{"id":18593,"date":"2025-09-16T17:07:38","date_gmt":"2025-09-16T21:07:38","guid":{"rendered":"https:\/\/readtogrow.org\/formulaire-de-demande-de-livres-pour-la-famille\/"},"modified":"2025-12-08T17:32:33","modified_gmt":"2025-12-08T22:32:33","slug":"formulaire-de-demande-de-livres-pour-la-famille","status":"publish","type":"page","link":"https:\/\/readtogrow.org\/fr\/formulaire-de-demande-de-livres-pour-la-famille\/","title":{"rendered":"Formulaire de demande de livres pour la famille"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"18593\" class=\"elementor elementor-18593 elementor-7503\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1a86d834 page-header e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"1a86d834\" 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-32cd3a46 elementor-widget elementor-widget-text-editor\" data-id=\"32cd3a46\" 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 la famille<\/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-8d7c938 form e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"8d7c938\" 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-dc40c45 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-child\" data-id=\"dc40c45\" 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-53f3add7 elementor-widget elementor-widget-text-editor\" data-id=\"53f3add7\" 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 familles r\u00e9sidant dans le Connecticut qui souhaitent demander des livres gratuits pour leurs enfants. Malheureusement, nous ne pouvons pas satisfaire les demandes en dehors du Connecticut pour le moment. <\/p><p>Read to Grow est fier de fournir des livres que les enfants peuvent consid\u00e9rer comme les leurs. Notre objectif est de soutenir le d\u00e9veloppement de votre enfant en encourageant le d\u00e9veloppement du langage et de l\u2019alphab\u00e9tisation d\u00e8s son plus jeune \u00e2ge. <\/p><p>Si vous avez des questions concernant ce formulaire ou votre demande, veuillez appeler notre bureau au 203.488.6800 ou envoyer un courriel \u00e0 <a href=\"mailto:readtogrow@readtogrow.org\">readtogrow@readtogrow.org<\/a>. Nous sommes l\u00e0 pour vous aider.<\/p><p><strong>Important&nbsp;:<\/strong> Veuillez remplir tous les champs obligatoires marqu\u00e9s d\u2019un ast\u00e9risque (*) afin de soumettre votre demande avec succ\u00e8s.<\/p><p>Nous vous remercions de nous aider \u00e0 mettre des livres entre les mains des enfants dans tout le Connecticut&nbsp;!<\/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-c530ed7 elementor-widget elementor-widget-shortcode\" data-id=\"c530ed7\" 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 InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return 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_21' style='display:none'><div id='gf_21' class='gform_anchor' tabindex='-1'><\/div>\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' target='gform_ajax_frame_21' id='gform_21'  action='\/fr\/wp-json\/wp\/v2\/pages\/18593#gf_21' data-formid='21' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_21' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_21_78\" 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_21_78'>Name<\/label><div class='gfield_description' id='gfield_description_21_78'>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_78' id='input_21_78' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_21_13\" 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_21_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_21_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_21_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_21_1' type='text' value='06\/06\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='06\/06\/2026' aria-describedby=\"input_21_1_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_21_1_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_1' class='gform_hidden' value='https:\/\/readtogrow.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_21_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_21_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_21_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_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_21_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_21_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_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_21_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_21_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_73\" 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_21_73'>Adresse 2&nbsp;:<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_21_73' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_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_21_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_21_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_47\" 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_21_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_21_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_21_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_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_21_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_21_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_21_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_21_15'>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_15' id='input_21_15' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_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_21_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_21_16' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_21_74\" 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_21_74'>Pr\u00e9f\u00e9rence de langue pour les livres :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_21_74' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_75\" 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_21_75'>Langue parl\u00e9e \u00e0 la maison :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_21_75' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_49\" 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_21_49'>Origine ethnique\/race de la famille :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_49' id='input_21_49' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Blanc' >Blanc<\/option><option value='Noir ou afro-am\u00e9ricain' >Noir ou afro-am\u00e9ricain<\/option><option value='Latino\/a\/e' >Latino\/a\/e<\/option><option value='Am\u00e9rindien et natif d\u2019Alaska' >Am\u00e9rindien et