{"id":64,"date":"2018-10-10T22:01:19","date_gmt":"2018-10-10T20:01:19","guid":{"rendered":"http:\/\/cfsa49.fr\/?page_id=64"},"modified":"2019-01-27T11:55:02","modified_gmt":"2019-01-27T10:55:02","slug":"demande-de-dps","status":"publish","type":"page","link":"https:\/\/www.cfs49.fr\/?page_id=64","title":{"rendered":"DEMANDE DE POSTE DE SECOURS"},"content":{"rendered":"<p>Merci de compl\u00e9ter d\u00fbment le formulaire suivant afin que la r\u00e9ponse que nous vous apporterons soit la plus ad\u00e9quate aux risques encourus par les acteurs et le public de votre manifestation. Une question ? Contactez-nous \u00e0 contact@cfs49.fr ou utilisez notre formulaire de contact.<\/p>\n<p>Vous pouvez \u00e9galement compl\u00e9ter votre demande de poste de secours au format papier en <a href=\"https:\/\/www.cfs49.fr\/wp-content\/uploads\/2019\/01\/Demande-DPS-CFS.pdf\" target=\"_blank\" rel=\"noopener\">t\u00e9l\u00e9chargeant la demande<\/a>. Celle-ci est \u00e0 compl\u00e9ter directement sur le fichier pdf, ou manuellement apr\u00e8s l&#8217;avoir imprim\u00e9e. Vous pouvez ensuite nous la retourner par mail ou par courrier.<\/p>\n<p><em>* champ obligatoire<\/em><\/p>\n<p>&nbsp;<\/p>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f66-o1\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F64#wpcf7-f66-o1\" method=\"post\" class=\"wpcf7-form init\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"66\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.4.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f66-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<h4><strong>INTERLOCUTEUR<\/strong><\/h4>\n<p><label> Nom et pr\u00e9nom *<br \/>\n    <span class=\"wpcf7-form-control-wrap nompr\"><input type=\"text\" name=\"nompr\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Fonction (ex : secr\u00e9taire, pr\u00e9sident, etc.) *<br \/>\n    <span class=\"wpcf7-form-control-wrap fonctioninterloc\"><input type=\"text\" name=\"fonctioninterloc\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Mail *<br \/>\n    <span class=\"wpcf7-form-control-wrap mailinter\"><input type=\"text\" name=\"mailinter\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> T\u00e9l\u00e9phone *<br \/>\n    <span class=\"wpcf7-form-control-wrap telinter\"><input type=\"text\" name=\"telinter\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>____________________________________________________________________________________________________________________________________<\/p>\n<h4><strong>ORGANISME DEMANDEUR<\/strong><\/h4>\n<p><label> Raison sociale *<br \/>\n    <span class=\"wpcf7-form-control-wrap raisonsociale\"><input type=\"text\" name=\"raisonsociale\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Adresse *<br \/>\n    <span class=\"wpcf7-form-control-wrap adresse\"><input type=\"text\" name=\"adresse\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> T\u00e9l\u00e9phone *<br \/>\n    <span class=\"wpcf7-form-control-wrap telephone\"><input type=\"text\" name=\"telephone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Mail *<br \/>\n    <span class=\"wpcf7-form-control-wrap mail\"><input type=\"text\" name=\"mail\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Repr\u00e9sent\u00e9 par *<br \/>\n    <span class=\"wpcf7-form-control-wrap representepar\"><input type=\"text\" name=\"representepar\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> En tant que (ex : pr\u00e9sident, Maire, etc.) *<br \/>\n    <span class=\"wpcf7-form-control-wrap entantque\"><input type=\"text\" name=\"entantque\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n____________________________________________________________________________________________________________________________________<\/p>\n<h4><strong>CARACTERISTIQUES DE LA MANIFESTATION<\/strong><\/h4>\n<p><label> Nom de la manifestation *<br \/>\n    <span class=\"wpcf7-form-control-wrap nommanif\"><input type=\"text\" name=\"nommanif\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Type de la manifestation *<br \/>\n    <span class=\"wpcf7-form-control-wrap Typedemanifestation\"><select name=\"Typedemanifestation\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"Sportive\">Sportive<\/option><option value=\"Festive\">Festive<\/option><option value=\"Culturelle\">Culturelle<\/option><option