{"id":69,"date":"2026-08-23T15:08:29","date_gmt":"2026-08-23T19:08:29","guid":{"rendered":"https:\/\/pam.dev.yconsulting.fr\/?page_id=69"},"modified":"2026-08-23T15:08:29","modified_gmt":"2026-08-23T19:08:29","slug":"adhesion-usager-pam","status":"publish","type":"page","link":"https:\/\/pam.dev.yconsulting.fr\/en\/adhesion-usager-pam\/","title":{"rendered":"PAM Client Membership"},"content":{"rendered":"\t\t<section class=\"pam-portal pam-membership\" data-pam-client-form data-pam-adult-contact-label=\"Client contact details\" data-pam-minor-contact-label=\"Parent or guardian contact details\">\n\t\t\t<header class=\"pam-portal__header\"><h2>Client membership application<\/h2><p>This form allows an independent client to apply for membership.<\/p><\/header>\n\t\t\t<div class=\"pam-form-shell\" data-pam-form=\"client_membership_form_id\"><div class=\"jet-fb-form-block\" data-is-block=\"jet-forms\/form-block\"><style id=\"jet-form-builder-135-inline-css\"><\/style><form  class=\"jet-form-builder layout-column submit-type-ajax\" action=\"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages\/69\/?01V7Oz=6aY47R4Q6O4R&amp;method=reload\" method=\"POST\" data-form-id=\"135\" data-layout=\"column\" enctype=\"multipart\/form-data\" data-clear=\"1\" novalidate=\"null\" ssr_validation_method=\"rest\"><input type=\"hidden\" id=\"_wpnonce_135\" name=\"_wpnonce\" value=\"d422e2017f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/69\" \/>\r\n<input type=\"hidden\" name=\"_jfb_current_render_states[]\" value=\"DEFAULT.STATE\" data-jfb-sync \/><input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_booking_form_id\" data-field-name=\"_jet_engine_booking_form_id\" value=\"135\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_refer\" data-field-name=\"_jet_engine_refer\" value=\"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages\/69\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"69\">\n<div class=\"pam-honeypot\" aria-hidden=\"true\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Website<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"pam_website\" id=\"pam_website\" type=\"text\" data-field-name=\"pam_website\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_YQHgrAjK\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n<h3 class=\"wp-block-heading\">Client identity<\/h3>\n\n<div  class=\"jet-form-builder-row field-type-date-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Date of birth <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><input class=\"jet-form-builder__field date-field\" required=\"required\" name=\"birth_date\" type=\"date\" data-field-name=\"birth_date\" id=\"birth_date\" data-jfb-sync=\"null\">\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Last name <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"last_name\" id=\"last_name\" type=\"text\" data-field-name=\"last_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_sm5oJlvD\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">First name <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"first_name\" id=\"first_name\" type=\"text\" data-field-name=\"first_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_9qcd1niB\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<h3 class=\"pam-client-guardian-field wp-block-heading\">Parent or guardian<\/h3>\n\n<div  class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Relationship<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" name=\"guardian_relationship\" data-field-name=\"guardian_relationship\" id=\"guardian_relationship\" data-jfb-sync=\"null\">\n\t\t<option value=\"father\" >Father<\/option><option value=\"mother\" >Mother<\/option><option value=\"legal_guardian\" >Legal guardian<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Parent or guardian last name<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"guardian_last_name\" id=\"guardian_last_name\" type=\"text\" data-field-name=\"guardian_last_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_af63dWRo\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Parent or guardian first name<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"guardian_first_name\" id=\"guardian_first_name\" type=\"text\" data-field-name=\"guardian_first_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_WKuMCGZr\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<h3 class=\"pam-client-contact-title wp-block-heading\">Client contact details<\/h3>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Email address <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"email\" id=\"email\" type=\"email\" data-field-name=\"email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_TxenNp7U\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Phone<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"phone\" id=\"phone\" type=\"tel\" data-field-name=\"phone\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_gr7nk1dl\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Address<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"address\" id=\"address\" type=\"text\" data-field-name=\"address\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_irKtlwOh\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">City<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"city\" id=\"city\" type=\"text\" data-field-name=\"city\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_O6XkwURy\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Postal code<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"postal_code\" id=\"postal_code\" type=\"text\" data-field-name=\"postal_code\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_u5mA8SOn\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Sex or gender <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"gender\" data-field-name=\"gender\" id=\"gender\" data-jfb-sync=\"null\">\n\t\t<option value=\"male\" >Man<\/option><option value=\"female\" >Woman<\/option><option value=\"other\" >Other<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Languages spoken <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"spoken_languages[]\" value=\"hi\" data-field-name=\"spoken_languages\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>Hindi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"spoken_languages[]\" value=\"pa\" data-field-name=\"spoken_languages\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>Punjabi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"spoken_languages[]\" value=\"bn\" data-field-name=\"spoken_languages\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>Bengali<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"spoken_languages[]\" value=\"ur\" data-field-name=\"spoken_languages\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>Urdu<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"spoken_languages[]\" value=\"el\" data-field-name=\"spoken_languages\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>Greek<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"spoken_languages[]\" value=\"es\" data-field-name=\"spoken_languages\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>Spanish<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"spoken_languages[]\" value=\"ln\" data-field-name=\"spoken_languages\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>Lingala<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"spoken_languages[]\" value=\"ar\" data-field-name=\"spoken_languages\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>Arabic<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"spoken_languages[]\" value=\"other\" data-field-name=\"spoken_languages\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>Other<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Specify the language<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"other_language\" id=\"other_language\" type=\"text\" data-field-name=\"other_language\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_Mhf9Una1\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"privacy_consent\" value=\"1\" data-field-name=\"privacy_consent\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>I agree that this information may be used by the PAM team to review the application and create the account if it is accepted.<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-submit-field\" >\n\t<div data-type=\"submit\" class=\"jet-form-builder__action-button-wrapper jet-form-builder__submit-wrap\">\n\t<button class=\"jet-form-builder__action-button jet-form-builder__submit submit-type-ajax\" type=\"submit\">Submit application<\/button>\n\t<\/div>\n\t\n<\/div>\t<div class=\"jet-form-builder-messages-wrap\" data-form-id=\"135\"><\/div>\n<\/form>\n<\/div><\/div>\t\t<\/section>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_zipai_imported":false,"_zipai_import_id":"","footnotes":""},"class_list":["post-69","page","type-page","status-publish","hentry"],"spectra_blocks_featured_image_url":null,"spectra_blocks_author_info":{"display_name":"ycimper","avatar_url":"https:\/\/secure.gravatar.com\/avatar\/014526916e1b0452cecec9e784afe367d396892db2b27f8dc9e30d6a9ce71736?s=96&d=mm&r=g","author_link":"https:\/\/pam.dev.yconsulting.fr\/en\/author\/ycimper\/","description":""},"_links":{"self":[{"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages\/69","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/comments?post=69"}],"version-history":[{"count":1,"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages\/69\/revisions"}],"predecessor-version":[{"id":71,"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages\/69\/revisions\/71"}],"wp:attachment":[{"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/media?parent=69"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}