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Julie
2026-07-20 16:33:04 +02:00
parent dd49ba357b
commit d49cf88d99
275 changed files with 63607 additions and 5599 deletions
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603
views/adhesion/template_parts/eleves_famille.ejs
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@@ -3,167 +3,12 @@
<!-- FORMULAIRE de saisie des élèves -->
<!-- ---------------------------------- -->
<section id="eleve0"></section>
<section id="eleve" class="">
<!-- ---------------------------------- -->
<!-- ÉLÈVES 1 -->
<!-- ---------------------------------- -->
<div>
<div class="explication">
<br><br>
<p>Ajouter un enfant :</p>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve1_nom">Nom de famille</label>
<input type="text" name="adherent_eleve1_nom" id="adherent_eleve1_nom" required>
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve1_prenom">Prénom</label>
<input type="text" name="adherent_eleve1_prenom" id="adherent_eleve1_prenom" required>
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve1_datenaissance">Date de naissance</label>
<input type="date" name="adherent_eleve1_datenaissance" id="adherent_eleve1_datenaissance" required>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve1_InstrumentA">Pour l'instrument</label>
<select id="adherent_eleve1_InstrumentA" name="adherent_eleve1_InstrumentA" onchange="select_eleve1_InstrumentA(this)" required>
<option value="" selected></option>
<option value="Alto">Alto</option>
<option value="Contrebasse">Contrebasse</option>
<option value="Flûte traversière">Flûte traversière</option>
<option value="Guitare">Guitare</option>
<option value="Harpe">Harpe</option>
<option value="Piano">Piano</option>
<option value="Trompette">Trompette</option>
<option value="Violon">Violon</option>
<option value="Violoncelle">Violoncelle</option>
<option value="SECE">SECE</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve1_InstrumentA_cahier">Cahier</label>
<select id="adherent_eleve1_InstrumentA_cahier" name="adherent_eleve1_InstrumentA_cahier" required>
<option value="" selected></option>
<option value="Pré-Twinkle">Pré-Twinkle (débutant)</option>
<option value="Cahier 1">Cahier 1</option>
<option value="Cahier 2">Cahier 2</option>
<option value="Cahier 3">Cahier 3</option>
<option value="Cahier 4">Cahier 4</option>
<option value="Cahier 5">Cahier 5</option>
<option value="Cahier 6">Cahier 6</option>
<option value="Cahier 7">Cahier 7</option>
<option value="Cahier 8">Cahier 8</option>
<option value="Cahier 9">Cahier 9</option>
<option value="Cahier 10">Cahier 10</option>
<option value="Hors cahier">Hors cahier</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve1_InstrumentA_prof">Professeur</label>
<select id="adherent_eleve1_InstrumentA_prof" name="adherent_eleve1_InstrumentA_prof">
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve1_InstrumentB">Deuxième instrument</label>
<select id="adherent_eleve1_InstrumentB" name="adherent_eleve1_InstrumentB" onchange="select_eleve1_InstrumentB(this)">
<option value="" selected></option>
<option value="Alto">Alto</option>
<option value="Contrebasse">Contrebasse</option>
<option value="Flûte traversière">Flûte traversière</option>
<option value="Guitare">Guitare</option>
<option value="Harpe">Harpe</option>
<option value="Piano">Piano</option>
<option value="Trompette">Trompette</option>
<option value="Violon">Violon</option>
<option value="Violoncelle">Violoncelle</option>
<option value="SECE">SECE</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve1_InstrumentB_cahier">Cahier</label>
<select id="adherent_eleve1_InstrumentB_cahier" name="adherent_eleve1_InstrumentB_cahier">
<option value="" selected></option>
<option value="Pré-Twinkle">Pré-Twinkle (débutant)</option>
<option value="Cahier 1">Cahier 1</option>
<option value="Cahier 2">Cahier 2</option>
<option value="Cahier 3">Cahier 3</option>
<option value="Cahier 4">Cahier 4</option>
<option value="Cahier 5">Cahier 5</option>
<option value="Cahier 6">Cahier 6</option>
<option value="Cahier 7">Cahier 7</option>
<option value="Cahier 8">Cahier 8</option>
<option value="Cahier 9">Cahier 9</option>
<option value="Cahier 10">Cahier 10</option>
