{"id":1625,"date":"2017-09-25T00:03:11","date_gmt":"2017-09-24T22:03:11","guid":{"rendered":"https:\/\/www.lumen-care.com\/?page_id=1625"},"modified":"2023-08-28T18:02:25","modified_gmt":"2023-08-28T16:02:25","slug":"pre-registration","status":"publish","type":"page","link":"https:\/\/www.lumen-care.com\/en\/training-catalogue\/training-therapist\/pre-registration\/","title":{"rendered":"Pre-registration for training"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1625\" class=\"elementor elementor-1625\" data-elementor-post-type=\"page\">\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-54b36612 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"54b36612\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-610fdc44\" data-id=\"610fdc44\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-5ccfa9e1 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"5ccfa9e1\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4eab58e1\" data-id=\"4eab58e1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-42d01b7f elementor-widget elementor-widget-text-editor\" data-id=\"42d01b7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Pre-registration for the Lumen Care training course, entitled :<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ee0c697 elementor-widget elementor-widget-text-editor\" data-id=\"4ee0c697\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Deprogramming sensitivities and intolerances using contact homeopathy<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-27e11617 elementor-section-content-top elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"27e11617\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;wave-brush&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 283.5 27.8\" preserveaspectratio=\"none\">\n\t<path class=\"elementor-shape-fill\" 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d=\"M15.6,13.2c0-0.1,4.3,0,6.7,0.5c2.4,0.5,5,1.9,5,2c0,0.1-2.7-0.8-5.1-1.4\tC19.9,13.7,15.7,13.3,15.6,13.2z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-4ece9b45\" data-id=\"4ece9b45\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-25d557c4 elementor-view-framed elementor-shape-circle elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"25d557c4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-user-lock\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tReserve and secure your place on the Lumen Care training course\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-3491f6c3\" data-id=\"3491f6c3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6587c908 elementor-view-framed elementor-shape-circle elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"6587c908\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-file-signature\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tYou will receive your file, which you can use to put together a claim form.\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-6744cb53\" data-id=\"6744cb53\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7053da29 elementor-view-framed elementor-shape-circle elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"7053da29\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  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autocomplete='new-password'\/><\/div><\/div><div id=\"field_10_35\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your information<\/h3><\/div><fieldset id=\"field_10_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Trainee<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_10_1'>\n                            \n                            <span id='input_10_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_10_1_3' class='gform-field-label gform-field-label--type-sub'>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_10_1_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_10_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_10_1_6' class='gform-field-label gform-field-label--type-sub'>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_10_1_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_10_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_3'>E-mail<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_3' id='input_10_3' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_10_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_4'>Telephone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_10_4' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_10\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_10'>Billing structure<\/label><div class='gfield_description' id='gfield_description_10_10'>Indicate name and type of organisation if necessary (company, association, etc.)<\/div><div class='ginput_container ginput_container_text'><input name='input_10' id='input_10_10' type='text' value='' class='medium'  aria-describedby=\"gfield_description_10_10\"    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_2\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Invoice address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_10_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_10_2_1_container' >\n                                        <label for='input_10_2_1' id='input_10_2_1_label' class='gform-field-label gform-field-label--type-sub'>Street Address<\/label>\n                                        <input type='text' name='input_2.1' id='input_10_2_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_10_2_3_container' >\n                                    <label for='input_10_2_3' id='input_10_2_3_label' class='gform-field-label gform-field-label--type-sub'>City<\/label>\n                                    <input type='text' name='input_2.3' id='input_10_2_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_2.4' id='input_10_2_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_10_2_5_container' >\n                                    <label for='input_10_2_5' id='input_10_2_5_label' class='gform-field-label gform-field-label--type-sub'>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_2.5' id='input_10_2_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_10_2_6_container' >\n                                        <label for='input_10_2_6' id='input_10_2_6_label' class='gform-field-label gform-field-label--type-sub'>Country<\/label>\n                                        <select name='input_2.6' id='input_10_2_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda shorts<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >Ivory Coast<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' selected='selected'>France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macau<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >Meeting<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_10_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Your administrative situation<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_10_32'>\n\t\t\t<div class='gchoice gchoice_10_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Micro-entrepreneur ou artisan'  id='choice_10_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_32_0' id='label_10_32_0' class='gform-field-label gform-field-label--type-inline'>Micro-entrepreneur or craftsman (valid siret number)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Pole emploi'  id='choice_10_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_32_1' id='label_10_32_1' class='gform-field-label gform-field-label--type-inline'>Job centre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Salari\u00e9'  id='choice_10_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_32_2' id='label_10_32_2' class='gform-field-label gform-field-label--type-inline'>Employee (excluding civil servants)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_32_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Fonctionnaire'  id='choice_10_32_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_32_3' id='label_10_32_3' class='gform-field-label gform-field-label--type-inline'>Civil servant<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_32_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='gf_other_choice'  id='choice_10_32_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_32_4' id='label_10_32_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_10_32_other' class='gchoice_other_control' name='input_32_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Gathering requirements<\/h3><\/div><fieldset id=\"field_10_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you personally affected by any sensitivities or intolerances?<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_10_30'>\n\t\t\t<div class='gchoice gchoice_10_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='oui'  id='choice_10_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_30_0' id='label_10_30_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='non'  id='choice_10_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_30_1' id='label_10_30_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you familiar with the kinesiology test or an equivalent test?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_10_31'>Pendulum, Lecher antenna, self-test...<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_31'>\n\t\t\t<div class='gchoice gchoice_10_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='on'  id='choice_10_31_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_10_31\"   \/>\n\t\t\t\t\t<label for='choice_10_31_0' id='label_10_31_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='off'  id='choice_10_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_31_1' id='label_10_31_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you a therapist?<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_10_34'>\n\t\t\t<div class='gchoice gchoice_10_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='oui'  id='choice_10_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_34_0' id='label_10_34_0' class='gform-field-label gform-field-label--type-inline'>Yes, in practice<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='en projet'  id='choice_10_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_34_1' id='label_10_34_1' class='gform-field-label gform-field-label--type-inline'>In project<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='non'  id='choice_10_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_34_2' id='label_10_34_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_18\" class=\"gfield gfield--type-number gfield--input-type-number field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_18'>For how many years?<\/label><div class='gfield_description' id='gfield_description_10_18'>Enter one number only<\/div><div class='ginput_container ginput_container_number'><input name='input_18' id='input_10_18' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_10_18\" \/><\/div><\/div><div id=\"field_10_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_7'>Your current position or therapeutic specialities<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_10_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_16\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_16'>What certifications have you obtained in these skills?<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_10_16' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_20'>How did you hear about the Lumen Care method?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_10_20' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_38\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Why would you like to take this course?