value=\"Commerciale\">Commerciale<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span> <\/label><\/p>\n<p><label> Date de d\u00e9but de la manifestation *<br \/>\n    <span class=\"wpcf7-form-control-wrap Datededebutlamanifestation\"><input type=\"date\" name=\"Datededebutlamanifestation\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Date de fin de la manifestation *<br \/>\n    <span class=\"wpcf7-form-control-wrap Datedefinlamanifestation\"><input type=\"date\" name=\"Datedefinlamanifestation\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Heure de d\u00e9but *<br \/>\n    <span class=\"wpcf7-form-control-wrap hdebut\"><input type=\"text\" name=\"hdebut\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Heure de fin *<br \/>\n    <span class=\"wpcf7-form-control-wrap hfin\"><input type=\"text\" name=\"hfin\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Adresse de la manifestation *<br \/>\n    <span class=\"wpcf7-form-control-wrap adressmanif\"><input type=\"text\" name=\"adressmanif\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> S'agit-il d'un circuit *<br \/>\n    <span class=\"wpcf7-form-control-wrap circuit\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"circuit\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"circuit\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Si oui, le circuit est-il :<br \/>\n    <span class=\"wpcf7-form-control-wrap circuitsuite\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"circuitsuite\" value=\"Ouvert\" \/><span class=\"wpcf7-list-item-label\">Ouvert<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"circuitsuite\" value=\"Ferm\u00e9\" \/><span class=\"wpcf7-list-item-label\">Ferm\u00e9<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Distance entre les 2 points des plus \u00e9loign\u00e9s du site (m\u00e8tres) *<br \/>\n    <span class=\"wpcf7-form-control-wrap distance\"><input type=\"text\" name=\"distance\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Quels sont les risques particuliers ? *<br \/>\n    <span class=\"wpcf7-form-control-wrap risque\"><textarea name=\"risque\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p><label> Nom du contact sur place (pr\u00e9sent sur la manifestation) *<br \/>\n    <span class=\"wpcf7-form-control-wrap contactsurplace\"><input type=\"text\" name=\"contactsurplace\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> T\u00e9l\u00e9phone de ce contact *<br \/>\n    <span class=\"wpcf7-form-control-wrap contactsurplacetel\"><input type=\"text\" name=\"contactsurplacetel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n____________________________________________________________________________________________________________________________________<\/p>\n<h4><strong>NATURE DE LA DEMANDE<\/strong><\/h4>\n<p><label> Effectif maximal d'acteurs (sportifs, organisateurs, artistes...) pr\u00e9sent sur l'\u00e9v\u00e8nement *<br \/>\n    <span class=\"wpcf7-form-control-wrap effectifmax\"><input type=\"text\" name=\"effectifmax\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Tranche d'\u00e2ge des acteurs *<br \/>\n    <span class=\"wpcf7-form-control-wrap ageacteur\"><input type=\"text\" name=\"ageacteur\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Effectif maximal du public pr\u00e9sent sur l'\u00e9v\u00e8nement *<br \/>\n    <span class=\"wpcf7-form-control-wrap effectpublic\"><input type=\"text\" name=\"effectpublic\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Tranche d'\u00e2ge du public *<br \/>\n    <span class=\"wpcf7-form-control-wrap agepublic\"><input type=\"text\" name=\"agepublic\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Nombre de personne maximum simultan\u00e9ment sur l\u2019\u00e9v\u00e9nement *<br \/>\n    <span class=\"wpcf7-form-control-wrap effectpublicmax\"><input type=\"text\" name=\"effectpublicmax\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Personnes ayant des besoins particuliers<br \/>\n    <span class=\"wpcf7-form-control-wrap besoins\"><select name=\"besoins\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"Communication (traducteur)\">Communication (traducteur)<\/option><option value=\"D\u00e9placement (chaise roulante)\">D\u00e9placement (chaise roulante)<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span> <\/label><\/p>\n<p><label> Dur\u00e9e