{"id":17739,"date":"2025-09-16T16:59:38","date_gmt":"2025-09-16T20:59:38","guid":{"rendered":"https:\/\/readtogrow.org\/formulaire-de-demande-de-livres-pour-le-programme\/"},"modified":"2025-10-23T18:29:43","modified_gmt":"2025-10-23T22:29:43","slug":"formulaire-de-demande-de-livres-pour-le-programme","status":"publish","type":"page","link":"https:\/\/readtogrow.org\/fr\/formulaire-de-demande-de-livres-pour-le-programme\/","title":{"rendered":"Formulaire de demande de livres pour le programme"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"17739\" class=\"elementor elementor-17739 elementor-7525\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1e3ee46c page-header e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"1e3ee46c\" data-element_type=\"container\" data-e-type=\"container\" id=\"page-header\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-10cc7dac elementor-widget elementor-widget-text-editor\" data-id=\"10cc7dac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1>Formulaire de demande de livres pour le programme<\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-37edb815 form e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"37edb815\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-fb4ec55 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-child\" data-id=\"fb4ec55\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1bfac97 elementor-widget elementor-widget-text-editor\" data-id=\"1bfac97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>Informations importantes avant de soumettre une demande de livres<\/h3><p>Nous vous remercions de l\u2019int\u00e9r\u00eat que vous portez au programme de dons de livres de Read to Grow. Veuillez lire attentivement les informations suivantes avant de compl\u00e9ter votre demande. <\/p><p>Ce formulaire est destin\u00e9 aux programmes bas\u00e9s dans le Connecticut qui s\u2019adressent aux enfants et aux familles, tels que les centres de la petite enfance, les \u00e9coles, les prestataires de soins de sant\u00e9, les garderies \u00e0 domicile et les organisations \u00e0 but non lucratif, communautaires et confessionnelles. Si vous demandez des livres pour une famille individuelle, veuillez plut\u00f4t utiliser notre <a href=\"https:\/\/readtogrow.org\/fr\/formulaire-de-demande-de-livres-pour-la-famille\/\">formulaire de demande de livres pour les familles<\/a>. <\/p><h3>Directives pour les demandes de livres<\/h3><p>Veuillez soumettre votre demande au moins 4 \u00e0 6 semaines \u00e0 l\u2019avance afin de pr\u00e9voir le temps n\u00e9cessaire au traitement et \u00e0 l\u2019ex\u00e9cution.<\/p><p>Si vous avez besoin de livres plus t\u00f4t, vous pouvez quand m\u00eame remplir ce formulaire, puis nous appeler au 203.488.6800 pour parler \u00e0 un coordinateur de Books for Kids.<\/p><p>Les livres sont disponibles gratuitement pour enl\u00e8vement \u00e0 notre bureau de Branford. Si vous pr\u00e9f\u00e9rez une livraison dans le Connecticut, nous l\u2019offrons moyennant des frais de 15 $. <\/p><p>Nous n\u2019exp\u00e9dions pas de livres hors de l\u2019\u00c9tat.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5816998 elementor-widget elementor-widget-shortcode\" data-id=\"5816998\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' style='display:none'>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/fr\/wp-json\/wp\/v2\/pages\/17739' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_87\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_87'>Company<\/label><div class='gfield_description' id='gfield_description_5_87'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><div class='ginput_container'><input name='input_87' id='input_5_87' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_5_79\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_5_12\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >(<span class=\"red\">*<\/span> indique les champs obligatoires)<\/div><div id=\"field_5_1\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_1'>Date du jour :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_1' id='input_5_1' type='text' value='04\/24\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='04\/24\/2026' aria-describedby=\"input_5_1_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_1_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_1' class='gform_hidden' value='https:\/\/readtogrow.