<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_10_38'><div class='gchoice gchoice_10_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='Formation demand\u00e9e personnellement'  id='choice_10_38_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_38_1' id='label_10_38_1' class='gform-field-label gform-field-label--type-inline'>Training requested personally<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='Formation demand\u00e9e par votre entreprise'  id='choice_10_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_38_2' id='label_10_38_2' class='gform-field-label gform-field-label--type-inline'>Training requested by your company<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_38_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.3' type='checkbox'  value='Pour aider un proche en difficult\u00e9 ou les personnes qui m\u2019entourent'  id='choice_10_38_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_38_3' id='label_10_38_3' class='gform-field-label gform-field-label--type-inline'>To help a relative in difficulty or the people around me<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_38_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.4' type='checkbox'  value='D\u00e9couvrir de nouveaux contenus et outils'  id='choice_10_38_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_38_4' id='label_10_38_4' class='gform-field-label gform-field-label--type-inline'>Discover new content and tools<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_38_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.5' type='checkbox'  value='Autre'  id='choice_10_38_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_38_5' id='label_10_38_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is your main objective in taking part in this training course?<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_10_39'>\n\t\t\t<div class='gchoice gchoice_10_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Elargir le champ de mes connaissances personnelles'  id='choice_10_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_0' id='label_10_39_0' class='gform-field-label gform-field-label--type-inline'>Broaden the scope of my personal knowledge<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Actualiser vos techniques professionnelles'  id='choice_10_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_1' id='label_10_39_1' class='gform-field-label gform-field-label--type-inline'>Update your professional techniques<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='D\u00e9velopper ma client\u00e8le'  id='choice_10_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_2' id='label_10_39_2' class='gform-field-label gform-field-label--type-inline'>Developing my customer base<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_39_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='En vue d\u2019une cr\u00e9ation d\u2019entreprise'  id='choice_10_39_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_3' id='label_10_39_3' class='gform-field-label gform-field-label--type-inline'>With a view to setting up a business<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_39_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='En vue d\u2019une reconversion professionnelle'  id='choice_10_39_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_4' id='label_10_39_4' class='gform-field-label gform-field-label--type-inline'>With a view to professional retraining<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_39_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='gf_other_choice'  id='choice_10_39_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_5' id='label_10_39_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_10_39_other' class='gchoice_other_control' name='input_39_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_37\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Positioning before training<\/h3><\/div><div id=\"field_10_41\" class=\"gfield gfield--type-slider gfield--input-type-slider gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_41'>What is your level of knowledge on the subject of sensitivities?<\/label><div class='ginput_container ginput_container_slider'><input name='input_41' id='input_10_41' type='number' step='1' min='0' max='10' data-value-visibility='hover-drag' data-connect=\"false\" value='0' class='slider large' data-min-relation='0' data-max-relation='10' data-value-format='decimal_dot'     \/><div id='gsfslider_41' class='slider-display gform-theme__disable-reset'><\/div><\/div><\/div><fieldset id=\"field_10_42\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Various<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_10_42'><div class='gchoice gchoice_10_42_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.1' type='checkbox'  value='Savez-vous lire et \u00e9crire, entendre, parler et comprendre le fran\u00e7ais ?'  id='choice_10_42_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_42_1' id='label_10_42_1' class='gform-field-label gform-field-label--type-inline'>Can you read and write, hear, speak and understand French?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_42_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.2' type='checkbox'  value='Avez-vous des notions de base en anatomie ?'  id='choice_10_42_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_42_2' id='label_10_42_2' class='gform-field-label gform-field-label--type-inline'>Do you have a basic knowledge of anatomy?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_42_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.3' type='checkbox'  value='Avez-vous une certaine aisance ou habitude dans la pratique de soins ?'  