{"id":8873,"date":"2025-03-21T12:56:26","date_gmt":"2025-03-21T16:56:26","guid":{"rendered":"https:\/\/inspirecentre.ca\/referer-un-enfant-pour-des-services\/"},"modified":"2025-04-23T16:14:14","modified_gmt":"2025-04-23T20:14:14","slug":"referer-un-enfant-pour-des-services","status":"publish","type":"page","link":"https:\/\/inspirecentre.ca\/fr\/referer-un-enfant-pour-des-services\/","title":{"rendered":"R\u00e9f\u00e9rer un enfant pour des services"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1435.2px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p data-start=\"262\" data-end=\"554\">Si vous \u00eates parent, aidant naturel, fournisseur de soins de sant\u00e9 ou \u00e9ducateur ayant des pr\u00e9occupations concernant le d\u00e9veloppement, le comportement ou le bien-\u00eatre g\u00e9n\u00e9ral d\u2019un enfant, vous pouvez soumettre une demande de r\u00e9f\u00e9rence au <strong data-start=\"431\" data-end=\"449\">Centre Inspire<\/strong>. Notre \u00e9quipe examinera les informations et mettra en contact les familles avec les programmes et services appropri\u00e9s. <\/p>\n<p data-start=\"556\" data-end=\"766\">Les demandes de r\u00e9f\u00e9rence peuvent \u00eatre faites pour des enfants et des jeunes ayant des besoins en d\u00e9veloppement, physiques, de communication ou des soins complexes. Une fois la demande soumise, un membre de notre \u00e9quipe suivra le dossier pour guider la famille dans les prochaines \u00e9tapes. <\/p>\n<\/div><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:10px;--awb-margin-bottom-small:10px;\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:40;line-height:var(--awb-typography1-line-height);\">Veuillez remplir le formulaire ci-dessous pour commencer le processus de r\u00e9f\u00e9rence.<\/h2><\/div><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-9111\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;--awb-field-margin-top:10px;--awb-field-margin-bottom:3px;--awb-form-placeholder-color:hsla(var(--awb-color6-h),var(--awb-color6-s),var(--awb-color6-l),calc(var(--awb-color6-a) - 50%));--awb-form-text-color:var(--awb-color6);--awb-form-border-color:var(--awb-color7);--awb-form-focus-border-color:rgba(132,0,85,0.7);--awb-form-focus-border-hover-color:rgba(132,0,85,0.5);\" data-form-id=\"9111\" data-config=\"{&quot;form_id&quot;:9111,&quot;form_post_id&quot;:9111,&quot;post_id&quot;:8873,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;client_name&quot;:&quot;Nom de l\\u2019enfant&quot;,&quot;date_of_birth&quot;:&quot;DDN:&quot;,&quot;gender&quot;:&quot;Genre&quot;,&quot;client_email_address&quot;:&quot;Adresse courriel&quot;,&quot;client_address&quot;:&quot;Adresse de courriel&quot;,&quot;client_city&quot;:&quot;Ville&quot;,&quot;client_postal_code&quot;:&quot;Code Postal&quot;,&quot;client_province&quot;:&quot;Province&quot;,&quot;name_of_legal_guardians&quot;:&quot;S\\u2019il s\\u2019agit d\\u2019une autre personne que celle des renseignements donn\\u00e9s par le client ou la client:&quot;,&quot;client_phone&quot;:&quot;T\\u00e9l\\u00e9phone de contact&quot;,&quot;name&quot;:&quot;Nom&quot;,&quot;email_address&quot;:&quot;Adresse courriel&quot;,&quot;caregiver_patent_phone&quot;:&quot;Patent\\\/Tuteur-trice-s T\\u00e9l\\u00e9phone de contact&quot;,&quot;message&quot;:&quot;Veuillez d\\u00e9crire vos pr\\u00e9occupations&quot;},&quot;field_logics&quot;:{&quot;client_name&quot;:&quot;&quot;,&quot;date_of_birth&quot;:&quot;&quot;,&quot;gender&quot;:&quot;&quot;,&quot;client_email_address&quot;:&quot;&quot;,&quot;client_address&quot;:&quot;&quot;,&quot;client_city&quot;:&quot;&quot;,&quot;client_postal_code&quot;:&quot;&quot;,&quot;client_province&quot;:&quot;&quot;,&quot;name_of_legal_guardians&quot;:&quot;&quot;,&quot;client_phone&quot;:&quot;&quot;,&quot;name&quot;:&quot;&quot;,&quot;email_address&quot;:&quot;&quot;,&quot;caregiver_patent_phone&quot;:&quot;&quot;,&quot;message&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;client_name&quot;:&quot;text&quot;,&quot;date_of_birth&quot;:&quot;date&quot;,&quot;gender&quot;:&quot;text&quot;,&quot;client_email_address&quot;:&quot;email&quot;,&quot;client_address&quot;:&quot;text&quot;,&quot;client_city&quot;:&quot;text&quot;,&quot;client_postal_code&quot;:&quot;text&quot;,&quot;client_province&quot;:&quot;select&quot;,&quot;name_of_legal_guardians&quot;:&quot;text&quot;,&quot;client_phone&quot;:&quot;phone_number&quot;,&quot;name&quot;:&quot;text&quot;,&quot;email_address&quot;:&quot;email&quot;,&quot;caregiver_patent_phone&quot;:&quot;phone_number&quot;,&quot;message&quot;:&quot;textarea&quot;,&quot;notice_1&quot;:&quot;notice&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;recaptcha_1&quot;:&quot;recaptcha&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;ajax&quot;,&quot;form_views_counting&quot;:&quot;all&quot;}\"><form