{"id":731,"date":"2018-02-01T14:03:51","date_gmt":"2018-02-01T19:03:51","guid":{"rendered":"https:\/\/oasissurf.com\/?page_id=731"},"modified":"2022-03-03T10:24:30","modified_gmt":"2022-03-03T15:24:30","slug":"demande-de-soumission-camp-oasis","status":"publish","type":"page","link":"https:\/\/old.oasissurf.com\/en\/demande-de-soumission-camp-oasis\/","title":{"rendered":"Quotation &#8211; Oasis Surf Day camp"},"content":{"rendered":"<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f3566-o1\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/731#wpcf7-f3566-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"3566\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.4.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3566-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\nCAMP DE JOURS [FR]\u2028\n<style>\n\tspan.wpcf7-list-item { display: block; }\n\t.columns{column-count: 2}\n#carteCredit{column-count:2}\n\n@media(max-width: 880px) {\n #carteCredit{column-count:1}\n}\n\n@media(max-width: 680px) {\n .columns{column-count:1}\n}\n.column-wrapper-5 {display:none}\n<\/style>\n<div class=\"wrapper left\">\n<p class=\"text\">Fields marked with this symbol are mandatory*<\/p>\n<p class=\"title light\">SUMMER CAMP<\/p>\n            <span class=\"text light \">\n            <p class=\"text\">Summer Camp OASIS SURF - 399.99$\/week.<\/p>\n<div class=\"columns\">\n\n\t\t<span class=\"text light \">\n            <span class=\"wpcf7-form-control-wrap semaines\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"semaines[]\" value=\"June 26 to June 30 (50\/50 Available)\" \/><span class=\"wpcf7-list-item-label\">June 26 to June 30 (50\/50 Available)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"semaines[]\" value=\"July 3 to July 7 (50\/50 Available)\" \/><span class=\"wpcf7-list-item-label\">July 3 to July 7 (50\/50 Available)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"semaines[]\" value=\"July 10 to July 14 (25\/25 Available)\" \/><span class=\"wpcf7-list-item-label\">July 10 to July 14 (25\/25 Available)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"semaines[]\" value=\"July 17 to July 21 (25\/25 Available)\" \/><span class=\"wpcf7-list-item-label\">July 17 to July 21 (25\/25 Available)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"semaines[]\" value=\"July 24 to July 28 (25\/25 Available)\" \/><span class=\"wpcf7-list-item-label\">July 24 to July 28 (25\/25 Available)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"semaines[]\" value=\"July 31 to August 4 (25\/25 Available)\" \/><span class=\"wpcf7-list-item-label\">July 31 to August 4 (25\/25 Available)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"semaines[]\" value=\"August 7 to August 11 (25\/25 Available)\" \/><span class=\"wpcf7-list-item-label\">August 7 to August 11 (25\/25 Available)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"semaines[]\" value=\"August 14 to August 18 (25\/25 Available)\" \/><span class=\"wpcf7-list-item-label\">August 14 to August 18 (25\/25 Available)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"semaines[]\" value=\"August 21 to August 25 (25\/25 Available)\" \/><span class=\"wpcf7-list-item-label\">August 21 to August 25 (25\/25 Available)<\/span><\/label><\/span><\/span><\/span>\n\t<\/span>\n\n<\/div>\n<div class=\"column-wrapper-5\">\n\n<div class=\"col\">\n<strong>Lundi<\/strong><br>\n<span class=\"wpcf7-form-control-wrap option_Repas_Lundi\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"option_Repas_Lundi[]\" value=\"Filets de poulet, Collations &amp; Breuvage - 14.99$\" \/><span class=\"wpcf7-list-item-label\">Filets de poulet, Collations &amp; Breuvage - 14.99$<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n\n<div class=\"col\">\n<strong>Mardi<\/strong><br>\n<span class=\"wpcf7-form-control-wrap option_Repas_Mardi\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"option_Repas_Mardi[]\" value=\"Spaghetti, Collations &amp; Breuvage - 14.99$\" \/><span class=\"wpcf7-list-item-label\">Spaghetti, Collations &amp; Breuvage - 14.99$<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n\n<div class=\"col\">\n<strong>Mercredi<\/strong><br>\n<span class=\"wpcf7-form-control-wrap