{"id":690,"date":"2020-12-03T14:36:41","date_gmt":"2020-12-03T19:36:41","guid":{"rendered":"http:\/\/www.uqac.ca\/cuk\/?page_id=690"},"modified":"2026-10-02T09:20:16","modified_gmt":"2026-10-02T13:20:16","slug":"inscription-en-ligne","status":"publish","type":"page","link":"https:\/\/www.uqac.ca\/cuk\/inscription-en-ligne\/","title":{"rendered":"Paiement en ligne"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_13_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_vp11ve222\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_hidden\">V3 Formulaire de paiement<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"13\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_13\" id=\"frm_hide_fields_13\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"vp11ve222\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_13\" name=\"frm_submit_entry_13\" value=\"fc8470576c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/cuk\/wp-json\/wp\/v2\/pages\/690\" \/><div id=\"frm_field_276_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_nwubdi32\" class=\"frm_primary_label\">Pr\u00e9nom\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_nwubdi32\" name=\"item_meta[276]\" value=\"\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Pr\u00e9nom est non valide\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_277_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_last frm_half\">\r\n    <label for=\"field_nnzbxd32\" class=\"frm_primary_label\">Nom de famille\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_nnzbxd32\" name=\"item_meta[277]\" value=\"\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Nom de famille est non valide\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_278_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_w4bbu032\" class=\"frm_primary_label\">Adresse courriel\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_w4bbu032\" name=\"item_meta[278]\" value=\"\"  data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" aria-required=\"true\" data-invmsg=\"Adresse courriel est non valide\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_279_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h5>Veuillez s\u00e9lectionner le type de service que vous avez re\u00e7u \u00e0 la Clinique Universitaire de Kin\u00e9siologie :<\/h5>\n<\/div>\n<div id=\"frm_field_281_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">Statut du participant\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_281-0\">\t\t\t<label  for=\"field_n44z82-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[281]\" id=\"field_n44z82-0\" value=\"\u00c9tudiant(e)\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Statut du participant est non valide\"   \/> \u00c9tudiant(e)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_281-1\">\t\t\t<label  for=\"field_n44z82-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[281]\" id=\"field_n44z82-1\" value=\"Personnel de l&#039;UQAC\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Statut du participant est non valide\"   \/> Personnel de l'UQAC<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_281-2\">\t\t\t<label  for=\"field_n44z82-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[281]\" id=\"field_n44z82-2\" value=\"Externe\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"Statut du participant est non valide\"   \/> Externe<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_280_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">S\u00e9lectionner le service obtenu - \u00c9tudiant(e)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_280-0\">\t\t\t<label  for=\"field_t5wwn32-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[280]\" id=\"field_t5wwn32-0\" value=\"\u00c9val condition physique \u00e9tudiant 25\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - \u00c9tudiant(e) est non valide\"   \/> \u00c9valuation de la condition physique (25 $)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_280-5\">\t\t\t<label  for=\"field_t5wwn32-5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[280]\" id=\"field_t5wwn32-5\" value=\"Test maximal indirect seul \u00e9tudiant 25\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - \u00c9tudiant(e) est non valide\"   \/> Test maximal indirect seul (25 $)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_280-4\">\t\t\t<label  for=\"field_t5wwn32-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[280]\" id=\"field_t5wwn32-4\" value=\"Evaluation composition corporelle 25\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - \u00c9tudiant(e) est non valide\"   \/> \u00c9valuation de la composition corporelle seule (25 $)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_280-6\">\t\t\t<label  for=\"field_t5wwn32-6\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[280]\" id=\"field_t5wwn32-6\" value=\"suivi 25\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - \u00c9tudiant(e) est non valide\"   \/> Suivi (25 $)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_290_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">S\u00e9lectionner le service obtenu - Personnel UQAC\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_290-0\">\t\t\t<label  for=\"field_zfkvp-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[290]\" id=\"field_zfkvp-0\" value=\"\u00c9val