{"id":659789,"date":"2026-06-17T10:23:45","date_gmt":"2026-06-17T15:23:45","guid":{"rendered":"https:\/\/espacedentairemd.com\/?page_id=659789"},"modified":"2026-06-17T10:24:03","modified_gmt":"2026-06-17T15:24:03","slug":"formulaire-consentement-mineur","status":"publish","type":"page","link":"https:\/\/espacedentairemd.com\/en\/formulaire-consentement-mineur\/","title":{"rendered":"Minor Consent Form"},"content":{"rendered":"\n    <div id=\"wp-plogg-consent-div\" class=\"consent-form-shortcode canvas_div_pdf\">\n\n        <div class=\"page-loader\"><\/div>\n\n         \n\n        <form action=\"https:\/\/espacedentairemd.com\/wp-content\/plugins\/wp-plogg-consent\/includes\/form-manager.php\" onsubmit=\"return wp_plogg_consent_validation_en()\" method=\"post\" id=\"consent-contact-form\" enctype=\"multipart\/form-data\">\n\n            <input type=\"hidden\" name=\"wp_plogg_consent_lang\" id=\"wp_plogg_consent_lang\" value=\"en\" \/>\n            <input type=\"hidden\" name=\"wp_plogg_consent_attr_lang\" id=\"wp_plogg_consent_attr_lang\" value=\"fr\" \/>\n            <input type=\"hidden\" name=\"wp_plogg_consent_attr_second_text\" id=\"wp_plogg_consent_attr_second_text\" value=\"1\" \/>\n            <input type=\"hidden\" name=\"wp_plogg_consent_nomformulaire\" id=\"wp_plogg_consent_nomformulaire\" value=\"consent\" \/>\n            <input type=\"hidden\" name=\"wp_plogg_consent_goto\" id=\"wp_plogg_consent_goto\" value=\"https:\/\/espacedentairemd.com\/en\/formulaire-consentement-mineur\/\" \/>\n            <input type=\"text\" name=\"wp_plogg_consent_magicfield\"  class=\"wp_plogg_consent_magicfield\" value=\"\" autocomplete=\"off\"\/>\n\n                        \n            <br>            \n                      \n\n                            <button type=\"submit\" class=\"button wp-plogg-consent-form-button\" name=\"submit\">Send<\/button>\n            \n        <\/form>\n    <\/div>\n\n    \n    <script type=\"text\/javascript\">\n\n        jQuery(document).ready(function(){\n\n            if (jQuery(document).find('#sigPadConsentement_1')) {\n                var sigPadConsentement_1 = jQuery(document).find('#sigPadConsentement_1').signaturePad({drawOnly:true,lineWidth: 0, validateFields:true, errorMessageDraw:jQuery('.error-signature-consentement').text()});\n            }\n\n            if (jQuery(document).find('#sigPadConsentement_2')) {\n                var sigPadConsentement_2 = jQuery(document).find('#sigPadConsentement_2').signaturePad({drawOnly:true,lineWidth: 0, validateFields:true, errorMessageDraw:jQuery('.error-signature-consentement').text()});\n            }\n                \n            if (jQuery(document).find('#name_sign_gender_1')) {\n\n                jQuery('#name_sign_gender_1').on('change', function(){\n                    var text_value = '';\n\n                    if (jQuery(this).val() == '') {\n                        text_value = \"____\";\n                    } else {\n                        text_value = jQuery(this).val();                    \n                    }\n\n                    jQuery('.span_name_sign_gender_1').text(text_value);\n                });\n\n            }\n\n            if (jQuery(document).find('#name_sign_1')) {\n\n                jQuery('#name_sign_1').on('keyup', function(){\n                    var text_value = '';\n\n                    if (jQuery(this).val() == '') {\n                        text_value = \"__________________\";\n                    } else {\n                        text_value = jQuery(this).val();                    \n                    }\n\n                    jQuery('.span_name_sign_1').text(text_value);\n                });\n\n            }\n\n            if (jQuery(document).find('#name_sign_gender_2')) {\n\n                jQuery('#name_sign_gender_2').on('change', function(){\n                    var text_value = '';\n\n                    if (jQuery(this).val() == '') {\n                        text_value = \"____\";\n                    } else {\n                        text_value = jQuery(this).val();                    \n                    }\n\n                    jQuery('.span_name_sign_gender_2').text(text_value);\n                });\n\n            }\n\n            if (jQuery(document).find('#name_sign_2')) {\n\n                jQuery('#name_sign_2').on('keyup', function(){\n                    var text_value = '';\n\n                    if (jQuery(this).val() == '') {\n                        text_value = \"__________________\";\n                    } else {\n                        