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_5'>Pr\u00e9nom&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_5_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'>Nom&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_5_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_32'>Nom de l&#039;organisation&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_5_32' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_33'>Votre titre&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_5_33' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_7'>Adresse&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_5_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_8'>Adresse 2&nbsp;:<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_5_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_9'>Ville :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_5_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_55\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter html-label gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>\u00c9tat :<\/p>\n<p>CONNECTICUT<\/p><\/div><div id=\"field_5_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_17'>Code postal :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_5_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_4\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_4'>Comt\u00e9 :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_5_4' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Fairfield' >Fairfield<\/option><option value='Hartford' >Hartford<\/option><option value='Litchfield' >Litchfield<\/option><option value='Middlesex' >Middlesex<\/option><option value='New Haven' >New Haven<\/option><option value='New London' >New London<\/option><option value='Tolland' >Tolland<\/option><option value='Windham' >Windham<\/option><\/select><\/div><\/div><div id=\"field_5_15\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_15'>T\u00e9l\u00e9phone du programme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_15' id='input_5_15' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_34\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_34'>T\u00e9l\u00e9phone fixe\/portable&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_34' id='input_5_34' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_16\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_16'>Courriel&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_16' id='input_5_16' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_68\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_68'>Courriel secondaire&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_68' id='input_5_68' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_86\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_86'>Pr\u00e9f\u00e9rences linguistiques pour les livres&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_86'>Veuillez indiquer les langues parl\u00e9es par les enfants et les familles que vous servez. Nous ferons de notre mieux pour r\u00e9pondre \u00e0 vos besoins. <\/div><div class='ginput_container ginput_container_text'><input name='input_86' id='input_5_86' type='text' value='' class='large'  aria-describedby=\"gfield_description_5_86\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00cates-vous un partenaire de Reach Out and Read (ROAR)&nbsp;?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_56'>\n\t\t\t<div class='gchoice gchoice_5_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Oui'  id='choice_5_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_56_0' id='label_5_56_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Non'  id='choice_5_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_56_1' id='label_5_56_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><legend class='gfield_label gform-field-label' >\u00cates-vous un organisme d\u2019\u00c9tat&nbsp;?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_35'>\n\t\t\t<div class='gchoice gchoice_5_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Oui'  id='choice_5_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_35_0' id='label_5_35_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Non'  id='choice_5_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_35_1' id='label_5_35_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><legend class='gfield_label gform-field-label' >\u00cates-vous un organisme municipal&nbsp;?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_36'>\n\t\t\t<div class='gchoice gchoice_5_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Oui'  id='choice_5_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_36_0' id='label_5_36_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Non'  id='choice_5_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_36_1' id='label_5_36_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><legend class='gfield_label gform-field-label' >\u00cates-vous un programme de Titre&nbsp;I&nbsp;?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_39'>\n\t\t\t<div class='gchoice gchoice_5_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Oui'  id='choice_5_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_39_0' id='label_5_39_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Non'  id='choice_5_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_39_1' id='label_5_39_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_71\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_71'>Type d\u2019organisme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_71' id='input_5_71' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Entreprise\/soci\u00e9t\u00e9' >Entreprise\/soci\u00e9t\u00e9<\/option><option value='Organisme communautaire' >Organisme communautaire<\/option><option