{"id":13263,"date":"2019-03-31T23:33:57","date_gmt":"2019-04-01T03:33:57","guid":{"rendered":"https:\/\/levasseur.org\/?page_id=13263"},"modified":"2026-07-08T13:49:53","modified_gmt":"2026-07-08T17:49:53","slug":"fiche-de-collecte","status":"publish","type":"page","link":"https:\/\/levasseur.org\/fr\/fiche-de-collecte\/","title":{"rendered":"Fiche de collecte"},"content":{"rendered":"<h1 style=\"text-align: center;\">Fiche de collecte g\u00e9n\u00e9alogique<\/h1>\n<hr \/>\n<p>Chaque fiche correspond \u00e0 une seule union. Si un conjoint a eu plusieurs unions, veuillez remplir une fiche distincte pour chacune d\u2019elles. Les dates de naissance des personnes pr\u00e9sum\u00e9es vivantes (moins de 100 ans) demeurent strictement confidentielles et ne sont jamais affich\u00e9es aux membres de l\u2019Association ni au public. Voir \u00e0 cet effet notre <a href=\"https:\/\/levasseur.org\/fr\/charte\/\" target=\"_blank\" rel=\"noopener\">charte de protection des donn\u00e9es<\/a>.<\/p>\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-30168 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-30168\" data-uid=\"6a6882d7353ad\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-30168\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-30168 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"30168\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a6882d7353ad\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Fiche de famille \/ Family Record<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><hr style=\"border: none;border-top: 2px solid #004A99;margin: 30px 0 10px 0\">\n<div style=\"font-size: 18px;font-weight: 600;color: #004a99\">SOUSCRIPTEUR \/ SUBSCRIBER<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-7\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-7_6a6882d7353ad\" id=\"forminator-field-name-7_6a6882d7353ad-label\" class=\"forminator-label\">Nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-7\" value=\"\" placeholder=\"\" id=\"forminator-field-name-7_6a6882d7353ad\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-row-inside forminator-row-with-confirmation-email\"><div class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a6882d7353ad\" id=\"forminator-field-email-1_6a6882d7353ad-label\" class=\"forminator-label\">Votre courriel \/ Your Email <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a6882d7353ad\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-confirm_email-1_6a6882d7353ad\" id=\"forminator-field-confirm_email-1_6a6882d7353ad-label\" class=\"forminator-label\">Confirm Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"confirm_email-1\" value=\"\" placeholder=\"Re-type Email Address\" id=\"forminator-field-confirm_email-1_6a6882d7353ad\" class=\"forminator-input forminator-name--field\" data-required=\"true\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6a6882d7353ad\" id=\"forminator-field-address-1-city_6a6882d7353ad-label\" class=\"forminator-label\">Ville<\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"\" id=\"forminator-field-address-1-city_6a6882d7353ad\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-1-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-state_6a6882d7353ad\" id=\"forminator-field-address-1-state_6a6882d7353ad-label\" class=\"forminator-label\">\u00c9tat\/Province<\/label><input type=\"text\" name=\"address-1-state\" placeholder=\"\" id=\"forminator-field-address-1-state_6a6882d7353ad\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-9\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-9_6a6882d7353ad\" id=\"forminator-field-textarea-9_6a6882d7353ad-label\" class=\"forminator-label\">Notes si requises \/ Notes if required<\/label><span id=\"forminator-field-textarea-9_6a6882d7353ad-description\" class=\"forminator-description\"><span data-limit=\"100\" data-type=\"words\" data-editor=\"\">0 \/ 100<\/span><\/span><textarea name=\"textarea-9\" placeholder=\"Vous pouvez indiquer d&#039;autres renseignements sur vous, vos sources You can provide other information about yourself, your sources\" id=\"forminator-field-textarea-9_6a6882d7353ad\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:90px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-30168__field--select-2_6a6882d7353ad\" id=\"forminator-form-30168__field--select-2_6a6882d7353ad-label\" class=\"forminator-label\">Fran\u00e7ais \/ English<\/label><select  id=\"forminator-form-30168__field--select-2_6a6882d7353ad\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Communication pr\u00e9fer\u00e9e \/ Preferred communication\" data-search=\"false\" data-search-placeholder=\"Communication pr\u00e9fer\u00e9e \/ Preferred communication\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-30168__field--select-2_6a6882d7353ad-label\"><option value=\"\"  >Communication pr\u00e9fer\u00e9e \/ Preferred communication<\/option><option value=\"one\"  data-calculation=\"0\">Fran\u00e7ais \/ French<\/option><option value=\"two\"  data-calculation=\"0\">English \/ Anglais<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><hr style=\"border: none;border-top: 2px solid #004A99;margin: 30px 0 10px 0\">\n<div style=\"font-size: 18px;font-weight: 600;color: #004a99\">UNION &nbsp;\/ UNION<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><div style=\"font-size: 18px;font-weight: 600;color: #004a99\">CONJOINT 1 \/ SPOUSE 1<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6  .forminator-ui label { color: #1E3A8A !important; font-weight: 600; }\"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a6882d7353ad\" id=\"forminator-field-name-2_6a6882d7353ad-label\" class=\"forminator-label\">Pr\u00e9nom - First name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_6a6882d7353ad\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6a6882d7353ad\" id=\"forminator-field-name-3_6a6882d7353ad-label\" class=\"forminator-label\">Nom de famille \/ Last name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6a6882d7353ad\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-30168__field--select-4_6a6882d7353ad\" id=\"forminator-form-30168__field--select-4_6a6882d7353ad-label\" class=\"forminator-label\">Genre \/ Gender<\/label><select  id=\"forminator-form-30168__field--select-4_6a6882d7353ad\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-30168__field--select-4_6a6882d7353ad-label\"><option value=\"one\"  data-calculation=\"0\">Masculin \/ Male<\/option><option value=\"two\"  data-calculation=\"0\">F\u00e9minin \/ Female<\/option><option value=\"D\u00e9c\u00e9d\u00e9-\u00e0-la-naissance---Died-at-birth\"  data-calculation=\"0\">D\u00e9c\u00e9d\u00e9 \u00e0 la naissance \/ Died at birth<\/option><\/select><\/div><\/div><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a6882d7353ad\" id=\"forminator-field-date-1-picker_6a6882d7353ad-label\" class=\"forminator-label\">Date naissance \/ Date of birth<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"\" id=\"forminator-field-date-1-picker_6a6882d7353ad\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"0\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_6a6882d7353ad\" id=\"forminator-field-date-3-picker_6a6882d7353ad-label\" class=\"forminator-label\">Date d\u00e9c\u00e8s \/ Date of death<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"\" id=\"forminator-field-date-3-picker_6a6882d7353ad\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"0\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><div style=\"font-size: 18px;font-weight: 600;color: #004a99\">CONJOINT 2 \/ SPOUSE 2<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_6a6882d7353ad\" id=\"forminator-field-name-4_6a6882d7353ad-label\" class=\"forminator-label\">Pr\u00e9nom \/ First name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_6a6882d7353ad\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_6a6882d7353ad\" id=\"forminator-field-name-5_6a6882d7353ad-label\" class=\"forminator-label\">Nom de famille \/ Last name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_6a6882d7353ad\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-30168__field--select-3_6a6882d7353ad\" id=\"forminator-form-30168__field--select-3_6a6882d7353ad-label\" class=\"forminator-label\">Genre \/ Gender<\/label><select  id=\"forminator-form-30168__field--select-3_6a6882d7353ad\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-30168__field--select-3_6a6882d7353ad-label\"><option value=\"one\"  data-calculation=\"0\">Masculin \/ Male<\/option><option value=\"two\"  data-calculation=\"0\">F\u00e9minin \/ Female<\/option><option value=\"D\u00e9c\u00e9d\u00e9-\u00e0-la-naissance---Died-at-birth\"  data-calculation=\"0\">D\u00e9c\u00e9d\u00e9 \u00e0 la naissance \/ Died at birth<\/option><\/select><\/div><\/div><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-picker_6a6882d7353ad\" id=\"forminator-field-date-4-picker_6a6882d7353ad-label\" class=\"forminator-label\">Date naissance \/ Date of