{"id":743,"date":"2023-01-18T15:05:21","date_gmt":"2023-01-18T14:05:21","guid":{"rendered":"https:\/\/cabinet-obscur.fr\/admin\/?page_id=743"},"modified":"2023-01-18T17:02:25","modified_gmt":"2023-01-18T16:02:25","slug":"consentement","status":"publish","type":"page","link":"https:\/\/florianh.fr\/admin\/consentement\/","title":{"rendered":"Consentement"},"content":{"rendered":"<h2>Formulaire de consentement au tatouage<\/h2>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f742-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"742\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/admin\/wp-json\/wp\/v2\/pages\/743#wpcf7-f742-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"742\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f742-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"form-co\"><label> Nom et pr\u00e9nom\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label><\/div>\n\n<div class=\"form-co\"><label> Date de naissance\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"date-963\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-963\" \/><\/span> <\/label>\n<label><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-70\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-70[]\" value=\"Je certifie avoir plus de 18 ans, \u00eatre en pleine possession de mes moyens et ne pas \u00eatre sous l\u2019emprise de drogues ou d\u2019alcool.\" \/><span class=\"wpcf7-list-item-label\">Je certifie avoir plus de 18 ans, \u00eatre en pleine possession de mes moyens et ne pas \u00eatre sous l\u2019emprise de drogues ou d\u2019alcool.<\/span><\/label><\/span><\/span><\/span><l\/abel><\/div>\n\n<div class=\"form-co\"><label> Votre e-mail\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label><\/div>\n\n<div class=\"form-co\"><label> Votre num\u00e9ro de t\u00e9l\u00e9phone\n   <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-113\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-113\" \/><\/span><\/label><\/div>\n\n<div class=\"form-co\"><label>\u00cates-vous sous influence de drogues ou d'alcool\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-696\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-696\" value=\"Oui\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-696\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span><\/label><\/div>\n\n<div class=\"form-co\"><label>FEMME SEULEMENT : \u00cates-vous enceinte ou allaitez-vous ?\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-697\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-697\" value=\"Oui\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-697\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span><\/label><\/div>\n\n<div class=\"form-co\"><label>Avez-vous une ou des maladies transmissibles par le sang ?\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-698\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-698\" value=\"Oui\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-698\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span><\/label><\/div>\n\n<div class=\"form-co\"><label>\nAvez-vous des maladies de peau (Ex. \u00c9ruptions cutan\u00e9es, ecz\u00e9ma, infection, psoriasis, taches de rousseur, etc.)\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-699\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-699\" value=\"Oui\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-699\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n<\/label><label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-747\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Si oui, merci de les mentionner ici\" value=\"\" type=\"text\" name=\"text-747\" \/><\/span><\/label><\/div>\n\n<div class=\"form-co\"><label>\nAnt\u00e9c\u00e9dents m\u00e9dicaux (ex. diab\u00e8te, maladies cardiovasculaires, \u00e9pilepsie, maladies li\u00e9es au sang, etc.)\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-770\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-770\" value=\"Oui\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-770\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n<\/label><label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-748\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Si oui, merci de les mentionner ici\" value=\"\" type=\"text\" name=\"text-748\" \/><\/span><\/label><\/div>\n\n<span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-464\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-464\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">J'ai pu prendre connaissance des risques li\u00e9s \u00e0 la pratique du tatouage sur <a href=\"https:\/\/cabinet-obscur.fr\/risques-tatouages.pdf\" target=\"_blank\">cette page<\/a><\/span><\/label><\/span><\/span><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-465\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-465\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">J'ai lu et j'accepte les conditions g\u00e9n\u00e9rales de vente visible \u00e0<a