value='Petite enfance' >Petite enfance<\/option><option value='Organisme gouvernemental' >Organisme gouvernemental<\/option><option value='Fournisseur de soins de sant\u00e9' >Fournisseur de soins de sant\u00e9<\/option><option value='Biblioth\u00e8que' >Biblioth\u00e8que<\/option><option value='Philanthropique' >Philanthropique<\/option><option value='\u00c9cole' >\u00c9cole<\/option><\/select><\/div><\/div><div id=\"field_5_37\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_37'>Type de programme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_5_37' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Organisation professionnelle' >Organisation professionnelle<\/option><option value='\u00c9diteur' >\u00c9diteur<\/option><option value='Vendeur' >Vendeur<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_5_72\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_72'>Type de programme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_72' id='input_5_72' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Banque de livres' >Banque de livres<\/option><option value='Club de lecture' >Club de lecture<\/option><option value='Centre communautaire' >Centre communautaire<\/option><option value='Banque de couches' >Banque de couches<\/option><option value='Confessionnel' >Confessionnel<\/option><option value='Banque alimentaire' >Banque alimentaire<\/option><option value='Visite \u00e0 domicile' >Visite \u00e0 domicile<\/option><option value='R\u00e9seau de familles attentionn\u00e9es' >R\u00e9seau de familles attentionn\u00e9es<\/option><option value='Services sociaux' >Services sociaux<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_5_73\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_73'>Type de programme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_5_73' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Centre' >Centre<\/option><option value='Programme de d\u00e9marrage pr\u00e9coce' >Programme de d\u00e9marrage pr\u00e9coce<\/option><option value='Programme de d\u00e9marrage' >Programme de d\u00e9marrage<\/option><option value='Visite \u00e0 domicile' >Visite \u00e0 domicile<\/option><option value='Garderie \u00e0 domicile' >Garderie \u00e0 domicile<\/option><option value='\u00c9cole maternelle' >\u00c9cole maternelle<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_5_74\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_74'>Type de programme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_5_74' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='F\u00e9d\u00e9ral' >F\u00e9d\u00e9ral<\/option><option value='Municipal' >Municipal<\/option><option value='\u00c9tat' >\u00c9tat<\/option><\/select><\/div><\/div><div id=\"field_5_75\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_75'>Type de programme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_5_75' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Centre de sant\u00e9 communautaire' >Centre de sant\u00e9 communautaire<\/option><option value='Visite \u00e0 domicile' >Visite \u00e0 domicile<\/option><option value='H\u00f4pital' >H\u00f4pital<\/option><option value='Maternit\u00e9' >Maternit\u00e9<\/option><option value='R\u00e9seau de familles attentionn\u00e9es' >R\u00e9seau de familles attentionn\u00e9es<\/option><option value='OB\/gyn' >OB\/gyn<\/option><option value='Soins p\u00e9diatriques' >Soins p\u00e9diatriques<\/option><option value='Soins pr\u00e9natals' >Soins pr\u00e9natals<\/option><option value='Soins primaires' >Soins primaires<\/option><option value='Centre scolaire' >Centre scolaire<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_5_76\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_76'>Type de programme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_5_76' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Amis de la biblioth\u00e8que' >Amis de la biblioth\u00e8que<\/option><option value='Petite biblioth\u00e8que gratuite' >Petite biblioth\u00e8que gratuite<\/option><option value='Biblioth\u00e8que publique' >Biblioth\u00e8que publique<\/option><\/select><\/div><\/div><div id=\"field_5_77\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_77'>Type de programme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_77' id='input_5_77' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Fondation' >Fondation<\/option><option value='Fraternit\u00e9\/sororit\u00e9' >Fraternit\u00e9\/sororit\u00e9<\/option><option value='Auxiliaire d\u2019h\u00f4pital' >Auxiliaire d\u2019h\u00f4pital<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_5_78\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_78'>Type de programme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_5_78' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='\u00c9ducation des adultes' >\u00c9ducation des adultes<\/option><option value='Conseil scolaire' >Conseil scolaire<\/option><option value='Coll\u00e8ge\/universit\u00e9' >Coll\u00e8ge\/universit\u00e9<\/option><option value='District' >District<\/option><option value='\u00c9cole primaire' >\u00c9cole