{"id":7853,"date":"2022-03-22T13:55:22","date_gmt":"2022-03-22T17:55:22","guid":{"rendered":"https:\/\/museefrappier.org\/application-form\/"},"modified":"2022-03-26T11:55:58","modified_gmt":"2022-03-26T15:55:58","slug":"application-form","status":"publish","type":"page","link":"https:\/\/museefrappier.org\/en\/community-and-commitment\/application-form\/","title":{"rendered":"Application form"},"content":{"rendered":"<section id=\"block-61a51e128c4ed\" class=\"block header header__type-no-photo\">\n\t\t\n\t<div class=\"header-inner\">\n\t\t\t\t\t\t\t\t<div class=\"shape-wrapper\">\n\t\t\t\t<div class=\"shape-inner-wrapper\"><svg id=\"Group_1948\" data-name=\"Group 1948\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"537.051\" height=\"662.057\" viewBox=\"0 0 537.051 662.057\">\r\n  <path id=\"Path_2293\" data-name=\"Path 2293\" d=\"M835,323.93c58.8,0,84.391,46.7,84.391,86,0,35.474-18.584,80.57-80.628,80.57-59.889,0-111.707-55.753-185.585-55.753-59.889,0-105.359,28.58-105.359,81.6,0,54.231,52.852,73.763,90.94,73.763,91.371,0,119.607-42.684,181.248-42.684,68.534,0,89.1,42.8,89.1,79.68,0,32.2-16.8,79.881-95.22,79.881-58.568,0-108.691-50.411-172.343-50.411-82.237,0-104.929,48.859-104.929,78.158,0,48.572,37.313,89.905,37.313,156.717,0,54.432-35.359,94.53-86,94.53-42.626,0-97.977-21.026-97.977-91.773,0-90.279,42.741-116.045,42.741-213.648,0-100.161-50.353-151.921-50.353-223.759,0-100.648,79.508-131.728,128.051-131.728,74.825,0,93.065,44.235,140.976,44.235C733.835,369.256,760.059,323.93,835,323.93Z\" transform=\"translate(-382.34 -323.93)\" fill=\"#5050ea\"\/>\r\n  <circle id=\"Ellipse_83\" data-name=\"Ellipse 83\" cx=\"89.877\" cy=\"89.877\" r=\"89.877\" transform=\"translate(357.268 482.274)\" fill=\"#5050ea\"\/>\r\n<\/svg>\r\n<\/div>\n\t\t\t<\/div>\n\t\t\t\t<div class=\"content-wrapper\">\n\t\t\t<div class=\"content-inner-wrapper\"><h2 class=\"cs-title-large\" style=\"text-align: center;\">Community and commitment<\/h2>\n<h1 class=\"cs-title\" style=\"text-align: center;\">Application form<\/h1>\n<p style=\"text-align: center;\">Draw for free registration, for children attending an underprivileged school in Laval.<\/p>\n<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/section>\n\n<section id=\"block-61a51ef08c4ef\" class=\"block content-simple block__spacing-top-100 block__spacing-bottom-50 content-simple__theme-white\">\n\t<div class=\"container-smaller\">\n\t\t<div class=\"content-simple-inner common-text\">\n\t\t\t<h2 class=\"cs-subtitle\" style=\"text-align: left;\">Eligibility criteria and rules of participation<\/h2>\n<p>1. Only applications for children aged 6 to 13 attending an underprivileged school will be accepted. Limit of one application per child.<\/p>\n<p>2. Random draws will be held to award free entries for:<\/p>\n<p style=\"padding-left: 40px;\">\u00bbThe scientific workshops,<\/p>\n<p style=\"padding-left: 40px;\">\u00bbThe summer science camps.<\/p>\n<p>3. Completing this form does not guarantee a place in any of the programs.<\/p>\n<p>4. Parents of the children drawn will be contacted by phone and email. They will have to register within seven days or we will proceed with another draw.<\/p>\n<p>5. Prizes are non-transferable, non-exchangeable, and not redeemable for cash.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/section>\n\n\n<section class=\"wp-block-maf-block-container block-f83befa5-0df4-45ff-b610-478a7142866c\"><style>section.block-f83befa5-0df4-45ff-b610-478a7142866c{padding-top: 50px;padding-bottom: 150px;}<\/style><div class=\"container-smaller\">\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_7' style='display:none'><div id='gf_7' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_7' id='gform_7'  action='\/en\/wp-json\/wp\/v2\/pages\/7853#gf_7' data-formid='7' novalidate><div class='gf_invisible ginput_recaptchav3'  data-tabindex='0'><input id=\"input_adc36019a3bf6728146a8aec1372ec00\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_adc36019a3bf6728146a8aec1372ec00\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_7_23\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Parent<\/h3><\/div><fieldset id=\"field_7_20\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Parent\u2019s name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_20'>\n                            \n                            <span id='input_7_20_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_20.3' id='input_7_20_3' value=''   aria-required='true'   placeholder='First name'  \/>\n                                                    <label for='input_7_20_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_7_20_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_20.6' id='input_7_20_6' value=''   aria-required='true'   placeholder='Last name'  \/>\n                                                    <label for='input_7_20_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_7_10\" class=\"gfield gfield--type-phone gfield--phone-format-standard gfield--width-full 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_7_10'><span class='gform-field-label__text'>Telephone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_7_10' type='tel' value='' class='large'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_7_1\" class=\"gfield gfield--type-email gfield--width-full 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_7_1'><span class='gform-field-label__text'>Email<\/span><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_1' id='input_7_1' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_7_17\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Child<\/h3><\/div><fieldset id=\"field_7_21\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Child\u2019s name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_21'>\n                            \n                            <span id='input_7_21_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.3' id='input_7_21_3' value=''   