<option value="Hors cahier">Hors cahier</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve1_InstrumentB_prof">Professeur</label>
<select id="adherent_eleve1_InstrumentB_prof" name="adherent_eleve1_InstrumentB_prof">
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve1_droitimage">Acceptez-vous la diffusion des images?</label>
<select id="adherent_eleve1_droitimage" name="adherent_eleve1_droitimage" required>
<option value="" selected></option>
<option value="oui">Oui</option>
<option value="non">Non</option>
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve1_contactsup_nom">Autre parent à contacter : Nom</label>
<input type="text" name="adherent_eleve1_contactsup_nom" id="adherent_eleve1_contactsup_nom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve1_contactsup_prenom">Prénom</label>
<input type="text" name="adherent_eleve1_contactsup_prenom" id="adherent_eleve1_contactsup_prenom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve1_contactsup_mail">Mail</label>
<input type="text" name="adherent_eleve1_contactsup_mail" id="adherent_eleve1_contactsup_mail">
</div>
</div>
<!-- ---------------------------------- -->
<!-- Voulez-vous ajouter un élève ? -->
<!-- ---------------------------------- -->
<div class="input_checkbox">
<input type="checkbox" name="check_eleve2" id="check_eleve2" onclick="ajout_eleve2()">
<label for="check_eleve2">Voulez-vous ajouter un deuxième enfant ?</label>
</div>
</div>
<!-- ---------------------------------- -->
<!-- ÉLÈVES 2 -->
@@ -198,6 +43,7 @@
<option value="Flûte traversière">Flûte traversière</option>
<option value="Guitare">Guitare</option>
<option value="Harpe">Harpe</option>
<option value="Orgue">Orgue</option>
<option value="Piano">Piano</option>
<option value="Trompette">Trompette</option>
<option value="Violon">Violon</option>
@@ -244,6 +90,7 @@
<option value="Flûte traversière">Flûte traversière</option>
<option value="Guitare">Guitare</option>
<option value="Harpe">Harpe</option>
<option value="Orgue">Orgue</option>
<option value="Piano">Piano</option>
<option value="Trompette">Trompette</option>
<option value="Violon">Violon</option>
@@ -320,302 +167,7 @@
</div>
<!-- ---------------------------------- -->
<!-- ÉLÈVES 3 -->
<!-- ---------------------------------- -->
<div id="eleve3" class="hidden">
<div class="grid_3inputs">
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve3_nom">Nom de famille</label>
<input type="text" name="adherent_eleve3_nom" id="adherent_eleve3_nom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve3_prenom">Prénom</label>
<input type="text" name="adherent_eleve3_prenom" id="adherent_eleve3_prenom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve3_datenaissance">Date de naissance</label>
<input type="date" name="adherent_eleve3_datenaissance" id="adherent_eleve3_datenaissance">
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve3_InstrumentA">Pour l'instrument</label>
<select id="adherent_eleve3_InstrumentA" name="adherent_eleve3_InstrumentA" onchange="select_eleve3_InstrumentA(this)">
<option value="" selected></option>
<option value="Alto">Alto</option>
<option value="Contrebasse">Contrebasse</option>
<option value="Flûte traversière">Flûte traversière</option>
<option value="Guitare">Guitare</option>
<option value="Harpe">Harpe</option>
<option value="Piano">Piano</option>
<option value="Trompette">Trompette</option>
<option value="Violon">Violon</option>
<option value="Violoncelle">Violoncelle</option>
<option value="SECE">SECE</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve3_InstrumentA_cahier">Cahier</label>
<select id="adherent_eleve3_InstrumentA_cahier" name="adherent_eleve3_InstrumentA_cahier">
<option value="" selected></option>
<option value="Pré-Twinkle">Pré-Twinkle (débutant)</option>
<option value="Cahier 1">Cahier 1</option>
<option value="Cahier 2">Cahier 2</option>
<option value="Cahier 3">Cahier 3</option>
<option value="Cahier 4">Cahier 4</option>
<option value="Cahier 5">Cahier 5</option>
<option value="Cahier 6">Cahier 6</option>
<option value="Cahier 7">Cahier 7</option>
<option value="Cahier 8">Cahier 8</option>
<option value="Cahier 9">Cahier 9</option>
<option value="Cahier 10">Cahier 10</option>
<option value="Hors cahier">Hors cahier</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve3_InstrumentA_prof">Professeur</label>