natif d\u2019Alaska<\/option><option value='Asiatique' >Asiatique<\/option><option value='Hawa\u00efen de souche et autre insulaire du Pacifique' >Hawa\u00efen de souche et autre insulaire du Pacifique<\/option><option value='Autre' >Autre<\/option><option value='Je pr\u00e9f\u00e8re ne pas r\u00e9pondre' >Je pr\u00e9f\u00e8re ne pas r\u00e9pondre<\/option><\/select><\/div><\/div><div id=\"field_21_65\" 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_21_65'>Veuillez indiquer votre origine ethnique :<\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_21_65' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_76\" class=\"gfield gfield--type-text gfield--input-type-text 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_21_76'>\u00c0 quel district scolaire votre enfant est-il rattach\u00e9 ou est-il cens\u00e9 fr\u00e9quenter ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_21_76' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_21_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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 chez nous ?<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_21_24'>\n\t\t\t<div class='gchoice gchoice_21_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Oui'  id='choice_21_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_24_0' id='label_21_24_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_21_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Non'  id='choice_21_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_24_1' id='label_21_24_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_21_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Pour combien d&#039;enfants demandez-vous des livres ?<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_21_50'>\n\t\t\t<div class='gchoice gchoice_21_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='1'  id='choice_21_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_50_0' id='label_21_50_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='2'  id='choice_21_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_50_1' id='label_21_50_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_50_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='3'  id='choice_21_50_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_50_2' id='label_21_50_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_50_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='4'  id='choice_21_50_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_50_3' id='label_21_50_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_50_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='5'  id='choice_21_50_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_50_4' id='label_21_50_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_31\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gf_inline child gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>&nbsp;<\/p>\n<strong>Enfant 1&nbsp;: <\/strong><\/div><div id=\"field_21_30\" 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_21_30'>\u00c2ge&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_30' id='input_21_30' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_32\" 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_21_32'>Ann\u00e9es ou mois&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_32' id='input_21_32' class='small gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Ans' >Ans<\/option><option value='Mois' >Mois<\/option><\/select><\/div><\/div><fieldset id=\"field_21_72\" 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' >Sexe&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_21_72'>\n\t\t\t<div class='gchoice gchoice_21_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Homme'  id='choice_21_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_72_0' id='label_21_72_0' class='gform-field-label gform-field-label--type-inline'>Homme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Femme'  id='choice_21_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_72_1' id='label_21_72_1' class='gform-field-label gform-field-label--type-inline'>Femme<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_20\" 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_21_20'>Quels types de livres votre enfant aime-t-il lire&nbsp;?<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_21_20' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_66\" 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_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><label class='gfield_label gform-field-label' for='input_21_66'>Il arrive que nous ayons des livres pour enfants dans d&#039;autres langues. Si disponibles, quelles langues vous int\u00e9resseraient ? <\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_21_66' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_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_21_19'>Demandes sp\u00e9ciales telles que f\u00eates, ouvrages documentaires (pr\u00e9cisez les sujets), etc. :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_21_19' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_21_34\" class=\"gfield gfield--type-html gfield--input-type-html gf_inline gf-float-left gf-clear-left child gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>&nbsp;<\/p>\n<strong>Enfant 2&nbsp;: <\/strong><\/div><div id=\"field_21_37\" class=\"gfield gfield--type-number gfield--input-type-number 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_21_37'>\u00c2ge&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_37' id='input_21_37' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_38\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_38'>Ann\u00e9es ou mois&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_38' id='input_21_38' class='small gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Ans' >Ans<\/option><option value='Mois' >Mois<\/option><\/select><\/div><\/div><fieldset id=\"field_21_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Sexe&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_21_39'>\n\t\t\t<div class='gchoice gchoice_21_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Homme'  id='choice_21_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_39_0' id='label_21_39_0' class='gform-field-label gform-field-label--type-inline'>Homme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Femme'  id='choice_21_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_39_1' id='label_21_39_1' class='gform-field-label gform-field-label--type-inline'>Femme<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_51\" 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_21_51'>Quels types de livres votre enfant aime-t-il lire&nbsp;?