{"id":2771,"date":"2017-06-13T16:18:31","date_gmt":"2017-06-13T14:18:31","guid":{"rendered":"https:\/\/paroisse-sevres.fr\/?page_id=2771"},"modified":"2023-11-11T22:13:45","modified_gmt":"2023-11-11T21:13:45","slug":"certificat-de-bapteme","status":"publish","type":"page","link":"https:\/\/paroisse-sevres.fr\/demarches\/certificat-de-bapteme\/","title":{"rendered":"Certificat de bapt\u00eame"},"content":{"rendered":"<h4>Si\u00a0vous avez \u00e9t\u00e9 baptis\u00e9 \u00e0 S\u00e8vres, dans les \u00e9glises Saint-Romain ou Notre-Dame des Bruy\u00e8res, et que\u00a0vous avez besoin d&#8217;un certificat de\u00a0bapt\u00eame, vous pouvez remplir le formulaire ci-dessous :<\/h4>\n<p>Si vous avez \u00e9t\u00e9 baptis\u00e9 ailleurs, adressez-vous \u00e0 la <a href=\"https:\/\/messes.info\/\" target=\"_blank\" rel=\"noopener\">paroisse de votre bapt\u00eame<\/a> ou \u00e0 l&#8217;\u00e9v\u00each\u00e9 de la commune du bapt\u00eame.<br \/>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_11' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Demande de certificat de bapt\u00eame (ou de confirmation)<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_11'  action='\/wp-json\/wp\/v2\/pages\/2771\/' data-formid='11' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_11' class='gform_fields top_label form_sublabel_above description_below'><li id=\"field_11_13\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_13\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Pr\u00e9nom(s) et Nom(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_11_13'>\n                            \n                            <span id='input_11_13_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_11_13_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom(s)<\/label>\n                                                    <input type='text' name='input_13.3' id='input_11_13_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            <span id='input_11_13_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_11_13_4' class='gform-field-label gform-field-label--type-sub '>(Nom de jeune fille)<\/label>\n                                                    <input type='text' name='input_13.4' id='input_11_13_4' value=''   aria-required='false'     \/>\n                                                <\/span>\n                            <span id='input_11_13_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_11_13_6' class='gform-field-label gform-field-label--type-sub '>Nom de famille ou Nom d'\u00e9pouse<\/label>\n                                                            <input type='text' name='input_13.6' id='input_11_13_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_11_14\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_14\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip has_country ginput_container_address gform-grid-row' id='input_11_14' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_11_14_1_container' >\n                                        <label for='input_11_14_1' id='input_11_14_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse<\/label>\n                                        <input type='text' name='input_14.1' id='input_11_14_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_11_14_2_container' >\n                                        <label for='input_11_14_2' id='input_11_14_2_label' class='gform-field-label gform-field-label--type-sub '>2e ligne d'adresse<\/label>\n                                        <input type='text' name='input_14.2' id='input_11_14_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_11_14_3_container' >\n                                    <label for='input_11_14_3' id='input_11_14_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_14.3' id='input_11_14_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_14.4' id='input_11_14_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_11_14_5_container' >\n                                    <label for='input_11_14_5' id='input_11_14_5_label' class='gform-field-label gform-field-label--type-sub '>Code Postal<\/label>\n                                    <input type='text' name='input_14.5' id='input_11_14_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_11_14_6_container' >\n                                        <label for='input_11_14_6' id='input_11_14_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                        <select name='input_14.6' id='input_11_14_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba ' >Bonaire, Saint-Eustache et Saba <\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' selected='selected'>France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_11_15\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_15\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_11_15_container'>\n                                <span id='input_11_15_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_11_15' class='gform-field-label gform-field-label--type-sub '>Saisissez un e-mail<\/label>\n                                    <input class='' type='email' name='input_15' id='input_11_15' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <span id='input_11_15_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_11_15_2' class='gform-field-label gform-field-label--type-sub '>Confirmez l\u2019e-mail<\/label>\n                                    <input class='' type='email' name='input_15_2' id='input_11_15_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_11_16\" class=\"gfield gfield--type-text field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_16\" ><label class='gfield_label gform-field-label' for='input_11_16'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_11_16' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_11_21\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_21\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_11_21' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_11_21_2_container'>\n                                            <label for='input_11_21_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Jour<\/label>\n                                            <input