condition physique personnel uqac 35\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - Personnel UQAC est non valide\"   \/> \u00c9valuation de la condition physique (35 $)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_290-5\">\t\t\t<label  for=\"field_zfkvp-5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[290]\" id=\"field_zfkvp-5\" value=\"Test maximal indirect seul personnel uqac 35\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - Personnel UQAC est non valide\"   \/> Test maximal indirect seul (35 $)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_290-4\">\t\t\t<label  for=\"field_zfkvp-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[290]\" id=\"field_zfkvp-4\" value=\"Evaluation composition corporelle 25\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - Personnel UQAC est non valide\"   \/> \u00c9valuation de la composition corporelle seule (25 $)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_290-6\">\t\t\t<label  for=\"field_zfkvp-6\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[290]\" id=\"field_zfkvp-6\" value=\"suivi 25\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - Personnel UQAC est non valide\"   \/> Suivi (25 $)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_291_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label class=\"frm_primary_label\">S\u00e9lectionner le service obtenu - Externe\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_291-0\">\t\t\t<label  for=\"field_q9duj-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[291]\" id=\"field_q9duj-0\" value=\"\u00c9val condition physique externe 45\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - Externe est non valide\"   \/> \u00c9valuation de la condition physique (45 $)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_291-5\">\t\t\t<label  for=\"field_q9duj-5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[291]\" id=\"field_q9duj-5\" value=\"Test maximal indirect seul externe 45\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - Externe est non valide\"   \/> Test maximal indirect seul (45 $)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_291-4\">\t\t\t<label  for=\"field_q9duj-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[291]\" id=\"field_q9duj-4\" value=\"Evaluation composition corporelle 25\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - Externe est non valide\"   \/> \u00c9valuation de la composition corporelle seule (25 $)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_291-6\">\t\t\t<label  for=\"field_q9duj-6\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[291]\" id=\"field_q9duj-6\" value=\"suivi 25\"\n\t\t data-reqmsg=\"Ce champ ne peut pas \u00eatre vide\" data-invmsg=\"S\u00e9lectionner le service obtenu - Externe est non valide\"   \/> Suivi (25 $)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_285_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_6zdu1q32\" class=\"frm_primary_label\">Total (non taxable)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_6zdu1q32\" name=\"item_meta[285]\" value=\"\"  readonly=\"readonly\"  data-invmsg=\"Total (non taxable) est non valide\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n\t\t<input  type=\"hidden\" name=\"item_meta[286]\" id=\"field_9jku8t32-0\" value=\"non\"  data-frmval=\"non\"   \/>\n\t\t<input type=\"hidden\" name=\"item_meta[287]\" id=\"field_i7za9p3\" value=\"\" data-frmval=\"\"\/>\n<div id=\"frm_field_288_container\" class=\"frm_form_field form-field  frm_none_container\"><div  id=\"field_o7qsv3\" class=\"frm-g-recaptcha\" data-sitekey=\"6LfQmdwpAAAAABDLmVtIyNJ8grTo8Dx_lDoYPc4t\" data-size=\"invisible\" data-theme=\"light\"><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_289_container\" class=\"frm_form_field form-field \">\r\n\t<div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Soumettre\"  class=\"frm_final_submit\" formnovalidate=\"formnovalidate\" \/>\r\n<img decoding=\"async\" class=\"frm_ajax_loading\" src=\"https:\/\/www.uqac.ca\/cuk\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Envoi\"\/>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_292_container\">\n\t\t\t<label for=\"field_ingy6\" >\n\t\t\t\tSi vous \u00eates un humain, ne remplissez pas ce champ.\t\t\t<\/label>\n\t\t\t<input  id=\"field_ingy6\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[292]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"70p2gOE3mGsaIM2t7SoFTMoSU8ksPaU3oF8IMq88dZnKbrs\/ZuWns2XjPnul4Ao+\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-690","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.uqac.ca\/cuk\/wp-json\/wp\/v2\/pages\/690","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uqac.ca\/cuk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.uqac.ca\/cuk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.uqac.ca\/cuk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uqac.ca\/cuk\/wp-json\/wp\/v2\/comments?post=690"}],"version-history":[{"count":6,"href":"https:\/\/www.uqac.ca\/cuk\/wp-json\/wp\/v2\/pages\/690\/revisions"}],"predecessor-version":[{"id":1058,"href":"https:\/\/www.uqac.ca\/cuk\/wp-json\/wp\/v2\/pages\/690\/revisions\/1058"}],"wp:attachment":[{"href":"https:\/\/www.uqac.ca\/cuk\/wp-json\/wp\/v2\/media?parent=690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}