text_value = jQuery(this).val();                    \n                    }\n\n                    jQuery('.span_name_sign_2').text(text_value);\n                });\n\n            }\n\n            if (jQuery(document).find('#name_sign_gender_3')) {\n\n                jQuery('#name_sign_gender_3').on('change', function(){\n                    var text_value = '';\n\n                    if (jQuery(this).val() == '') {\n                        text_value = \"____\";\n                    } else {\n                        text_value = jQuery(this).val();                    \n                    }\n\n                    jQuery('.span_name_sign_gender_3').text(text_value);\n                });\n\n            }\n\n            if (jQuery(document).find('#name_sign_3')) {\n\n                jQuery('#name_sign_3').on('keyup', function(){\n                    var text_value = '';\n\n                    if (jQuery(this).val() == '') {\n                        text_value = \"__________________\";\n                    } else {\n                        text_value = jQuery(this).val();                    \n                    }\n\n                    jQuery('.span_name_sign_3').text(text_value);\n                });\n\n            }\n\n            if (jQuery(document).find('#name_sign_gender_4')) {\n\n                jQuery('#name_sign_gender_4').on('change', function(){\n                    var text_value = '';\n\n                    if (jQuery(this).val() == '') {\n                        text_value = \"____\";\n                    } else {\n                        text_value = jQuery(this).val();                    \n                    }\n\n                    jQuery('.span_name_sign_gender_4').text(text_value);\n                });\n\n            }\n\n            if (jQuery(document).find('#name_sign_4')) {\n\n                jQuery('#name_sign_4').on('keyup', function(){\n                    var text_value = '';\n\n                    if (jQuery(this).val() == '') {\n                        text_value = \"__________________\";\n                    } else {\n                        text_value = jQuery(this).val();                    \n                    }\n\n                    jQuery('.span_name_sign_4').text(text_value);\n                });\n\n            }\n\n            if (jQuery(document).find('#date_1')) {\n\n                jQuery('#date_1').on('change', function(){\n                    var text_value = '';\n\n                    if (jQuery(this).val() == '') {\n                        text_value = \"_________________\";\n                    } else {\n                        text_value = jQuery(this).val();                    \n                    }\n\n                    jQuery('.span_date_1').text(text_value);\n                }); \n\n            }\n\n            if (jQuery(document).find('#date_2')) {\n\n                jQuery('#date_2').on('change', function(){\n                    var text_value = '';\n\n                    if (jQuery(this).val() == '') {\n                        text_value = \"_________________\";\n                    } else {\n                        text_value = jQuery(this).val();                    \n                    }\n\n                    jQuery('.span_date_2').text(text_value);\n                }); \n\n            }           \n\n            setTimeout(function() { \n                jQuery('.consentpopnotification').remove();\n            }, 3000);\n\n        });\n\n    <\/script>\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"page-category":[],"class_list":["post-659789","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/espacedentairemd.com\/en\/wp-json\/wp\/v2\/pages\/659789","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/espacedentairemd.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/espacedentairemd.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/espacedentairemd.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/espacedentairemd.com\/en\/wp-json\/wp\/v2\/comments?post=659789"}],"version-history":[{"count":2,"href":"https:\/\/espacedentairemd.com\/en\/wp-json\/wp\/v2\/pages\/659789\/revisions"}],"predecessor-version":[{"id":659791,"href":"https:\/\/espacedentairemd.com\/en\/wp-json\/wp\/v2\/pages\/659789\/revisions\/659791"}],"wp:attachment":[{"href":"https:\/\/espacedentairemd.com\/en\/wp-json\/wp\/v2\/media?parent=659789"}],"wp:term":[{"taxonomy":"page-category","embeddable":true,"href":"https:\/\/espacedentairemd.com\/en\/wp-json\/wp\/v2\/page-category?post=659789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}