href=\"https:\/\/cabinet-obscur.fr\/CGV-Cabinet-Obscur.pdf\" target=\"_blank\">cette page<\/a><\/span><\/label><\/span><\/span><\/span>\n\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-68\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-68[]\" value=\"Ma d\u00e9marche est volontaire. J\u2019autorise par la pr\u00e9sente, l\u2019artiste tatoueur \u00e0 me tatouer\" \/><span class=\"wpcf7-list-item-label\">Ma d\u00e9marche est volontaire. J\u2019autorise par la pr\u00e9sente, l\u2019artiste tatoueur \u00e0 me tatouer<\/span><\/label><\/span><\/span><\/span>\n\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-69\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-69[]\" value=\"Je certifie que mon \u00e9tat de sant\u00e9 de ce jour (maladie, prise de m\u00e9dicament, pratiques d&#039;examens compl\u00e9mentaires) ne contre-indique en rien la pratique du tatouage. Je ne pr\u00e9sente, \u00e0 ma connaissance, aucun probl\u00e8me m\u00e9dical.\" \/><span class=\"wpcf7-list-item-label\">Je certifie que mon \u00e9tat de sant\u00e9 de ce jour (maladie, prise de m\u00e9dicament, pratiques d&#039;examens compl\u00e9mentaires) ne contre-indique en rien la pratique du tatouage. Je ne pr\u00e9sente, \u00e0 ma connaissance, aucun probl\u00e8me m\u00e9dical.<\/span><\/label><\/span><\/span><\/span>\n\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-70\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-70[]\" value=\"Je suis absolument conscient que ce tatouage est PERMANENTet DEFINITIF (encre ind\u00e9l\u00e9bile), pratiqu\u00e9 avec un dermographe intradermique selon les normes d\u2019hygi\u00e8ne en vigueur, avec un jeu d\u2019aiguilles st\u00e9riles. J\u2019ai pu poser toutes mes questions au sujet de l\u2019acte pr\u00e9vu. Je m\u2019engage \u00e0 respecter scrupuleusement les soins \u00e0 apporter \u00e0 mon tatouage ainsi que les pr\u00e9cautions n\u00e9cessaires au bon d\u00e9roulement de la cicatrisation.\" \/><span class=\"wpcf7-list-item-label\">Je suis absolument conscient que ce tatouage est PERMANENTet DEFINITIF (encre ind\u00e9l\u00e9bile), pratiqu\u00e9 avec un dermographe intradermique selon les normes d\u2019hygi\u00e8ne en vigueur, avec un jeu d\u2019aiguilles st\u00e9riles. J\u2019ai pu poser toutes mes questions au sujet de l\u2019acte pr\u00e9vu. Je m\u2019engage \u00e0 respecter scrupuleusement les soins \u00e0 apporter \u00e0 mon tatouage ainsi que les pr\u00e9cautions n\u00e9cessaires au bon d\u00e9roulement de la cicatrisation.<\/span><\/label><\/span><\/span><\/span>\n\n<div class=\"form-co\"><label> Date de signature\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-921\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-921\" \/><\/span><\/label><\/div>\n\n<div class=\"dscf7_signature\">\n\t\t\t<div class=\"dscf7_signature_inner\">\n\t\t\t\t<canvas id=\"digital_signature-pad_signature-643\" name=\"signature-643\" class=\"digital_signature-pad\" color=\"#000000\" backcolor=\"#dddddd\" width=\"350height:200\" height=\"200\"><\/canvas>\n\t\t\t\t<input class=\"clearButton\" type=\"button\" value=\"+\">\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap signature-643\">\n\t\t\t\t<input class=\"wpcf7-form-control wpcf7-signature wpcf7-validates-as-requiredwpcf7-validates-as-signaturedscf7-signature\" value=\"\" type=\"hidden\" name=\"signature-643\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"signature-643-attachment\" class=\"wpcf7_input_signature-643_attachment\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"signature-643-inline\" class=\"wpcf7_input_signature-643_inline\"\/>\n\t\t\t<\/span>\n\t\t<\/div>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-71\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-71[]\" value=\"Je confirme que les informations que j&#039;ai fournies dans ce document sont exactes et v\u00e9ridiques.\" \/><span class=\"wpcf7-list-item-label\">Je confirme que les informations que j&#039;ai fournies dans ce document sont exactes et v\u00e9ridiques.<\/span><\/label><\/span><\/span><\/span>\n\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Formulaire de consentement au tatouage<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-743","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/florianh.fr\/admin\/wp-json\/wp\/v2\/pages\/743","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/florianh.fr\/admin\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/florianh.fr\/admin\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/florianh.fr\/admin\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/florianh.fr\/admin\/wp-json\/wp\/v2\/comments?post=743"}],"version-history":[{"count":2,"href":"https:\/\/florianh.fr\/admin\/wp-json\/wp\/v2\/pages\/743\/revisions"}],"predecessor-version":[{"id":745,"href":"https:\/\/florianh.fr\/admin\/wp-json\/wp\/v2\/pages\/743\/revisions\/745"}],"wp:attachment":[{"href":"https:\/\/florianh.fr\/admin\/wp-json\/wp\/v2\/media?parent=743"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}