<select id="adherent_eleve3_InstrumentA_prof" name="adherent_eleve3_InstrumentA_prof">
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve3_InstrumentB">Deuxième instrument</label>
<select id="adherent_eleve3_InstrumentB" name="adherent_eleve3_InstrumentB" onchange="select_eleve3_InstrumentB(this)">
<option value="" selected></option>
<option value="Alto">Alto</option>
<option value="Contrebasse">Contrebasse</option>
<option value="Flûte traversière">Flûte traversière</option>
<option value="Guitare">Guitare</option>
<option value="Harpe">Harpe</option>
<option value="Piano">Piano</option>
<option value="Trompette">Trompette</option>
<option value="Violon">Violon</option>
<option value="Violoncelle">Violoncelle</option>
<option value="SECE">SECE</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve3_InstrumentB_cahier">Cahier</label>
<select id="adherent_eleve3_InstrumentB_cahier" name="adherent_eleve3_InstrumentB_cahier">
<option value="" selected></option>
<option value="Pré-Twinkle">Pré-Twinkle (débutant)</option>
<option value="Cahier 1">Cahier 1</option>
<option value="Cahier 2">Cahier 2</option>
<option value="Cahier 3">Cahier 3</option>
<option value="Cahier 4">Cahier 4</option>
<option value="Cahier 5">Cahier 5</option>
<option value="Cahier 6">Cahier 6</option>
<option value="Cahier 7">Cahier 7</option>
<option value="Cahier 8">Cahier 8</option>
<option value="Cahier 9">Cahier 9</option>
<option value="Cahier 10">Cahier 10</option>
<option value="Hors cahier">Hors cahier</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve3_InstrumentB_prof">Professeur</label>
<select id="adherent_eleve3_InstrumentB_prof" name="adherent_eleve3_InstrumentB_prof">
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve3_droitimage">Acceptez-vous la diffusion des images?</label>
<select id="adherent_eleve3_droitimage" name="adherent_eleve3_droitimage">
<option value="" selected></option>
<option value="oui">Oui</option>
<option value="non">Non</option>
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve3_contactsup_nom">Autre parent à contacter : Nom</label>
<input type="text" name="adherent_eleve3_contactsup_nom" id="adherent_eleve3_contactsup_nom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve3_contactsup_prenom">Prénom</label>
<input type="text" name="adherent_eleve3_contactsup_prenom" id="adherent_eleve3_contactsup_prenom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve3_contactsup_mail">Mail</label>
<input type="text" name="adherent_eleve3_contactsup_mail" id="adherent_eleve3_contactsup_mail">
</div>
</div>
<!-- ---------------------------------- -->
<!-- Voulez-vous ajouter un élève ? -->
<!-- ---------------------------------- -->
<div class="input_checkbox">
<input type="checkbox" name="check_eleve4" id="check_eleve4" onclick="ajout_eleve4()">
<label for="check_eleve4">Voulez-vous ajouter un quatrième enfant ?</label>
</div>
</div>
<!-- ---------------------------------- -->
<!-- ÉLÈVES 4 -->
<!-- ---------------------------------- -->
<div id="eleve4" class="hidden">
<div class="grid_3inputs">
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve4_nom">Nom de famille</label>
<input type="text" name="adherent_eleve4_nom" id="adherent_eleve4_nom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve4_prenom">Prénom</label>
<input type="text" name="adherent_eleve4_prenom" id="adherent_eleve4_prenom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve4_datenaissance">Date de naissance</label>
<input type="date" name="adherent_eleve4_datenaissance" id="adherent_eleve4_datenaissance">
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve4_InstrumentA">Pour l'instrument</label>
<select id="adherent_eleve4_InstrumentA" name="adherent_eleve4_InstrumentA" onchange="select_eleve4_InstrumentA(this)">
<option value="" selected></option>
<option value="Alto">Alto</option>
<option value="Contrebasse">Contrebasse</option>
<option value="Flûte traversière">Flûte traversière</option>
<option value="Guitare">Guitare</option>
<option value="Harpe">Harpe</option>
<option value="Piano">Piano</option>
<option value="Trompette">Trompette</option>
<option value="Violon">Violon</option>
<option value="Violoncelle">Violoncelle</option>