id='choice_10_42_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_42_3' id='label_10_42_3' class='gform-field-label gform-field-label--type-inline'>Do you have a certain level of comfort or experience in providing care?<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_43\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >According to the OBJECTIVES of the course, what is your level of interest?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='According to the OBJECTIVES of the course, what is your level of interest?' class='gsurvey-likert' id='input_10_43'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_10_43' scope='col'  class='gsurvey-likert-choice-label'>Very interested<\/th><th id='likert_col_2_10_43' scope='col'  class='gsurvey-likert-choice-label'>Interested in<\/th><th id='likert_col_3_10_43' scope='col'  class='gsurvey-likert-choice-label'>Not very interested<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_10_43' data-label='' class='gsurvey-likert-row-label'>Carry out a sensitivity analysis<\/td><td data-label='Tr\u00e8s int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.1' type='radio' value='glikertrow32abe4c5:glikertcol434568d139'  id='choice_10_43_1_1'    aria-labelledby='likert_row_1_10_43 likert_col_1_10_43'\/><\/td><td data-label='Int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.1' type='radio' value='glikertrow32abe4c5:glikertcol4301536ace'  id='choice_10_43_1_2'    aria-labelledby='likert_row_1_10_43 likert_col_2_10_43'\/><\/td><td data-label='Peu int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.1' type='radio' value='glikertrow32abe4c5:glikertcol432b5438fe'  id='choice_10_43_1_3'    aria-labelledby='likert_row_1_10_43 likert_col_3_10_43'\/><\/td><\/tr><tr><td id='likert_row_2_10_43' data-label='' class='gsurvey-likert-row-label'>Defining a contact homeopathy protocol<\/td><td data-label='Tr\u00e8s int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.2' type='radio' value='glikertrowd59318e8:glikertcol434568d139'  id='choice_10_43_2_1'    aria-labelledby='likert_row_2_10_43 likert_col_1_10_43'\/><\/td><td data-label='Int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.2' type='radio' value='glikertrowd59318e8:glikertcol4301536ace'  id='choice_10_43_2_2'    aria-labelledby='likert_row_2_10_43 likert_col_2_10_43'\/><\/td><td data-label='Peu int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.2' type='radio' value='glikertrowd59318e8:glikertcol432b5438fe'  id='choice_10_43_2_3'    aria-labelledby='likert_row_2_10_43 likert_col_3_10_43'\/><\/td><\/tr><tr><td id='likert_row_3_10_43' data-label='' class='gsurvey-likert-row-label'>Follow-up<\/td><td data-label='Tr\u00e8s int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.3' type='radio' value='glikertrow15e1386c:glikertcol434568d139'  id='choice_10_43_3_1'    aria-labelledby='likert_row_3_10_43 likert_col_1_10_43'\/><\/td><td data-label='Int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.3' type='radio' value='glikertrow15e1386c:glikertcol4301536ace'  id='choice_10_43_3_2'    aria-labelledby='likert_row_3_10_43 likert_col_2_10_43'\/><\/td><td data-label='Peu int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.3' type='radio' value='glikertrow15e1386c:glikertcol432b5438fe'  id='choice_10_43_3_3'    aria-labelledby='likert_row_3_10_43 likert_col_3_10_43'\/><\/td><\/tr><tr><td id='likert_row_4_10_43' data-label='' class='gsurvey-likert-row-label'>Lumen Care certification<\/td><td data-label='Tr\u00e8s int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.4' type='radio' value='glikertrow0bb2ea04:glikertcol434568d139'  id='choice_10_43_4_1'    aria-labelledby='likert_row_4_10_43 likert_col_1_10_43'\/><\/td><td data-label='Int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.4' type='radio' value='glikertrow0bb2ea04:glikertcol4301536ace'  id='choice_10_43_4_2'    aria-labelledby='likert_row_4_10_43 likert_col_2_10_43'\/><\/td><td data-label='Peu int\u00e9ress\u00e9(e)' class='gsurvey-likert-choice'><input name='input_43.4' type='radio' value='glikertrow0bb2ea04:glikertcol432b5438fe'  id='choice_10_43_4_3'    aria-labelledby='likert_row_4_10_43 likert_col_3_10_43'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><div id=\"field_10_44\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you think the PROGRAMME, DURATION and TIMETABLE are clear and appropriate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='Do you think the PROGRAMME, DURATION and TIMETABLE are clear and appropriate?' class='gsurvey-likert' id='input_10_44'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_10_44' scope='col'  class='gsurvey-likert-choice-label'>Absolutely<\/th><th id='likert_col_2_10_44' scope='col'  class='gsurvey-likert-choice-label'>Medium<\/th><th id='likert_col_3_10_44' scope='col'  class='gsurvey-likert-choice-label'>Not at all<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_10_44' data-label='' class='gsurvey-likert-row-label'>Process\/content<\/td><td data-label='Tout \u00e0 fait' class='gsurvey-likert-choice'><input name='input_44.1' type='radio' value='glikertrow32abe4c5:glikertcol434568d139'  id='choice_10_44_1_1'    aria-labelledby='likert_row_1_10_44 likert_col_1_10_44'\/><\/td><td data-label='Moyennement' class='gsurvey-likert-choice'><input name='input_44.1' type='radio' value='glikertrow32abe4c5:glikertcol4301536ace'  id='choice_10_44_1_2'    aria-labelledby='likert_row_1_10_44 likert_col_2_10_44'\/><\/td><td data-label='Pas du tout' class='gsurvey-likert-choice'><input name='input_44.1' type='radio' value='glikertrow32abe4c5:glikertcol432b5438fe'  id='choice_10_44_1_3'    aria-labelledby='likert_row_1_10_44 likert_col_3_10_44'\/><\/td><\/tr><tr><td id='likert_row_2_10_44' data-label='' class='gsurvey-likert-row-label'>Learning methods (blended learning)<\/td><td data-label='Tout \u00e0 fait' class='gsurvey-likert-choice'><input