\"YES\" required  \/> <label for=\"signature\"><label for=\"signature\" class=\"checkbox\">Je comprends qu&#039;en m&#039;inscrivant, j&#039;ai sign\u00e9 en pleine connaissance des r\u00e8gles et r\u00e8glements (g\u00e9n\u00e9raux et du terrain) \/ I understand that registering means I signed with full knowledge of rules and regulations ( general and field regulations)<span class=\"req\">*<\/span><\/label><\/label><\/div><label for=\"username\" class=\"text\">Choisir un nom d&#039;utilisateur\/Username<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"username\" type=\"text\" id=\"username\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"password\" class=\"text\">Mot de passe\/Password -- Doit contenir : 1) des lettres minuscules et majuscules ; 2) un ou plusieurs chiffres ; 3) un ou plusieurs caract\u00e8res sp\u00e9ciaux (@, #, $, %, etc.) ; et 4) comporter au moins 12 caract\u00e8res. --- Must contain 1) Lower and Uppercase; 2) one or more digits; 3) one or more special character - @, #, $, %, etc; and 4) be at least 12 char long<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"password\" type=\"password\" id=\"password\" class=\"textbox\" required  \/><\/div><p><label><input type=\"checkbox\" value=\"1\" name=\"newsletter\" checked>&nbsp;Liste d&#039;abonnement CCAO<\/label><\/p><input name=\"a\" type=\"hidden\" value=\"register\" \/><input name=\"wpmem_reg_page\" type=\"hidden\" value=\"https:\/\/ccao.mazarol-gate.org\/index.php\/devenir-membre-registration\/\" \/><div class=\"button_div\"><input name=\"submit\" type=\"submit\" value=\"Register\" class=\"buttons\" \/><\/div><div class=\"req-text\"><span class=\"req\">*<\/span>Champ obligatoire\/Required field<\/div><\/fieldset><\/form><\/div>\r\n<script>\r\n\tvar loadFile = function(event, clicked_id) {\r\n\t\tvar reader = new FileReader();\r\n\t\tvar the_id = clicked_id + \"_img\";\r\n\t\treader.onload = function() {\r\n\t\t\tvar output = document.getElementById(the_id);\r\n\t\t\toutput.src = reader.result;\r\n\t\t};\r\n\t\treader.readAsDataURL(event.target.files[0]);\r\n\t};\r\n<\/script>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1114","page","type-page","status-publish","hentry"],"blocksy_meta":{"has_hero_section":"disabled","styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":6}},"featured_image_src":null,"_links":{"self":[{"href":"https:\/\/ccao.mazarol-gate.org\/index.php\/wp-json\/wp\/v2\/pages\/1114","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ccao.mazarol-gate.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ccao.mazarol-gate.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ccao.mazarol-gate.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ccao.mazarol-gate.org\/index.php\/wp-json\/wp\/v2\/comments?post=1114"}],"version-history":[{"count":1,"href":"https:\/\/ccao.mazarol-gate.org\/index.php\/wp-json\/wp\/v2\/pages\/1114\/revisions"}],"predecessor-version":[{"id":1782,"href":"https:\/\/ccao.mazarol-gate.org\/index.php\/wp-json\/wp\/v2\/pages\/1114\/revisions\/1782"}],"wp:attachment":[{"href":"https:\/\/ccao.mazarol-gate.org\/index.php\/wp-json\/wp\/v2\/media?parent=1114"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}