<option value="SECE">SECE</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve4_InstrumentA_cahier">Cahier</label>
<select id="adherent_eleve4_InstrumentA_cahier" name="adherent_eleve4_InstrumentA_cahier">
<option value="" selected></option>
<option value="Pré-Twinkle">Pré-Twinkle (débutant)</option>
<option value="Cahier 1">Cahier 1</option>
<option value="Cahier 2">Cahier 2</option>
<option value="Cahier 3">Cahier 3</option>
<option value="Cahier 4">Cahier 4</option>
<option value="Cahier 5">Cahier 5</option>
<option value="Cahier 6">Cahier 6</option>
<option value="Cahier 7">Cahier 7</option>
<option value="Cahier 8">Cahier 8</option>
<option value="Cahier 9">Cahier 9</option>
<option value="Cahier 10">Cahier 10</option>
<option value="Hors cahier">Hors cahier</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve4_InstrumentA_prof">Professeur</label>
<select id="adherent_eleve4_InstrumentA_prof" name="adherent_eleve4_InstrumentA_prof">
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve4_InstrumentB">Deuxième instrument</label>
<select id="adherent_eleve4_InstrumentB" name="adherent_eleve4_InstrumentB" onchange="select_eleve4_InstrumentB(this)">
<option value="" selected></option>
<option value="Alto">Alto</option>
<option value="Contrebasse">Contrebasse</option>
<option value="Flûte traversière">Flûte traversière</option>
<option value="Guitare">Guitare</option>
<option value="Harpe">Harpe</option>
<option value="Piano">Piano</option>
<option value="Trompette">Trompette</option>
<option value="Violon">Violon</option>
<option value="Violoncelle">Violoncelle</option>
<option value="SECE">SECE</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve4_InstrumentB_cahier">Cahier</label>
<select id="adherent_eleve4_InstrumentB_cahier" name="adherent_eleve4_InstrumentB_cahier">
<option value="" selected></option>
<option value="Pré-Twinkle">Pré-Twinkle (débutant)</option>
<option value="Cahier 1">Cahier 1</option>
<option value="Cahier 2">Cahier 2</option>
<option value="Cahier 3">Cahier 3</option>
<option value="Cahier 4">Cahier 4</option>
<option value="Cahier 5">Cahier 5</option>
<option value="Cahier 6">Cahier 6</option>
<option value="Cahier 7">Cahier 7</option>
<option value="Cahier 8">Cahier 8</option>
<option value="Cahier 9">Cahier 9</option>
<option value="Cahier 10">Cahier 10</option>
<option value="Hors cahier">Hors cahier</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve4_InstrumentB_prof">Professeur</label>
<select id="adherent_eleve4_InstrumentB_prof" name="adherent_eleve4_InstrumentB_prof">
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve4_droitimage">Acceptez-vous la diffusion des images?</label>
<select id="adherent_eleve4_droitimage" name="adherent_eleve4_droitimage">
<option value="" selected></option>
<option value="oui">Oui</option>
<option value="non">Non</option>
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve4_contactsup_nom">Autre parent à contacter : Nom</label>
<input type="text" name="adherent_eleve4_contactsup_nom" id="adherent_eleve4_contactsup_nom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve4_contactsup_prenom">Prénom</label>
<input type="text" name="adherent_eleve4_contactsup_prenom" id="adherent_eleve4_contactsup_prenom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve4_contactsup_mail">Mail</label>
<input type="text" name="adherent_eleve4_contactsup_mail" id="adherent_eleve4_contactsup_mail">
</div>
</div>
<!-- ---------------------------------- -->
<!-- Voulez-vous ajouter un élève ? -->
@@ -625,152 +177,9 @@
<label for="check_eleve5">Voulez-vous ajouter un cinquième enfant ?</label>
</div>
</div>
<!-- ---------------------------------- -->
<!-- ÉLÈVES 5 -->
<!-- ---------------------------------- -->
<div id="eleve5" class="hidden">
<div class="grid_3inputs">
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve5_nom">Nom de famille</label>
<input type="text" name="adherent_eleve5_nom" id="adherent_eleve5_nom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve5_prenom">Prénom</label>
<input type="text" name="adherent_eleve5_prenom" id="adherent_eleve5_prenom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve5_datenaissance">Date de naissance</label>
<input type="date" name="adherent_eleve5_datenaissance" id="adherent_eleve5_datenaissance">