name='input_44.2' type='radio' value='glikertrowd59318e8:glikertcol434568d139'  id='choice_10_44_2_1'    aria-labelledby='likert_row_2_10_44 likert_col_1_10_44'\/><\/td><td data-label='Moyennement' class='gsurvey-likert-choice'><input name='input_44.2' type='radio' value='glikertrowd59318e8:glikertcol4301536ace'  id='choice_10_44_2_2'    aria-labelledby='likert_row_2_10_44 likert_col_2_10_44'\/><\/td><td data-label='Pas du tout' class='gsurvey-likert-choice'><input name='input_44.2' type='radio' value='glikertrowd59318e8:glikertcol432b5438fe'  id='choice_10_44_2_3'    aria-labelledby='likert_row_2_10_44 likert_col_3_10_44'\/><\/td><\/tr><tr><td id='likert_row_3_10_44' data-label='' class='gsurvey-likert-row-label'>Duration<\/td><td data-label='Tout \u00e0 fait' class='gsurvey-likert-choice'><input name='input_44.3' type='radio' value='glikertrow15e1386c:glikertcol434568d139'  id='choice_10_44_3_1'    aria-labelledby='likert_row_3_10_44 likert_col_1_10_44'\/><\/td><td data-label='Moyennement' class='gsurvey-likert-choice'><input name='input_44.3' type='radio' value='glikertrow15e1386c:glikertcol4301536ace'  id='choice_10_44_3_2'    aria-labelledby='likert_row_3_10_44 likert_col_2_10_44'\/><\/td><td data-label='Pas du tout' class='gsurvey-likert-choice'><input name='input_44.3' type='radio' value='glikertrow15e1386c:glikertcol432b5438fe'  id='choice_10_44_3_3'    aria-labelledby='likert_row_3_10_44 likert_col_3_10_44'\/><\/td><\/tr><tr><td id='likert_row_4_10_44' data-label='' class='gsurvey-likert-row-label'>Timetable<\/td><td data-label='Tout \u00e0 fait' class='gsurvey-likert-choice'><input name='input_44.4' type='radio' value='glikertrow0bb2ea04:glikertcol434568d139'  id='choice_10_44_4_1'    aria-labelledby='likert_row_4_10_44 likert_col_1_10_44'\/><\/td><td data-label='Moyennement' class='gsurvey-likert-choice'><input name='input_44.4' type='radio' value='glikertrow0bb2ea04:glikertcol4301536ace'  id='choice_10_44_4_2'    aria-labelledby='likert_row_4_10_44 likert_col_2_10_44'\/><\/td><td data-label='Pas du tout' class='gsurvey-likert-choice'><input name='input_44.4' type='radio' value='glikertrow0bb2ea04:glikertcol432b5438fe'  id='choice_10_44_4_3'    aria-labelledby='likert_row_4_10_44 likert_col_3_10_44'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><div id=\"field_10_40\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Session and financing<\/h3><\/div><fieldset id=\"field_10_46\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Date options for Module 1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_10_46'>Select your available dates for the 1st module and we will confirm as soon as a session of your choice has reached the minimum quota.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_46'><div class='gchoice gchoice_10_46_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.1' type='checkbox'  value='2024-06_7-9'  id='choice_10_46_1'   aria-describedby=\"gfield_description_10_46\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_10_46_1' id='label_10_46_1' class='gform-field-label gform-field-label--type-inline'>7-8 March 2026<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_46_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.2' type='checkbox'  value='gsurvey46af7e56bf'  id='choice_10_46_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_46_2' id='label_10_46_2' class='gform-field-label gform-field-label--type-inline'>28-28 March 2026<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_46_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.3' type='checkbox'  value='2024-06_7-9'  id='choice_10_46_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_46_3' id='label_10_46_3' class='gform-field-label gform-field-label--type-inline'>18-19 April 2026<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_46_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.4' type='checkbox'  value='gsurvey460e3f2a3a'  id='choice_10_46_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_46_4' id='label_10_46_4' class='gform-field-label gform-field-label--type-inline'>25-26 April 2026<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_46_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.5' type='checkbox'  value='gsurvey46c05d076b'  id='choice_10_46_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_46_5' id='label_10_46_5' class='gform-field-label gform-field-label--type-inline'>9-10 May 2026<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_46_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.6' type='checkbox'  value='gsurvey463bdb5664'  id='choice_10_46_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_46_6' id='label_10_46_6' class='gform-field-label gform-field-label--type-inline'>23-24 May 2026<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_45\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Training method<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_10_45'>Select the method(s) that suit(s) you (distance learning courses are generally the most popular)<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_45'><div class='gchoice gchoice_10_45_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.1' type='checkbox'  value='Distanciel'  id='choice_10_45_1'   aria-describedby=\"gfield_description_10_45\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_10_45_1' id='label_10_45_1' class='gform-field-label gform-field-label--type-inline'>Remote<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_45_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.2' type='checkbox'  value='Presentiel'  id='choice_10_45_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_45_2' id='label_10_45_2' class='gform-field-label gform-field-label--type-inline'>On-site<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label' >Session