de pr\u00e9sence du public (en heures) *<br \/>\n    <span class=\"wpcf7-form-control-wrap presenceh\"><input type=\"text\" name=\"presenceh\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Comportement du public *<br \/>\n    <span class=\"wpcf7-form-control-wrap comportement\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"comportement[]\" value=\"Assis\" \/><span class=\"wpcf7-list-item-label\">Assis<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"comportement[]\" value=\"Debout\" \/><span class=\"wpcf7-list-item-label\">Debout<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"comportement[]\" value=\"Statique\" \/><span class=\"wpcf7-list-item-label\">Statique<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"comportement[]\" value=\"Dynamique\" \/><span class=\"wpcf7-list-item-label\">Dynamique<\/span><\/span><\/span><\/span> <\/label><br \/>\n____________________________________________________________________________________________________________________________________<\/p>\n<h4><strong>CARACTERISTIQUES DE L'ENVIRONNEMENT ET DE L'ACCESSIBILITE DU SITE<\/strong><\/h4>\n<p><label> Structure *<br \/>\n    <span class=\"wpcf7-form-control-wrap structure\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"structure\" value=\"Permanente (B\u00e2timent, salle &quot;en dur&quot;, ...)\" \/><span class=\"wpcf7-list-item-label\">Permanente (B\u00e2timent, salle &quot;en dur&quot;, ...)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"structure\" value=\"Non permanente (Gradins, tribunes, chapiteaux, ...)\" \/><span class=\"wpcf7-list-item-label\">Non permanente (Gradins, tribunes, chapiteaux, ...)<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> La manifestation occupe\/empreinte la voie publique *<br \/>\n    <span class=\"wpcf7-form-control-wrap voiepublique\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"voiepublique\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"voiepublique\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Dimension de l'espace naturel (m\u00e8tres carr\u00e9s) *<br \/>\n    <span class=\"wpcf7-form-control-wrap dimesp\"><input type=\"text\" name=\"dimesp\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Distance de brancardage maximum (m\u00e8tres) *<br \/>\n    <span class=\"wpcf7-form-control-wrap brancard\"><input type=\"text\" name=\"brancard\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Longueur de la pente du terrain (d\u00e9nivel\u00e9 en m\u00e8tres) *<br \/>\n    <span class=\"wpcf7-form-control-wrap pente\"><input type=\"text\" name=\"pente\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Autres conditions d'acc\u00e8s difficile *<br \/>\n    <span class=\"wpcf7-form-control-wrap accesdiff\"><textarea name=\"accesdiff\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p><label> Informations compl\u00e9mentaires<br \/>\n    <span class=\"wpcf7-form-control-wrap infocomp\"><textarea name=\"infocomp\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p>____________________________________________________________________________________________________________________________________<\/p>\n<h4><strong>STRUCTURES FIXES DE SECOURS PUBLIC LES PLUS PROCHES<\/strong><\/h4>\n<p><label> Centre d'incendie et de secours de (nom de la commune) *<br \/>\n    <span class=\"wpcf7-form-control-wrap cis\"><input type=\"text\" name=\"cis\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Distance du centre d'incendie et de secours le plus proche (kilom\u00e8tres) *<br \/>\n    <span class=\"wpcf7-form-control-wrap ciskm\"><input type=\"text\" name=\"ciskm\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Structure hospitali\u00e8re de (nom de la commune) *<br \/>\n    <span class=\"wpcf7-form-control-wrap ch\"><input type=\"text\" name=\"ch\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Distance de la structure hospitali\u00e8re la plus proche (kilom\u00e8tres) *<br \/>\n    <span class=\"wpcf7-form-control-wrap chkm\"><input type=\"text\" name=\"chkm\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>____________________________________________________________________________________________________________________________________<\/p>\n<h4><strong>AUTRES SECOURS PRESENTS SUR PLACE<\/strong><\/h4>\n<p><label> Nom, pr\u00e9nom et