primaire<\/option><option value='Centre de ressources familiales' >Centre de ressources familiales<\/option><option value='\u00c9cole secondaire' >\u00c9cole secondaire<\/option><option value='Coll\u00e8ge' >Coll\u00e8ge<\/option><option value='\u00c9cole maternelle' >\u00c9cole maternelle<\/option><option value='PTA\/PTO' >PTA\/PTO<\/option><option value='Centre r\u00e9gional de services \u00e9ducatifs' >Centre r\u00e9gional de services \u00e9ducatifs<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_5_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_38'>Si autre, veuillez pr\u00e9ciser&nbsp;:<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_5_38' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_80\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous d\u00e9j\u00e0 demand\u00e9 des livres&nbsp;?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_80'>\n\t\t\t<div class='gchoice gchoice_5_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Oui'  id='choice_5_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_80_0' id='label_5_80_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Non'  id='choice_5_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_80_1' id='label_5_80_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_83\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_83'>Quand avez-vous fait votre derni\u00e8re demande&nbsp;?<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_83' id='input_5_83' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_5_83_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_83_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_83' class='gform_hidden' value='https:\/\/readtogrow.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_40\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_40'>Si vous ne connaissez pas Read to Grow, veuillez d\u00e9crire votre programme&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_40' id='input_5_40' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_42\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_42'>Nombre de livres que vous demandez&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_42' id='input_5_42' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_63\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><strong>Veuillez indiquer ci-dessous le nombre d\u2019enfants qui recevront ces livres dans chaque tranche d\u2019\u00e2ge&nbsp;: (Les tranches d\u2019\u00e2ge ci-dessous doivent \u00eatre remplies pour que votre commande soit trait\u00e9e.)<\/strong> <span style=\"color:var(--rtg-red);\">*<\/span><\/div><div id=\"field_5_62\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_62'>0-2&nbsp;ans&nbsp;:<\/label><div class='ginput_container ginput_container_number'><input name='input_62' id='input_5_62' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_65\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_65'>3-5&nbsp;ans&nbsp;:<\/label><div class='ginput_container ginput_container_number'><input name='input_65' id='input_5_65' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_69\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_69'>6-7&nbsp;ans&nbsp;:<\/label><div class='ginput_container ginput_container_number'><input name='input_69' id='input_5_69' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_67\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_67'>8-12&nbsp;ans&nbsp;:<\/label><div class='ginput_container ginput_container_number'><input name='input_67' id='input_5_67' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_64\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_64'>13-15&nbsp;ans&nbsp;:<\/label><div class='ginput_container ginput_container_number'><input name='input_64' id='input_5_64' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_70\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_70'>16-18&nbsp;ans&nbsp;:<\/label><div class='ginput_container ginput_container_number'><input name='input_70' id='input_5_70' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_43\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_43'>Nombre total d\u2019enfants \u00e0 servir&nbsp;:<\/label><div class='ginput_container ginput_container_number'><input name='input_43' id='input_5_43' type='text' step='any'   value='' class='small gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_19'>Veuillez fournir toute information qui pourrait aider nos coordonnateurs \u00e0 pr\u00e9parer votre demande (f\u00eates, documentaires, th\u00e8mes - veuillez \u00eatre aussi pr\u00e9cis que possible)&nbsp;:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_5_19' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_44\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_44'>Comment les livres seront-ils remis aux enfants pour qu\u2019ils les emportent chez eux et les gardent&nbsp;? (Tous les livres sont destin\u00e9s \u00e0 \u00eatre emport\u00e9s \u00e0 la maison par les enfants. Ils ne sont pas destin\u00e9s \u00e0 la cr\u00e9ation de biblioth\u00e8ques sur place). <span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_5_44' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Lors