birth<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-4\" value=\"\" placeholder=\"\" id=\"forminator-field-date-4-picker_6a6882d7353ad\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"0\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-6\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-6-picker_6a6882d7353ad\" id=\"forminator-field-date-6-picker_6a6882d7353ad-label\" class=\"forminator-label\">Date d\u00e9c\u00e8s \/ Date of death<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-6\" value=\"\" placeholder=\"\" id=\"forminator-field-date-6-picker_6a6882d7353ad\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"0\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><div style=\"font-size: 18px;font-weight: 600;color: #004a99\">UNION - &nbsp;DATE ET ENDROIT \/ DATE AND PLACE<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-7\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-7-picker_6a6882d7353ad\" id=\"forminator-field-date-7-picker_6a6882d7353ad-label\" class=\"forminator-label\">Date \/ Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-7\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-7-picker_6a6882d7353ad\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"0\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a6882d7353ad\" id=\"forminator-field-textarea-1_6a6882d7353ad-label\" class=\"forminator-label\">Lieu \/ Place<\/label><span id=\"forminator-field-textarea-1_6a6882d7353ad-description\" class=\"forminator-description\"><span data-limit=\"45\" data-type=\"characters\" data-editor=\"\">0 \/ 45<\/span><\/span><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6a6882d7353ad\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:50px;\" maxlength=\"45\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-10\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-10_6a6882d7353ad\" id=\"forminator-field-textarea-10_6a6882d7353ad-label\" class=\"forminator-label\">Notes si requises \/ Notes if required<\/label><span id=\"forminator-field-textarea-10_6a6882d7353ad-description\" class=\"forminator-description\"><span data-limit=\"100\" data-type=\"words\" data-editor=\"\">0 \/ 100<\/span><\/span><textarea name=\"textarea-10\" placeholder=\"Vous pouvez indiquer d&#039;autres renseignements sur vous, vos sources You can provide other information about yourself, your sources\" id=\"forminator-field-textarea-10_6a6882d7353ad\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:90px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><hr style=\"border: none;border-top: 2px solid #004A99;margin: 30px 0 10px 0\">\n<div style=\"font-size: 18px;font-weight: 600;color: #004a99\">Enfants \/ Child<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px solid 1;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-1\" class=\"forminator-field-group forminator-col forminator-col-12 \"><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Ajouter un \\u00e9l\\u00e9ment&quot;,&quot;remove_text&quot;:&quot;Retirer l\\u2018\\u00e9l\\u00e9ment&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><div style=\"font-size: 18px;font-weight: 600;color: #004a99\">Vous pourrez ajouter les enfants au bas du formulaire.<br>You can add children at the bottom of the form.<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_6a6882d7353ad\" id=\"forminator-field-name-6_6a6882d7353ad-label\" class=\"forminator-label\">Nom<\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"Nom enfant \/ Child name\" id=\"forminator-field-name-6_6a6882d7353ad\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-30168__field--select-1_6a6882d7353ad\" id=\"forminator-form-30168__field--select-1_6a6882d7353ad-label\" class=\"forminator-label\">M \/ F<\/label><select  id=\"forminator-form-30168__field--select-1_6a6882d7353ad\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Sexe de l&#039;enfant  \/ Sex of the child\" data-search=\"false\" data-search-placeholder=\"Sexe de l&#039;enfant  \/ Sex of the child\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-30168__field--select-1_6a6882d7353ad-label\"><option value=\"\"  >Sexe de l&#039;enfant  \/ Sex of the child<\/option><option value=\"one\"  data-calculation=\"0\">Masculin \/ Masculine<\/option><option value=\"two\"  data-calculation=\"0\">F\u00e9minin \/ Feminine<\/option><option value=\"D\u00e9c\u00e9d\u00e9-\u00e0-la-naissance---Died-at-birth\"  data-calculation=\"0\">D\u00e9c\u00e9d\u00e9 \u00e0 la naissance \/ Died at birth<\/option><\/select><\/div><\/div><div id=\"date-8\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-8-picker_6a6882d7353ad\" id=\"forminator-field-date-8-picker_6a6882d7353ad-label\" class=\"forminator-label\">Date<\/label><span