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve5_InstrumentA">Pour l'instrument</label>
<select id="adherent_eleve5_InstrumentA" name="adherent_eleve5_InstrumentA" onchange="select_eleve5_InstrumentA(this)">
<option value="" selected></option>
<option value="Alto">Alto</option>
<option value="Contrebasse">Contrebasse</option>
<option value="Flûte traversière">Flûte traversière</option>
<option value="Guitare">Guitare</option>
<option value="Harpe">Harpe</option>
<option value="Piano">Piano</option>
<option value="Trompette">Trompette</option>
<option value="Violon">Violon</option>
<option value="Violoncelle">Violoncelle</option>
<option value="SECE">SECE</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve5_InstrumentA_cahier">Cahier</label>
<select id="adherent_eleve5_InstrumentA_cahier" name="adherent_eleve5_InstrumentA_cahier">
<option value="" selected></option>
<option value="Pré-Twinkle">Pré-Twinkle (débutant)</option>
<option value="Cahier 1">Cahier 1</option>
<option value="Cahier 2">Cahier 2</option>
<option value="Cahier 3">Cahier 3</option>
<option value="Cahier 4">Cahier 4</option>
<option value="Cahier 5">Cahier 5</option>
<option value="Cahier 6">Cahier 6</option>
<option value="Cahier 7">Cahier 7</option>
<option value="Cahier 8">Cahier 8</option>
<option value="Cahier 9">Cahier 9</option>
<option value="Cahier 10">Cahier 10</option>
<option value="Hors cahier">Hors cahier</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve5_InstrumentA_prof">Professeur</label>
<select id="adherent_eleve5_InstrumentA_prof" name="adherent_eleve5_InstrumentA_prof">
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve5_InstrumentB">Deuxième instrument</label>
<select id="adherent_eleve5_InstrumentB" name="adherent_eleve5_InstrumentB" onchange="select_eleve5_InstrumentB(this)">
<option value="" selected></option>
<option value="Alto">Alto</option>
<option value="Contrebasse">Contrebasse</option>
<option value="Flûte traversière">Flûte traversière</option>
<option value="Guitare">Guitare</option>
<option value="Harpe">Harpe</option>
<option value="Piano">Piano</option>
<option value="Trompette">Trompette</option>
<option value="Violon">Violon</option>
<option value="Violoncelle">Violoncelle</option>
<option value="SECE">SECE</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve5_InstrumentB_cahier">Cahier</label>
<select id="adherent_eleve5_InstrumentB_cahier" name="adherent_eleve5_InstrumentB_cahier">
<option value="" selected></option>
<option value="Pré-Twinkle">Pré-Twinkle (débutant)</option>
<option value="Cahier 1">Cahier 1</option>
<option value="Cahier 2">Cahier 2</option>
<option value="Cahier 3">Cahier 3</option>
<option value="Cahier 4">Cahier 4</option>
<option value="Cahier 5">Cahier 5</option>
<option value="Cahier 6">Cahier 6</option>
<option value="Cahier 7">Cahier 7</option>
<option value="Cahier 8">Cahier 8</option>
<option value="Cahier 9">Cahier 9</option>
<option value="Cahier 10">Cahier 10</option>
<option value="Hors cahier">Hors cahier</option>
</select>
</div>
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve5_InstrumentB_prof">Professeur</label>
<select id="adherent_eleve5_InstrumentB_prof" name="adherent_eleve5_InstrumentB_prof">
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_bleu">
<label for="adherent_eleve5_droitimage">Acceptez-vous la diffusion des images?</label>
<select id="adherent_eleve5_droitimage" name="adherent_eleve5_droitimage">
<option value="" selected></option>
<option value="oui">Oui</option>
<option value="non">Non</option>
</select>
</div>
</div>
<div class="grid_3inputs">
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve5_contactsup_nom">Autre parent à contacter : Nom</label>
<input type="text" name="adherent_eleve5_contactsup_nom" id="adherent_eleve5_contactsup_nom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve5_contactsup_prenom">Prénom</label>
<input type="text" name="adherent_eleve5_contactsup_prenom" id="adherent_eleve5_contactsup_prenom">
</div>
<div class="input_box input_text input_box_gris">
<label for="adherent_eleve5_contactsup_mail">Mail</label>
<input type="text" name="adherent_eleve5_contactsup_mail" id="adherent_eleve5_contactsup_mail">
</div>
</div>
</div>