aria-required='true'   placeholder='First name'  \/>\n                                                    <label for='input_7_21_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_7_21_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.6' id='input_7_21_6' value=''   aria-required='true'   placeholder='Last name'  \/>\n                                                    <label for='input_7_21_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_7_8\" class=\"gfield gfield--type-select gfield--width-half 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_7_8'><span class='gform-field-label__text'>Age of child (6-13 years)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_7_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><\/select><\/div><\/div><div id=\"field_7_9\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_9'><span class='gform-field-label__text'>Date of birth of the child<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/yyyy'\n\t\t\t\t\tid='input_7_9'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_9'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_7_9' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_7_9' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_7_9' aria-label='Date of birth of the child: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_7_2\" class=\"gfield gfield--type-select gfield--width-full 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_7_2'><span class='gform-field-label__text'>School attended by your child<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_7_2' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='Marcel-Vaillancourt' >Marcel-Vaillancourt<\/option><option value='Saint-Julien' >Saint-Julien<\/option><option value='De l&#039;Arc-en-ciel' >De l&#039;Arc-en-ciel<\/option><option value='De l&#039;Avenir' >De l&#039;Avenir<\/option><option value='Du Bois-Joli' >Du Bois-Joli<\/option><option value='Fleur-Soleil' >Fleur-Soleil<\/option><option value='Jean-XXIII' >Jean-XXIII<\/option><option value='Jean-Piaget' >Jean-Piaget<\/option><option value='L&#039;Escale' >L&#039;Escale<\/option><option value='L&#039;Envol' >L&#039;Envol<\/option><option value='L\u00e9on-Guilbault' >L\u00e9on-Guilbault<\/option><option value='Les Quatre-Vents' >Les Quatre-Vents<\/option><option value='Le Tandem' >Le Tandem<\/option><option value='L&#039;Harmonie' >L&#039;Harmonie<\/option><option value='Sainte-Marguerite' >Sainte-Marguerite<\/option><option value='Simon-Vanier' >Simon-Vanier<\/option><option value='St-Gilles' >St-Gilles<\/option><option value='St-Norbert' >St-Norbert<\/option><option value='St-Paul' >St-Paul<\/option><option value='Coursol' >Coursol<\/option><option value='Other school in a disadvantaged neighbourhood' >Other school in a disadvantaged neighbourhood<\/option><\/select><\/div><\/div><div id=\"field_7_3\" class=\"gfield gfield--type-text gfield--width-full 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_7_3'><span class='gform-field-label__text'>Name of the school, if &quot; Other school in a disadvantaged neighbourhood&quot;<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_7_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_13\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your child\u2019s teacher<\/h3><\/div><fieldset id=\"field_7_22\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Teacher\u2019s name<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_22'>\n                            \n                            <span id='input_7_22_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_22.3' id='input_7_22_3' value=''   aria-required='false'   placeholder='First name'  \/>\n                                                    <label for='input_7_22_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_7_22_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_22.6' id='input_7_22_6' value=''   aria-required='false'   placeholder='Last name'  \/>\n                                                    <label for='input_7_22_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_7_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>I agree to receive information by email regarding the activities of the Mus\u00e9e de la sant\u00e9 Armand-Frappier.<\/span><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_7_11'>\n\t\t\t<div class='gchoice gchoice_7_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='No, thank you.'  id='choice_7_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_11_0' id='label_7_11_0' class='gform-field-label gform-field-label--type-inline'>Yes, I consent.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Non, merci.'  id='choice_7_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_11_1' id='label_7_11_1' class='gform-field-label gform-field-label--type-inline'>No, thank you.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_24\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full accept_conditions gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Accepter les conditions<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_7_24'><div class='gchoice gchoice_7_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='I declare that I have read and understood the provisions of the &lt;a href=&quot;\/en\/privacy-policy\/&quot; target=&quot;_blank&quot;&gt;Privacy Policy of Mus\u00e9e Frappier&lt;\/a&gt; and I consent to the collection of my personal information.'  id='choice_7_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_1' id='label_7_24_1' class='gform-field-label gform-field-label--type-inline'>I declare that I have read and understood the provisions of the <a href=\"\/en\/privacy-policy\/\" target=\"_blank\">Privacy Policy of Mus\u00e9e Frappier<\/a> and I consent to the collection of my personal information.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_25\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted 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