type='number' maxlength='2' name='input_21[]' id='input_11_21_2' value=''   aria-required='true'   placeholder='JJ' min='1' max='31' step='1'\/>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_11_21_1_container'>\n                                        <label for='input_11_21_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Mois<\/label>\n                                        <input type='number' maxlength='2' name='input_21[]' id='input_11_21_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_11_21_3_container'>\n                                            <label for='input_11_21_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Ann\u00e9e<\/label>\n                                            <input type='number' maxlength='4' name='input_21[]' id='input_11_21_3' value=''   aria-required='true'   placeholder='AAAA' min='1920' max='2025' step='1'\/>\n                                       <\/div>\n                                    <\/div><\/div><\/li><li id=\"field_11_20\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_20\" ><label class='gfield_label gform-field-label' for='input_11_20'>Ann\u00e9e du bapt\u00eame<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_20' id='input_11_20' type='text' step='any' min='1901' max='2030' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_11_20\" \/><div class='gfield_description instruction ' id='gfield_instruction_11_20'>Veuillez saisir un nombre entre <strong>1901<\/strong> et <strong>2030<\/strong>.<\/div><\/div><\/li><li id=\"field_11_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_24\" ><label class='gfield_label gform-field-label' >Eglise du bapt\u00eame<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_24'>\n\t\t\t<li class='gchoice gchoice_11_24_0'>\n\t\t\t\t<input name='input_24' type='radio' value='Notre-Dame des Bruy\u00e8res' checked='checked' id='choice_11_24_0'    \/>\n\t\t\t\t<label for='choice_11_24_0' id='label_11_24_0' class='gform-field-label gform-field-label--type-inline'>Notre-Dame des Bruy\u00e8res<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_24_1'>\n\t\t\t\t<input name='input_24' type='radio' value='Saint-Romain'  id='choice_11_24_1'    \/>\n\t\t\t\t<label for='choice_11_24_1' id='label_11_24_1' class='gform-field-label gform-field-label--type-inline'>Saint-Romain<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_24_2'>\n\t\t\t\t<input name='input_24' type='radio' value='Ne sait plus'  id='choice_11_24_2'    \/>\n\t\t\t\t<label for='choice_11_24_2' id='label_11_24_2' class='gform-field-label gform-field-label--type-inline'>Ne sait plus<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_26\" class=\"gfield gfield--type-text field_sublabel_above gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_26\" ><label class='gfield_label gform-field-label' for='input_11_26'>Motif de la demande<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_11_26' type='text' value='' class='medium'  aria-describedby=\"gfield_description_11_26\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_11_26'>Pour quel sacrement ou activit\u00e9 religieuse avez-vous besoin du certificat ? Suivant le cas, ce dernier pourra varier.<\/div><\/li><li id=\"field_11_25\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_25\" ><label class='gfield_label gform-field-label' for='input_11_25'>Informations et remarques compl\u00e9mentaires<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_25' id='input_11_25' class='textarea medium'   maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_29\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_29\" ><label class='gfield_label gform-field-label' for='input_11_29'>Nombre d&#039;exemplaires<\/label><div class='ginput_container ginput_container_number'><input name='input_29' id='input_11_29' type='number' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_11_30\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent formrgpd gfield_contains_required field_sublabel_above gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_11_30\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Protection des donn\u00e9es personnelles<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_30.1' id='input_11_30_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_11_30\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_11_30_1' >J\u2019accepte d\u2019\u00eatre recontact\u00e9(e) pour traiter ma demande.\u00a0Ces donn\u00e9es sont conserv\u00e9es pendant 3 ans, gard\u00e9es confidentielles et r\u00e9serv\u00e9es aux personnes habilit\u00e9es par\u00a0les Paroisses de S\u00e8vres<\/label><input type='hidden' name='input_30.2' value='J\u2019accepte d\u2019\u00eatre recontact\u00e9(e) pour traiter ma demande.\u00a0Ces donn\u00e9es sont conserv\u00e9es pendant 3 ans, gard\u00e9es confidentielles et r\u00e9serv\u00e9es aux personnes habilit\u00e9es par\u00a0les Paroisses de S\u00e8vres' class='gform_hidden' \/><input type='hidden' name='input_30.3' value='13' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_11_30'>Ces donn\u00e9es sont gard\u00e9es confidentielles et r\u00e9serv\u00e9es aux personnes habilit\u00e9es par les Paroisses de S\u00e8vres. <br \/>\nConform\u00e9ment \u00e0 la loi Informatique et libert\u00e9s et au R\u00e8glement G\u00e9n\u00e9ral pour la Protection des Donn\u00e9es (RGPD), vous disposez d\u2019un droit 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confirmation) \u00e9tant confidentiels, merci de joindre une copie (ou photo) de votre pi\u00e8ce d'identit\u00e9 (et si possible celle de votre enfant pour les mineurs), que nous d\u00e9truirons imm\u00e9diatement apr\u00e8s vous avoir envoy\u00e9 l\u2019acte demand\u00e9.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='5242880' \/><input name='input_32' id='input_11_32' type='file' class='medium' aria-describedby=\"gfield_upload_rules_11_32 gfield_description_11_32\" onchange='javascript:gformValidateFileSize( this, 5242880 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_11_32'>Taille max. des fichiers\u00a0: 5 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_11_32'><\/div><\/div><\/li><li id=\"field_11_31\" class=\"gfield gfield--type-captcha gfield--width-full 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