d\u2019un \u00e9v\u00e9nement sp\u00e9cial' >Lors d\u2019un \u00e9v\u00e9nement sp\u00e9cial<\/option><option value='Pendant le rendez-vous chez le m\u00e9decin\/m\u00e9dical' >Pendant le rendez-vous chez le m\u00e9decin\/m\u00e9dical<\/option><option value='Lors des visites \u00e0 domicile' >Lors des visites \u00e0 domicile<\/option><option value='Pour la s\u00e9lection des enfants' >Pour la s\u00e9lection des enfants<\/option><option value='Pour la lecture d\u2019\u00e9t\u00e9' >Pour la lecture d\u2019\u00e9t\u00e9<\/option><option value='Dans la salle d\u2019attente' >Dans la salle d\u2019attente<\/option><option value='Avec la distribution de couches' >Avec la distribution de couches<\/option><option value='Avec la distribution de nourriture' >Avec la distribution de nourriture<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_5_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_45'>Si autre, veuillez pr\u00e9ciser&nbsp;:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_5_45' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_46\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_46'>Si la demande concerne un \u00e9v\u00e9nement sp\u00e9cial, quand les livres sont-ils n\u00e9cessaires&nbsp;?<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_46' id='input_5_46' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_5_46_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_46_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_46' class='gform_hidden' value='https:\/\/readtogrow.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_25\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_25'>Comment avez-vous entendu parler de Read to Grow&nbsp;?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_5_25' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Bibliobus' >Bibliobus<\/option><option value='\u00c9v\u00e9nement communautaire' >\u00c9v\u00e9nement communautaire<\/option><option value='Ami \/ membre de la famille' >Ami \/ membre de la famille<\/option><option value='Visiteur \u00e0 domicile' >Visiteur \u00e0 domicile<\/option><option value='\u00c0 l&#039;h\u00f4pital lors de la naissance de mon b\u00e9b\u00e9' >\u00c0 l&#039;h\u00f4pital lors de la naissance de mon b\u00e9b\u00e9<\/option><option value='Biblioth\u00e8que' >Biblioth\u00e8que<\/option><option value='M\u00e9dias (t\u00e9l\u00e9vision, journaux, etc.)' >M\u00e9dias (t\u00e9l\u00e9vision, journaux, etc.)<\/option><option value='Clinique pr\u00e9natale' >Clinique pr\u00e9natale<\/option><option value='\u00c9v\u00e9nement Read to Grow' >\u00c9v\u00e9nement Read to Grow<\/option><option value='R\u00e9seaux sociaux \/ Internet' >R\u00e9seaux sociaux \/ Internet<\/option><option value='Enseignant \/ prestataire de services de garde d&#039;enfants' >Enseignant \/ prestataire de services de garde d&#039;enfants<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_5_28\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_28'>Nom de l&#039;h\u00f4pital :<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_5_28' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_81\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_5_82\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3>Informations de paiement et de livraison<\/h3><\/div><fieldset id=\"field_5_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >S\u00e9lectionnez le mode de livraison :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_52'>\n\t\t\t<div class='gchoice gchoice_5_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Venez chercher vos livres au bureau de Branford, situ\u00e9 au 53 School Ground Road, Branford, CT 06405, sans frais. Les collectes doivent \u00eatre planifi\u00e9es \u00e0 l&#039;avance. Un coordinateur de Books for Kids vous contactera lorsque vos livres seront pr\u00eats \u00e0 \u00eatre r\u00e9cup\u00e9r\u00e9s.  '  id='choice_5_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_0' id='label_5_52_0' class='gform-field-label gform-field-label--type-inline'>Venez chercher vos livres au bureau de Branford, situ\u00e9 au 53 School Ground Road, Branford, CT 06405, sans frais. Les collectes doivent \u00eatre planifi\u00e9es \u00e0 l'avance. Un coordinateur de Books for Kids vous contactera lorsque vos livres seront pr\u00eats \u00e0 \u00eatre r\u00e9cup\u00e9r\u00e9s.  <\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Livraison de livres moyennant des frais pr\u00e9pay\u00e9s de 15&nbsp;$. Un coordonnateur de Livres pour enfants communiquera avec vous lorsque vos livres seront pr\u00eats \u00e0 organiser une livraison.  Le paiement doit \u00eatre effectu\u00e9 d\u00e8s que possible.'  id='choice_5_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_1' id='label_5_52_1' class='gform-field-label gform-field-label--type-inline'>Livraison de livres moyennant des frais pr\u00e9pay\u00e9s de 15&nbsp;$. Un coordonnateur de Livres pour enfants communiquera avec vous lorsque vos livres seront pr\u00eats \u00e0 organiser une livraison.  