<\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_21_51' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_68\" 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_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><label class='gfield_label gform-field-label' for='input_21_68'>Il arrive que nous ayons des livres pour enfants dans d&#039;autres langues. Si disponibles, quelles langues vous int\u00e9resseraient ? <\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_21_68' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_52\" 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_21_52'>Demandes sp\u00e9ciales telles que f\u00eates, ouvrages documentaires (pr\u00e9cisez les sujets), etc. :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_52' id='input_21_52' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_21_35\" class=\"gfield gfield--type-html gfield--input-type-html gf_inline gf-float-left gf-clear-left child 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>&nbsp;<\/p>\n<strong>Enfant 3&nbsp;: <\/strong><\/div><div id=\"field_21_40\" class=\"gfield gfield--type-number gfield--input-type-number 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_21_40'>\u00c2ge&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_40' id='input_21_40' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_41\" 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_21_41'>Ann\u00e9es ou mois&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_41' id='input_21_41' class='small gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Ans' >Ans<\/option><option value='Mois' >Mois<\/option><\/select><\/div><\/div><fieldset id=\"field_21_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Sexe&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_21_42'>\n\t\t\t<div class='gchoice gchoice_21_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Homme'  id='choice_21_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_42_0' id='label_21_42_0' class='gform-field-label gform-field-label--type-inline'>Homme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Femme'  id='choice_21_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_42_1' id='label_21_42_1' class='gform-field-label gform-field-label--type-inline'>Femme<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_53\" 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_21_53'>Quels types de livres votre enfant aime-t-il lire&nbsp;?<\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_21_53' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_69\" 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_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><label class='gfield_label gform-field-label' for='input_21_69'>Il arrive que nous ayons des livres pour enfants dans d&#039;autres langues. Si disponibles, quelles langues vous int\u00e9resseraient ? <\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_21_69' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_54\" 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_21_54'>Demandes sp\u00e9ciales telles que f\u00eates, ouvrages documentaires (pr\u00e9cisez les sujets), etc. :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_54' id='input_21_54' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_21_36\" class=\"gfield gfield--type-html gfield--input-type-html gf_inline gf-float-left gf-clear-left child 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>&nbsp;<\/p>\n<strong>Enfant 4&nbsp;: <\/strong><\/div><div id=\"field_21_43\" class=\"gfield gfield--type-number gfield--input-type-number 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_21_43'>\u00c2ge&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_43' id='input_21_43' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_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_21_44'>Ann\u00e9es ou mois&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_44' id='input_21_44' class='small gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Ans' >Ans<\/option><option value='Mois' >Mois<\/option><\/select><\/div><\/div><fieldset id=\"field_21_45\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Sexe&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_21_45'>\n\t\t\t<div class='gchoice gchoice_21_45_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Homme'  id='choice_21_45_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_45_0' id='label_21_45_0' class='gform-field-label gform-field-label--type-inline'>Homme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_45_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Femme'  id='choice_21_45_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_45_1' id='label_21_45_1' class='gform-field-label gform-field-label--type-inline'>Femme<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_55\" 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_21_55'>Quels types de livres votre enfant aime-t-il lire&nbsp;?<\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_21_55' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_70\" 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_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><label class='gfield_label gform-field-label' for='input_21_70'>Il arrive que nous ayons des livres pour enfants dans d&#039;autres langues. Si disponibles, quelles langues vous int\u00e9resseraient ? <\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_21_70' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_56\" 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_21_56'>Demandes sp\u00e9ciales telles que f\u00eates, ouvrages documentaires (pr\u00e9cisez les sujets), etc. :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_56' id='input_21_56' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_21_57\" class=\"gfield gfield--type-html gfield--input-type-html gf_inline gf-float-left gf-clear-left child 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>&nbsp;<\/p>\n<strong>Enfant 5&nbsp;: <\/strong><\/div><div id=\"field_21_62\" class=\"gfield gfield--type-number gfield--input-type-number 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_21_62'>\u00c2ge&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_62' id='input_21_62' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_61\" 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_21_61'>Ann\u00e9es ou