id=\"forminator-field-date-8-picker_6a6882d7353ad-description\" class=\"forminator-description\">Date naissance \/ Date of birth<\/span><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-8\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-8-picker_6a6882d7353ad\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"0\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" aria-describedby=\"forminator-field-date-8-picker_6a6882d7353ad-description\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_6a6882d7353ad\" id=\"forminator-field-textarea-3_6a6882d7353ad-label\" class=\"forminator-label\">Endroit naissance enfant \/ Place of birth child<\/label><span id=\"forminator-field-textarea-3_6a6882d7353ad-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\" data-editor=\"\">0 \/ 50<\/span><\/span><textarea name=\"textarea-3\" placeholder=\"Ville, province ou \u00e9tat \/ City, province or state\" id=\"forminator-field-textarea-3_6a6882d7353ad\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:80px;\" maxlength=\"50\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-8\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-8_6a6882d7353ad\" id=\"forminator-field-textarea-8_6a6882d7353ad-label\" class=\"forminator-label\">Note<\/label><span id=\"forminator-field-textarea-8_6a6882d7353ad-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\" data-editor=\"\">0 \/ 50<\/span><\/span><textarea name=\"textarea-8\" placeholder=\"\" id=\"forminator-field-textarea-8_6a6882d7353ad\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:80px;\" maxlength=\"50\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Ajouter un \u00e9l\u00e9ment\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Retirer l\u2018\u00e9l\u00e9ment\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_6a6882d7353ad\" id=\"forminator-field-consent-1_6a6882d7353ad-label\" class=\"forminator-label\">Consent <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6a6882d7353ad__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6a6882d7353ad\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6a6882d7353ad-label\" aria-describedby=\"forminator-field-consent-1_6a6882d7353ad__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6a6882d7353ad__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Oui, j'accepte la politique de confidentialit\u00e9 et les conditions g\u00e9n\u00e9rales.<br>Yes, I agree with the privacy policy and terms and conditions.<\/p>\n<p>Voir notre charte de <a href=\"https:\/\/levasseur.org\/fr\/charte\/\">protection des donn\u00e9es<\/a>. Les renseignements fournis seront int\u00e9gr\u00e9s \u00e0 la base de donn\u00e9es de l\u2019Association et accessibles uniquement \u00e0 ses membres. Les dates des personnes pr\u00e9sum\u00e9es vivantes demeureront confidentielles et ne seront pas affich\u00e9es sur notre site Web.<\/p>\n<p>See our <a href=\"https:\/\/levasseur.org\/en\/data\/\">data protection chart<\/a>. The information provided will be integrated into the Association's database and accessible only to its members. The dates of presumed living persons will remain confidential and will not be posted on our website.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\" style=\"margin: 0;\"><div id=\"captcha-1\" class=\"forminator-field-captcha  forminator-col-12 \"><div class=\"forminator-captcha-center forminator-g-recaptcha recaptcha-invisible\" data-theme=\"light\" data-badge=\"bottomright\" data-sitekey=\"6LcKSkotAAAAALHk--D1VMColjh0JkesxNCWELYa\" data-size=\"invisible\"><\/div> <\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Envoyer<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"43268c8e84\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/13263\" \/><input type=\"hidden\" name=\"form_id\" value=\"30168\"><input type=\"hidden\" name=\"page_id\" value=\"13263\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/levasseur.org\/fr\/fiche-de-collecte\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fiche de collecte g\u00e9n\u00e9alogique Chaque fiche correspond \u00e0 une seule  [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13263","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Fiche de collecte - Familles Levasseur et Carmel<\/title>\n<meta name=\"description\" content=\"L\u2019Association des Levasseur et Carmel d\u2019Am\u00e9rique vous permet de consulter : documents historiques concernant les anc\u00eatres Jean, Pierre et Laurent Levasseur arriv\u00e9s en Nouvelle-France au 17e si\u00e8cle. 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