Le paiement doit \u00eatre effectu\u00e9 d\u00e8s que possible.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >S\u00e9lectionnez le mode de paiement pour la livraison :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_54'>\n\t\t\t<div class='gchoice gchoice_5_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Ch\u00e8que'  id='choice_5_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_54_0' id='label_5_54_0' class='gform-field-label gform-field-label--type-inline'>Ch\u00e8que<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Carte de d\u00e9bit\/cr\u00e9dit'  id='choice_5_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_54_1' id='label_5_54_1' class='gform-field-label gform-field-label--type-inline'>Carte de d\u00e9bit\/cr\u00e9dit<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_57'>Nom figurant sur le ch\u00e8que :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_5_57' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_58\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_58'>Nom figurant sur la carte de d\u00e9bit\/cr\u00e9dit :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_5_58' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection just-divider field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_5_59\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Veuillez vous assurer de remplir tous les champs obligatoires avant de cliquer sur le bouton \u00ab&nbsp;Soumettre&nbsp;\u00bb.<\/p>\n\n<p>Apr\u00e8s la soumission, vous devriez voir un message de confirmation qui se lit comme suit&nbsp;: \u00ab&nbsp;Merci pour votre demande&nbsp;! Votre demande de livres a \u00e9t\u00e9 soumise.&nbsp;\u00bb Nous vous recommandons de sauvegarder ou d\u2019imprimer ce message pour vos dossiers. <\/p>\n\n<p>Si vous ne voyez pas le message de confirmation, votre demande n\u2019a pas \u00e9t\u00e9 trait\u00e9e. Dans ce cas, veuillez v\u00e9rifier \u00e0 nouveau votre formulaire pour tout champ obligatoire manquant ou communiquez avec nous au 203.488.6800 si vous avez besoin d\u2019aide. <\/p>\n\n<p>Nous appr\u00e9cions votre partenariat pour aider les enfants du Connecticut \u00e0 grandir gr\u00e2ce au pouvoir des livres.<\/p><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Soumettre'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='aCmKsnrNOtxfiR06ToJxRRQUnpwHdIZE1\/bVYcoiN\/HC\/oaT1\/fybDR60D386ROWD6T8+FAsUKJc3xlwk+zEZY\/y02\/PCOPkh8uJvOa\/FhdZ95o=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='WyJ7XCI3MVwiOltcImViMzE2NGY0N2EyYTlhMzgxZTdmOGRkYzA2ZDQ3ZDIyXCIsXCI2MGU3MWM4YWJlY2Q4ZWY4N2ViZjU5NjE1MDM1ZDIwMVwiLFwiN2MzNGM2M2YzNDc2OWM5NTYzNDRiZjZlNzk4MjExNDlcIixcIjc4ZmE3MDVhZGM5MTEyZGZkZTgyYWIwMzNiMGMzNTQyXCIsXCJkNDZkYzI5Mjk3NTU5ODkxZTdlNWMyOTg3Y2RlZGE2Y1wiLFwiYTExMzA1MzQ3OTUxZjk5ZDdiOTFhODNhZTZlZWI1ZmZcIixcIjczOWVmMjgzODA3MGQzMzY3ZTBiYzIzOGI2MjEwYmRjXCIsXCJhZTE1Mzc3Nzg3NTQ2NDFhZTFkMzhmNTVjMzIyMzQ1OVwiXX0iLCI3ZGY1YTJjNjA3YzQ0ZGNmMGVkNjkxNWEzZjFjNzBkOSJd' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 5, 'https:\/\/readtogrow.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_5');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_5').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! 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Veuillez lire attentivement les informations suivantes avant de compl\u00e9ter votre demande. Ce formulaire est destin\u00e9 aux programmes bas\u00e9s dans le Connecticut qui s\u2019adressent aux enfants et aux familles, tels que les centres de la petite enfance, les \u00e9coles, les prestataires de soins de sant\u00e9, les garderies \u00e0 domicile et les organisations \u00e0 but non lucratif, communautaires et confessionnelles. Si vous demandez des livres pour une famille individuelle, veuillez plut\u00f4t utiliser notre formulaire de demande de livres pour les familles. Directives pour les demandes de livres Veuillez soumettre votre demande au moins 4 \u00e0 6 semaines \u00e0 l\u2019avance afin de pr\u00e9voir le temps n\u00e9cessaire au traitement et \u00e0 l\u2019ex\u00e9cution. Si vous avez besoin de livres plus t\u00f4t, vous pouvez quand m\u00eame remplir ce formulaire, puis nous appeler au 203.488.6800 pour parler \u00e0 un coordinateur de Books for Kids. Les livres sont disponibles gratuitement pour enl\u00e8vement \u00e0 notre bureau de Branford. Si vous pr\u00e9f\u00e9rez une livraison dans le Connecticut, nous l\u2019offrons moyennant des frais de 15 $. Nous n\u2019exp\u00e9dions pas de livres hors de l\u2019\u00c9tat.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-17739","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/pages\/17739","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/comments?post=17739"}],"version-history":[{"count":4,"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/pages\/17739\/revisions"}],"predecessor-version":[{"id":19861,"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/pages\/17739\/revisions\/19861"}],"wp:attachment":[{"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/media?parent=17739"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}