{"id":182,"date":"2012-11-21T17:57:22","date_gmt":"2012-11-21T17:57:22","guid":{"rendered":"http:\/\/themes.wpbox.net\/written\/?page_id=182"},"modified":"2020-01-16T17:23:32","modified_gmt":"2020-01-16T22:23:32","slug":"membership-application","status":"publish","type":"page","link":"https:\/\/maniwakinfc.ca\/fr\/membership-application\/","title":{"rendered":"Application d'Adh\u00e9sion"},"content":{"rendered":"<div class='fluentform ff-default fluentform_wrapper_1 ffs_default_wrap'><form data-form_id=\"1\" id=\"fluentform_1\" class=\"frm-fluent-form fluent_form_1 ff-el-form-top ff_form_instance_1_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_1_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;\">Membership Application Form<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='182' \/><input type=\"hidden\" id=\"_fluentform_1_fluentformnonce\" name=\"_fluentform_1_fluentformnonce\" value=\"6eaffcfb1c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/182\" \/><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 asterisk-right\"><label for='ff_1_names_first_name_' id='label_ff_1_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_1_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_names_last_name_' id='label_ff_1_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_1_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div data-type=\"name-element\" data-name=\"names_1\" class=\" ff-field_container ff-name-field-wrapper\" ><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_1_names_1_first_name_' id='label_ff_1_names_1_first_name_' >Spouse's First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[first_name]\" id=\"ff_1_names_1_first_name_\" class=\"ff-el-form-control\" placeholder=\"Spouse's First Name\" 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_1_names_1_last_name_' id='label_ff_1_names_1_last_name_' >Spouse's Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[last_name]\" id=\"ff_1_names_1_last_name_\" class=\"ff-el-form-control\" placeholder=\"Spouse's Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_numeric-field' id='label_ff_1_numeric-field' aria-label=\"Number of children under 18\">Number of children under 18<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_1_numeric-field\" class=\"ff-el-form-control\" placeholder=\"0\" data-name=\"numeric-field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_description_1' id='label_ff_1_description_1' aria-label=\"Name of Children, Age &amp; Registry Number (Please put children on new lines by pressing the &quot;Enter&quot; key)\">Name of Children, Age &amp; Registry Number (Please put children on new lines by pressing the \"Enter\" key)<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_1_description_1\" name=\"description_1\" id=\"ff_1_description_1\" class=\"ff-el-form-control\" placeholder=\"Name, Age, Registry Number\" rows=\"3\" cols=\"2\" data-name=\"description_1\" ><\/textarea><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address1\" ><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_1_address1_address_line_1_' id='label_ff_1_address1_address_line_1_' aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[address_line_1]\" id=\"ff_1_address1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Address\" 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_1_address1_city_' id='label_ff_1_address1_city_' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[city]\" id=\"ff_1_address1_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/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 class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_input_text' id='label_ff_1_input_text' aria-label=\"Home Phone\">Home Phone<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Home Phone\" data-name=\"input_text\" id=\"ff_1_input_text\"  aria-invalid=\"false\" aria-required=false><\/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 asterisk-right\"><label for='ff_1_input_text_1' id='label_ff_1_input_text_1' aria-label=\"Work Phone\">Work Phone<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" placeholder=\"Work Phone\" data-name=\"input_text_1\" id=\"ff_1_input_text_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_email' id='label_ff_1_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_1_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-1_1\" ><h3 class='ff-el-section-title'><\/h3><div class='ff-section_break_desk'><hr \/>\n<h3>Tell us about yourself (optional)<\/h3><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_dropdown' id='label_ff_1_dropdown' aria-label=\"Dropdown\">Dropdown<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_1_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_1_dropdown\"><option value=\"\">- Select -<\/option><option value=\"Metis\"  >Metis<\/option><option value=\"Status\"  >Status<\/option><option value=\"Non-Status\"  >Non-Status<\/option><option value=\"Inuit\"  >Inuit<\/option><option value=\"Non-Aboriginal\"  >Non-Aboriginal<\/option><option value=\"Other\"  >Other<\/option><\/select><\/div><\/div><div data-name=\"ff_cn_id_2\"  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 asterisk-right\"><label for='ff_1_input_text_2' id='label_ff_1_input_text_2' aria-label=\"Band\">Band<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" placeholder=\"Band\" data-name=\"input_text_2\" id=\"ff_1_input_text_2\"  aria-invalid=\"false\" aria-required=false><\/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 asterisk-right\"><label for='ff_1_numeric-field_1' id='label_ff_1_numeric-field_1' aria-label=\"Age\">Age<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_1\" id=\"ff_1_numeric-field_1\" class=\"ff-el-form-control\" placeholder=\"0\" data-name=\"numeric-field_1\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-1_2\" ><p style=\"text-align: center\">This membership entitles you to take part in the programs that are offered at the Centre and participate in any program of your choice. <br \/>We offer programs for every age group so there\u2019s always something for everyone.<\/p>\n<p style=\"text-align: center\">Every member has the right to contribute to the Centre, in any positive way so we may reach new goals &amp; develop new progress while keeping Maniwaki Native Friendship Center objectives in mind.<\/p>\n<p style=\"text-align: center\"><em>Members under 18 years of age are not eligible to vote in matters affecting the administration of the centre. <br \/><span style=\"color: #ff0000\"><strong>All applications will be kept in strict confidence.<\/strong><\/span><\/em><\/p><\/div><div class='ff-el-group ff-text-right ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Submit Form\">Submit Form<\/button><\/div><\/fieldset><\/form><div id='fluentform_1_errors' class='ff-errors-in-stack ff_form_instance_1_1 ff-form-loading_errors ff_form_instance_1_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_1_1 = 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