t\u00e9l\u00e9phone du m\u00e9decin pr\u00e9sent sur la manifestation (le cas \u00e9ch\u00e9ant)<br \/>\n    <span class=\"wpcf7-form-control-wrap medecin\"><textarea name=\"medecin\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p><label> Autres professionnels de sant\u00e9<br \/>\n    <span class=\"wpcf7-form-control-wrap profsante\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"profsante[]\" value=\"Infirmier\" \/><span class=\"wpcf7-list-item-label\">Infirmier<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"profsante[]\" value=\"Kin\u00e9sith\u00e9rapeute\" \/><span class=\"wpcf7-list-item-label\">Kin\u00e9sith\u00e9rapeute<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"profsante[]\" value=\"Autre\" \/><span class=\"wpcf7-list-item-label\">Autre<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Ambulance priv\u00e9e *<br \/>\n    <span class=\"wpcf7-form-control-wrap ambu\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"ambu\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"ambu\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Secours publics<br \/>\n    <span class=\"wpcf7-form-control-wrap secours\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"secours[]\" value=\"SMUR\" \/><span class=\"wpcf7-list-item-label\">SMUR<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"secours[]\" value=\"Sapeurs-pompiers\" \/><span class=\"wpcf7-list-item-label\">Sapeurs-pompiers<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"secours[]\" value=\"Police\" \/><span class=\"wpcf7-list-item-label\">Police<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"secours[]\" value=\"Gendarmerie\" \/><span class=\"wpcf7-list-item-label\">Gendarmerie<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Autre<br \/>\n    <span class=\"wpcf7-form-control-wrap autresecours\"><input type=\"text\" name=\"autresecours\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>____________________________________________________________________________________________________________________________________<\/p>\n<h4><strong>DOCUMENTS JOINTS<\/strong><\/h4>\n<p><label> Arr\u00eat\u00e9 municipal et\/ou pr\u00e9fectoral<br \/>\n    <span class=\"wpcf7-form-control-wrap arrete\"><input type=\"file\" name=\"arrete\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Avis de la commission de s\u00e9curit\u00e9<br \/>\n    <span class=\"wpcf7-form-control-wrap aviscom\"><input type=\"file\" name=\"aviscom\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Plan du site<br \/>\n    <span class=\"wpcf7-form-control-wrap plan\"><input type=\"file\" name=\"plan\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Autre document<br \/>\n    <span class=\"wpcf7-form-control-wrap autredoc\"><input type=\"file\" name=\"autredoc\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><div id=\"cf7sr-6a31229f69443\" class=\"cf7sr-g-recaptcha\" data-sitekey=\"6Lc7qqUUAAAAAIQ9Si1E8fbyvAJoG-ssW72YOh6n\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-g-recaptcha-invalid\"><\/span><\/p>\n<p><input type=\"submit\" value=\"Envoyer\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Merci de compl\u00e9ter d\u00fbment le formulaire suivant afin que la r\u00e9ponse que nous vous apporterons soit la plus ad\u00e9quate aux risques encourus par les acteurs et le public de votre manifestation. Une question ? Contactez-nous \u00e0 contact@cfs49.fr ou utilisez notre formulaire de contact. Vous pouvez \u00e9galement compl\u00e9ter votre demande de poste de secours au format [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template_fullwidth.php","meta":[],"_links":{"self":[{"href":"https:\/\/www.cfs49.fr\/index.php?rest_route=\/wp\/v2\/pages\/64"}],"collection":[{"href":"https:\/\/www.cfs49.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cfs49.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cfs49.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cfs49.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=64"}],"version-history":[{"count":15,"href":"https:\/\/www.cfs49.fr\/index.php?rest_route=\/wp\/v2\/pages\/64\/revisions"}],"predecessor-version":[{"id":131,"href":"https:\/\/www.cfs49.fr\/index.php?rest_route=\/wp\/v2\/pages\/64\/revisions\/131"}],"wp:attachment":[{"href":"https:\/\/www.cfs49.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}