option_Repas_Mercredi\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"option_Repas_Mercredi[]\" value=\"Hamburger, Collations &amp; Breuvage - 14.99$\" \/><span class=\"wpcf7-list-item-label\">Hamburger, Collations &amp; Breuvage - 14.99$<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n\n<div class=\"col\">\n<strong>Jeudi<\/strong><br>\n<span class=\"wpcf7-form-control-wrap option_Repas_Mercredi\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"option_Repas_Mercredi[]\" value=\"Pizza, Collations &amp; Breuvage - 14.99$\" \/><span class=\"wpcf7-list-item-label\">Pizza, Collations &amp; Breuvage - 14.99$<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n\n<div class=\"col\">\n<strong>Vendredi<\/strong><br>\n<span class=\"wpcf7-form-control-wrap option_Repas_Mercredi\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"option_Repas_Mercredi[]\" value=\"P\u00e2tes (sauce blanche), Collations &amp; Breuvage - 14.99$\" \/><span class=\"wpcf7-list-item-label\">P\u00e2tes (sauce blanche), Collations &amp; Breuvage - 14.99$<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n<\/div>\n\n<div class=\"line\"><\/div>\n<p class=\"title light\">Option(s)<\/p>\n<span class=\"text light\">\n\t<span class=\"wpcf7-form-control-wrap option_semaine\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"option_semaine[]\" value=\"Daycare - 49.99$\/Week\" \/><span class=\"wpcf7-list-item-label\">Daycare - 49.99$\/Week<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"option_semaine[]\" value=\"Lunch \/ Snacks \/ Beverage - 79.99$\/Week\" \/><span class=\"wpcf7-list-item-label\">Lunch \/ Snacks \/ Beverage - 79.99$\/Week<\/span><\/label><\/span><\/span><\/span>\n<br>\n \t<span class=\"wpcf7-form-control-wrap option_TShirt\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"option_TShirt[]\" value=\"OASIS SURF Summer Camp T-Shirt - 29.99$\" \/><span class=\"wpcf7-list-item-label\">OASIS SURF Summer Camp T-Shirt - 29.99$<\/span><\/label><\/span><\/span><\/span>\t\t\n\t<span class=\"wpcf7-form-control-wrap T-Shirt\"><select name=\"T-Shirt\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">Size...<\/option><option value=\"X-Small\">X-Small<\/option><option value=\"Small\">Small<\/option><option value=\"Medium\">Medium<\/option><\/select><\/span>  \n<span class=\"text light\">\n\n        <span class=\"wpcf7-form-control-wrap option_serviette\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"option_serviette[]\" value=\"OASIS SURF Summer Camp Towel - 29.99$\" \/><span class=\"wpcf7-list-item-label\">OASIS SURF Summer Camp Towel - 29.99$<\/span><\/label><\/span><\/span><\/span>\n\t<span class=\"wpcf7-form-control-wrap Couleur_serviette\"><select name=\"Couleur_serviette\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">Color...<\/option><option value=\"Orange\">Orange<\/option><option value=\"Grey\">Grey<\/option><option value=\"Blue\">Blue<\/option><option value=\"Pink\">Pink<\/option><option value=\"Turquoise\">Turquoise<\/option><\/select><\/span>\n<span class=\"text light\">\n\n        <span class=\"wpcf7-form-control-wrap option_bouteille\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"option_bouteille[]\" value=\"OASIS SURF Water Bottle - 9.99$\" \/><span class=\"wpcf7-list-item-label\">OASIS SURF Water Bottle - 9.99$<\/span><\/label><\/span><\/span><\/span>\n\t<span class=\"wpcf7-form-control-wrap Choix_bouteille\"><select name=\"Choix_bouteille\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">Bottle Type...<\/option><option value=\"Plastic - 9.99$\">Plastic - 9.99$<\/option><option value=\"Aluminium - 24.99$\">Aluminium - 24.99$<\/option><\/select><\/span> \n<div class=\"line\"><\/div>\n\n<p class=\"title light\">Child Information<\/p>\n    <div>\t\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap prenom_enfant\"><input type=\"text\" name=\"prenom_enfant\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*FIRST NAME\" \/><\/span><\/span>\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap nom_enfant\"><input type=\"text\" name=\"nom_enfant\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*LAST NAME\" \/><\/span><\/span>\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap enfant_date_naissance\"><input