mois&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_61' id='input_21_61' class='small gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choisir\u2026<\/option><option value='Ans' >Ans<\/option><option value='Mois' >Mois<\/option><\/select><\/div><\/div><fieldset id=\"field_21_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Sexe&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_21_60'>\n\t\t\t<div class='gchoice gchoice_21_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Homme'  id='choice_21_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_60_0' id='label_21_60_0' class='gform-field-label gform-field-label--type-inline'>Homme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Femme'  id='choice_21_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_60_1' id='label_21_60_1' class='gform-field-label gform-field-label--type-inline'>Femme<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_59\" 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_21_59'>Quels types de livres votre enfant aime-t-il lire&nbsp;?<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_21_59' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_71\" 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_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><label class='gfield_label gform-field-label' for='input_21_71'>Il arrive que nous ayons des livres pour enfants dans d&#039;autres langues. Si disponibles, quelles langues vous int\u00e9resseraient ? <\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_21_71' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_58\" 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_21_58'>Demandes sp\u00e9ciales telles que f\u00eates, ouvrages documentaires (pr\u00e9cisez les sujets), etc. :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_58' id='input_21_58' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_21_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_21_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_21_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='M\u00e9dias sociaux\/Internet' >M\u00e9dias 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_21_28\" 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_21_28'>Nom de l&#039;h\u00f4pital :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_21_28' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_77\" class=\"gfield gfield--type-text gfield--input-type-text 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_21_77'>Nom de la clinique pr\u00e9natale&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_77' id='input_21_77' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_21_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Comment souhaitez-vous recevoir vos livres&nbsp;?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_21_63'>Tous les livres sont envoy\u00e9s gratuitement par la poste aux familles. Cependant, vous pouvez \u00e9galement choisir de venir chercher vos livres \u00e0 notre bureau de Branford. <\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_63'>\n\t\t\t<div class='gchoice gchoice_21_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' 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_21_63_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_21_63\"   \/>\n\t\t\t\t\t<label for='choice_21_63_0' id='label_21_63_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_21_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Faites envoyer vos livres \u00e0 votre domicile gratuitement.'  id='choice_21_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_63_1' id='label_21_63_1' class='gform-field-label gform-field-label--type-inline'>Faites envoyer vos livres \u00e0 votre domicile gratuitement.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_64\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Si vous choisissez de venir chercher vos livres, un coordinateur vous enverra un courriel lorsque vos livres seront pr\u00eats et vous enverra les informations n\u00e9cessaires pour planifier une heure de ramassage de vos livres.<\/div><div id=\"field_21_29\" 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_21_48\" 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>Avant de soumettre votre demande, veuillez vous assurer que tous les champs obligatoires sont remplis.<\/p>\n\n<p>Une fois que vous aurez cliqu\u00e9 sur \u00ab&nbsp;Soumettre&nbsp;\u00bb, vous devriez voir un message qui dit \u00ab&nbsp;Merci pour votre demande&nbsp;! Votre demande de livre a \u00e9t\u00e9 soumise.&nbsp;\u00bb Ceci confirme que votre demande a \u00e9t\u00e9 trait\u00e9e. Veuillez conserver cette confirmation dans vos dossiers.  <\/p>\n\n<p>Si vous ne voyez pas le message \u00ab&nbsp;Merci&nbsp;\u00bb, votre demande n'a pas \u00e9t\u00e9 soumise avec succ\u00e8s. 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Veuillez lire attentivement les informations suivantes avant de compl\u00e9ter votre demande. Ce formulaire est destin\u00e9 aux familles r\u00e9sidant dans le Connecticut qui souhaitent demander des livres gratuits pour leurs enfants. Malheureusement, nous ne pouvons pas satisfaire les demandes en dehors du Connecticut pour le moment. Read to Grow est fier de fournir des livres que les enfants peuvent consid\u00e9rer comme les leurs. Notre objectif est de soutenir le d\u00e9veloppement de votre enfant en encourageant le d\u00e9veloppement du langage et de l\u2019alphab\u00e9tisation d\u00e8s son plus jeune \u00e2ge. Si vous avez des questions concernant ce formulaire ou votre demande, veuillez appeler notre bureau au 203.488.6800 ou envoyer un courriel \u00e0 readtogrow@readtogrow.org. Nous sommes l\u00e0 pour vous aider. Important&nbsp;: Veuillez remplir tous les champs obligatoires marqu\u00e9s d\u2019un ast\u00e9risque (*) afin de soumettre votre demande avec succ\u00e8s. Nous vous remercions de nous aider \u00e0 mettre des livres entre les mains des enfants dans tout le Connecticut&nbsp;!<\/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-18593","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/pages\/18593","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=18593"}],"version-history":[{"count":5,"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/pages\/18593\/revisions"}],"predecessor-version":[{"id":19986,"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/pages\/18593\/revisions\/19986"}],"wp:attachment":[{"href":"https:\/\/readtogrow.org\/fr\/wp-json\/wp\/v2\/media?parent=18593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}