action=\"https:\/\/inspirecentre.ca\/fr\/referer-un-enfant-pour-des-services\/\" method=\"post\" class=\"fusion-form fusion-form-9111\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:103% !important;max-width:103% !important;margin-left: calc(-3% \/ 2 );margin-right: calc(-3% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-margin-top-small:10px;--awb-margin-bottom-small:10px;\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:25;--minFontSize:25;line-height:var(--awb-typography1-line-height);\">Informations sur l\u2019enfant :<\/h4><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:2.91%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.91%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:2.91%;--awb-spacing-left-medium:2.91%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"client_name\">Nom de l\u2019enfant <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"client_name\" id=\"client_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><label for=\"date_of_birth\">DDN:<\/label><div class=\"fusion-form-tooltip\"><i class=\"awb-icon-question-circle\"><\/i><span class=\"fusion-form-tooltip-content\">AAAA-MM-JJ<\/span><\/div><input autocomplete=\"off\" type=\"date\" max=\"2025-05-21\"  data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"date_of_birth\" name=\"date_of_birth\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\"autocomplete=\"no\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"gender\">Genre<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"gender\" id=\"gender\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"client_email_address\">Adresse courriel <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"client_email_address\" id=\"client_email_address\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:2.91%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.91%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:2.91%;--awb-spacing-left-medium:2.91%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"client_address\">Adresse de courriel<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"client_address\" id=\"client_address\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"client_city\">Ville<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"client_city\" id=\"client_city\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"client_postal_code\">Code Postal<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"client_postal_code\" id=\"client_postal_code\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><label for=\"client_province\">Province<\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"client_province\" name=\"client_province\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><option value=\"Ontario\" >Ontario<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"name_of_legal_guardians\">S\u2019il s\u2019agit d\u2019une autre personne que celle des renseignements donn\u00e9s par le client ou la client:<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"name_of_legal_guardians\" id=\"name_of_legal_guardians\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"client_phone\">T\u00e9l\u00e9phone de contact<\/label><\/div><input type=\"tel\" autocomplete=\"off\" name=\"client_phone\" id=\"client_phone\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:30px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-margin-top-small:10px;--awb-margin-bottom-small:10px;\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:25;--minFontSize:25;line-height:var(--awb-typography1-line-height);\">Informations sur la r\u00e9f\u00e9rence\/source :<\/h4><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"name\">Nom <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"name\" id=\"name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:2.91%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.91%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:2.91%;--awb-spacing-left-medium:2.91%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"client_phone\">T\u00e9l\u00e9phone de contact<\/label><\/div><input type=\"tel\" autocomplete=\"off\" name=\"client_phone\" id=\"client_phone\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:2.91%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.91%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:2.91%;--awb-spacing-left-medium:2.91%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_address\">Adresse courriel <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"email_address\" id=\"email_address\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:30px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-margin-top-small:10px;--awb-margin-bottom-small:10px;\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:25;--minFontSize:25;line-height:var(--awb-typography1-line-height);\">Informations sur la patent\/Tuteur-trice-s :<\/h4><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div class=\"fusion-form-label-wrapper\"><label for=\"caregiver_patent_phone\">Patent\/Tuteur-trice-s T\u00e9l\u00e9phone de contact<\/label><\/div><input type=\"tel\" autocomplete=\"off\" name=\"caregiver_patent_phone\" id=\"caregiver_patent_phone\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.455%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.455%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.455%;--awb-spacing-left-medium:1.455%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.455%;--awb-spacing-left-small:1.455%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><label for=\"message\">Veuillez d\u00e9crire vos pr\u00e9occupations<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"message\" name=\"message\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><\/textarea><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\" data-instance=\"1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you for your message. It has been sent.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. Please try again later.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\"><div style=\"text-align:center;\"><button type=\"submit\" class=\"fusion-button button-flat button-xlarge button-default fusion-button-default button-1 fusion-button-span-no  button-default form-form-submit\" data-form-number=\"9111\" tabindex=\"\"><i class=\"fa-paper-plane fas awb-button__icon awb-button__icon--default button-icon-left\" aria-hidden=\"true\"><\/i><span class=\"fusion-button-text awb-button__text awb-button__text--default\">SUBMIT<\/span><\/button><\/div><\/div><div class=\"fusion-form-field fusion-form-recaptcha-field fusion-form-label-above\" style=\"\" data-form-id=\"9111\">\t\t\t\t<div class=\"form-creator-recaptcha\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-form-recaptcha-wrapper\">\n\t\t\t\t\t\t\t\t\t\t<div\n\t\t\t\t\t\t\tid=\"g-recaptcha-id-form-9111\"\n\t\t\t\t\t\t\tclass=\"fusion-form-recaptcha-v3 recaptcha-container \"\n\t\t\t\t\t\t\tdata-sitekey=\"6LfZmR8rAAAAANOTBNsmsec6c232jT6eY_vtR5dN\"\n\t\t\t\t\t\t\tdata-badge=\"inline\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\t\t\tname=\"fusion-form-recaptcha-response\"\n\t\t\t\t\t\t\tclass=\"g-recaptcha-response\"\n\t\t\t\t\t\t\tid=\"fusion-form-recaptcha-response-9111\"\n\t\t\t\t\t\t\tvalue=\"\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":24,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"class_list":["post-8873","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/inspirecentre.ca\/fr\/wp-json\/wp\/v2\/pages\/8873","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/inspirecentre.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/inspirecentre.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/inspirecentre.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/inspirecentre.ca\/fr\/wp-json\/wp\/v2\/comments?post=8873"}],"version-history":[{"count":4,"href":"https:\/\/inspirecentre.ca\/fr\/wp-json\/wp\/v2\/pages\/8873\/revisions"}],"predecessor-version":[{"id":9058,"href":"https:\/\/inspirecentre.ca\/fr\/wp-json\/wp\/v2\/pages\/8873\/revisions\/9058"}],"wp:attachment":[{"href":"https:\/\/inspirecentre.ca\/fr\/wp-json\/wp\/v2\/media?parent=8873"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}