type=\"text\" name=\"enfant_date_naissance\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"id_enfant_date_naissance\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"DATE OF BIRTH - AAAA-MM-JJ\" \/><\/span><\/span>\n\n\t<p class=\"title light\">Address<\/p>\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap adresse_enfant\"><input type=\"text\" name=\"adresse_enfant\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*ADDRESS\" \/><\/span><\/span>\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap ville_enfant\"><input type=\"text\" name=\"ville_enfant\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*CITY\" \/><\/span><\/span>\n     \t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap province_organisation\"><input type=\"text\" name=\"province_organisation\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*PROVINCE\" \/><\/span><\/span>\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap code_postal_enfant\"><input type=\"text\" name=\"code_postal_enfant\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"id_code_postal_enfant\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*POSTAL CODE\" \/><\/span><\/span>\n<div class=\"line\"><\/div>\n<p class=\"title light\">Emergency Contact (Primary)<\/p>\t  \n\t<div class=\"split\">\t\t\t\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap prenom_contact_1\"><input type=\"text\" name=\"prenom_contact_1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*FIRST NAME\" \/><\/span>\t<\/span>\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap telephone_contact_1\"><input type=\"text\" name=\"telephone_contact_1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"id_telephone_contact_1\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*PHONE NUMBER\" \/><\/span>\t<\/span>\n\t\t<span class=\"text light\"><\/span>\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap adresse_courriel_contact_1\"><input type=\"email\" name=\"adresse_courriel_contact_1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*EMAIL\" \/><\/span><\/span>  \n                <span class=\"text light\"><span class=\"wpcf7-form-control-wrap nom_contact_1\"><input type=\"text\" name=\"nom_contact_1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*LAST NAME\" \/><\/span><\/span>         \n\t\t<span class=\"wpcf7-form-control-wrap enfant_quitte\"><select name=\"enfant_quitte\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"*My child will leave\">*My child will leave<\/option><option value=\"Alone\">Alone<\/option><option value=\"With a guardian\">With a guardian<\/option><\/select><\/span>   \n\t<\/div>\n\t\t\n\n\n\n\t<p class=\"title light\">Emergency Contact (Secondary)<\/p>\n\t<div class=\"split\">\t\t\t\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap prenom_contact_2\"><input type=\"text\" name=\"prenom_contact_2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*FIRST NAME\" \/><\/span>\t   <\/span>\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap telephone_contact_2\"><input type=\"text\" name=\"telephone_contact_2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"id_telephone_contact_2\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*PHONE NUMBER\" \/><\/span>  <\/span>\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap nom_contact_2\"><input type=\"text\" name=\"nom_contact_2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*LAST NAME\" \/><\/span>\t   <\/span>\n\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap lien_enfant_contact_2\"><input type=\"text\" name=\"lien_enfant_contact_2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*LINK WITH CHILD\" \/><\/span>\t           <\/span>\n\t<\/div>\n\t\t\n\t  \n      <div class=\"line\"><\/div>\n\t  \n\t  <p class=\"title light\">Medical Information<\/p>\n\t  <div class=\"split\">\t  \t\n\t\t\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap no_assurance_maladie\"><input type=\"text\" name=\"no_assurance_maladie\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*MEDICAL INSURANCE NUMBER\" \/><\/span>\t<\/span>\n\t\t  \t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap allergie_alimentaire\"><input type=\"text\" name=\"allergie_alimentaire\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"FOOD ALLERGIES\" \/><\/span>\t<\/span>\n\t\t\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap probleme_sante\"><input type=\"text\" name=\"probleme_sante\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"SPECIAL MEDICAL CONDITION\" \/><\/span>\t\t\t<\/span>\n\t\t\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap exp_carte_maladie\"><input type=\"text\" name=\"exp_carte_maladie\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"id_exp_carte_maladie\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*EXPIRATION DATE\" \/><\/span>\t<\/span>\n\t\t\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap allergie_autre\"><input type=\"text\" name=\"allergie_autre\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"OTHER ALLERGIES\" \/><\/span>\t<\/span>\n\t  <\/div>\n        <div class=\"line\"><\/div>\n\t<p class=\"title light\">Payment Information<\/p>\n \t<p class=\"title light\" > <font size=\"2\">**The payment will be process automatically once the form is sent. OASIS SURF will contact you in case an error occurs during the process.<\/font><\/p>\n\t<div class=\"split\" id=\"carteCredit\">\t\t\n\t\t\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap nom_carte\"><input type=\"text\" name=\"nom_carte\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*CARDHOLDER NAME\" \/><\/span>\t<\/span>\n\t\t\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap exp_carte\"><input type=\"text\" name=\"exp_carte\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"id_exp_carte\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*EXPIRATION\" \/><\/span>            <\/span>\n\t\t\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap no_carte\"><input type=\"text\" name=\"no_carte\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"id_no_carte\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*CREDIT CARD NUMBER\" \/><\/span>\t<\/span>\n\t\t\t\t<span class=\"text light\"><span class=\"wpcf7-form-control-wrap cvc\"><input type=\"text\" name=\"cvc\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"id_cvc\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"*SECURITY CODE\" \/><\/span>\t<\/span> \n\t<\/div>\n\n\n\n\n\n\n\n\t  <div class=\"line\"><\/div>\n\t<p class=\"title light\">Would you like to receive a T24 form for the childcare fees?<\/p>\n\n<span class=\"text light\">\n\t<span class=\"wpcf7-form-control-wrap releve24\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"releve24\" value=\"YES\" \/><span class=\"wpcf7-list-item-label\">YES<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"releve24\" value=\"NO\" \/><span class=\"wpcf7-list-item-label\">NO<\/span><\/label><\/span><\/span><\/span>\n<\/span>\t\t\n\t\t\n\t\t<span class=\"wpcf7-form-control-wrap nom_parent_payeur\"><input type=\"text\" name=\"nom_parent_payeur\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"NAME OF THE PARENT MAKING THE PAYMENT\" \/><\/span>\n\t\t<span class=\"wpcf7-form-control-wrap sec_carte_nas\"><input type=\"text\" name=\"sec_carte_nas\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"SOCIAL SECURITY NUMBER OF THE PARENT MAKING THE PAYMENT\" \/><\/span>\t\t\n\t\t<span class=\"wpcf7-form-control-wrap sec_courriel\"><input type=\"email\" name=\"sec_courriel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"EMAIL ADRESS OF THE PARENT MAKING THE PAYMENT\" \/><\/span>\n\t  <div class=\"line\"><\/div>\n\t  <span class=\"text light\">\n\t  \n\t<\/span>\t\n\t<div style=\"padding-top: 25px;;\">\n\t  <input type=\"submit\" value=\"SEND FORM\" class=\"wpcf7-form-control wpcf7-submit\" \/>\n\t<\/div>\n<script>\n$(\"#id_exp_carte\").on(\"keyup\", function () {\n formatCreditCardExp(this)\n});\n\n$(\"#id_no_carte\").on(\"keyup\", function () {\nformatCreditCardNo(this)\n});\n\t\n\n\n\n$(\"#id_exp_carte\").on(\"keyup\", function () {\nformatCreditCardExp(this)\n});\n\n$(\"#id_code_postal_enfant\").on(\"keyup\", function () {\n\tformatePostCodeCanada(this)\n});\n\n$(\"#id_telephone_contact_1\").on(\"keyup\", function () {\n\tformatPhone(this)\n});\n$(\"#id_telephone_contact_2\").on(\"keyup\", function () {\n\tformatPhone(this)\n});\n$(\"#id_cvc\").on(\"keyup\", function () {\n\tformatCreditCardCvc(this)\n});\n\nlet listDateCheckBox = document.querySelectorAll(\".columns input\")\nlistDateCheckBox.forEach(element => 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