chosen<\/legend><div class='gfield_description' id='gfield_description_10_5'>Only sessions organised by Lumen Care that are compatible with reimbursement are listed here. For other sessions, please refer to the registration form. <\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_5'>\n\t\t\t<div class='gchoice gchoice_10_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='09 - 11 juin 2023 : en distanciel'  id='choice_10_5_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_10_5\"   \/>\n\t\t\t\t\t<label for='choice_10_5_0' id='label_10_5_0' class='gform-field-label gform-field-label--type-inline'>09 - 11 June 2023: distance learning<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='21 - 23 juillet 2023 : en distanciel (modifi\u00e9)'  id='choice_10_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_5_1' id='label_10_5_1' class='gform-field-label gform-field-label--type-inline'>21 - 23 July 2023: distance learning (modified)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Financing<\/legend><div class='gfield_description' id='gfield_description_10_11'>Opco available for employees or self-employed. Not applicable to civil servants. Please contact us for further information.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_11'><div class='gchoice gchoice_10_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='SANS'  id='choice_10_11_1'   aria-describedby=\"gfield_description_10_11\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_10_11_1' id='label_10_11_1' class='gform-field-label gform-field-label--type-inline'>Individual care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_11_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.2' type='checkbox'  value='OPCO'  id='choice_10_11_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_11_2' id='label_10_11_2' class='gform-field-label gform-field-label--type-inline'>OPCO<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_47\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_47'>OPCO<\/label><div class='gfield_description' id='gfield_description_10_47'>If known, otherwise indicate \"unknown<\/div><div class='ginput_container ginput_container_text'><input name='input_47' id='input_10_47' type='text' value='' class='large'  aria-describedby=\"gfield_description_10_47\"    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Do you need any specific help or accommodation to follow this course?<\/legend><div class='gfield_description' id='gfield_description_10_25'>Human, technical or other assistance<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_25'><div class='gchoice gchoice_10_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='Oui'  id='choice_10_25_1'   aria-describedby=\"gfield_description_10_25\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_10_25_1' id='label_10_25_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_27\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_27'>Specify the assistance required<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_27' id='input_10_27' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_10_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you disabled?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_10_33'>This information will remain confidential<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_33'>\n\t\t\t<div class='gchoice gchoice_10_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Non'  id='choice_10_33_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_10_33\"   \/>\n\t\t\t\t\t<label for='choice_10_33_0' id='label_10_33_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Oui RQTH en cours de validit\u00e9'  id='choice_10_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_33_1' id='label_10_33_1' class='gform-field-label gform-field-label--type-inline'>Yes Valid RQTH<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_33_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Oui RQTH en attente'  id='choice_10_33_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_33_2' id='label_10_33_2' class='gform-field-label gform-field-label--type-inline'>Yes RQTH pending<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_33_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Oui sans RQTH'  id='choice_10_33_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_33_3' id='label_10_33_3' class='gform-field-label gform-field-label--type-inline'>Yes without RQTH<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_24'>Sponsorship or discount code<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_10_24' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_19'>What are your motivations and expectations of this course?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_10_19' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_10_9\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_9'>Your comments or questions<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_10_9' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_10_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_10_22'>Affiliate ID reference<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_10_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_10' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_10' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_10' id='gform_theme_10' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_10' id='gform_style_settings_10' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_10' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='10' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='JS7zlA7zVuhYQThZ3eg5EtuLTeVnV2I8iE+xTZHvmQ77piuY2nU8\/FYh8YUwZT+N70veguetP8fy\/5+wyxGn\/APapPhL8EcqHpPCZ2RXfPbBl30=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_10' 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