{"id":13263,"date":"2019-03-31T23:33:57","date_gmt":"2019-04-01T03:33:57","guid":{"rendered":"https:\/\/levasseur.org\/?page_id=13263"},"modified":"2026-10-15T07:39:57","modified_gmt":"2026-10-15T11:39:57","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>Les renseignements personnels et les dates concernant les personnes pr\u00e9sum\u00e9es vivantes (n\u00e9es il y a moins de 100 ans) ne sont jamais publi\u00e9s sur notre site Web. Ces informations sont utilis\u00e9es uniquement \u00e0 des fins g\u00e9n\u00e9alogiques et sont accessibles exclusivement aux personnes autoris\u00e9es responsables de la mise \u00e0 jour de nos bases de donn\u00e9es g\u00e9n\u00e9alogiques internes.<\/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=\"6ad5792f01a45\"><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=\"6ad5792f01a45\"\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 (vous m\u00eame) \/ SUBSCRIBER (yourself)<\/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_6ad5792f01a45\" id=\"forminator-field-name-7_6ad5792f01a45-label\" class=\"forminator-label\">Votre pr\u00e9nom et nom \/ Your first and last name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-7\" value=\"\" placeholder=\"\" id=\"forminator-field-name-7_6ad5792f01a45\" 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_6ad5792f01a45\" id=\"forminator-field-email-1_6ad5792f01a45-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_6ad5792f01a45\" 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_6ad5792f01a45\" id=\"forminator-field-confirm_email-1_6ad5792f01a45-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_6ad5792f01a45\" 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=\"date-14\" class=\"forminator-field-date forminator-col forminator-col-12 \"><label for=\"forminator-field-date-14\" id=\"forminator-field-date-14-label\" class=\"forminator-label\">Date naissance \/ Birth Date<\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-14-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-14-year_6ad5792f01a45\" id=\"forminator-field-date-14-year_6ad5792f01a45-label\" class=\"forminator-label\">Ann\u00e9e \/ Year<\/label><input type=\"number\" min=\"1\" name=\"date-14-year\" placeholder=\"Ex : 2000\" id=\"forminator-field-date-14-year_6ad5792f01a45\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"yy-mm-dd\" data-parent=\"date-14\" \/><\/div><\/div><div id=\"date-14-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-14-month_6ad5792f01a45\" id=\"forminator-field-date-14-month_6ad5792f01a45-label\" class=\"forminator-label\">Mois \/ Month<\/label><input type=\"number\" min=\"1\" max=\"12\" name=\"date-14-month\" value=\"\" placeholder=\"1@12\" id=\"forminator-field-date-14-month_6ad5792f01a45\" class=\"forminator-input\" data-field=\"month\" data-format=\"yy-mm-dd\" data-parent=\"date-14\" \/><\/div><\/div><div id=\"date-14-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-14-day_6ad5792f01a45\" id=\"forminator-field-date-14-day_6ad5792f01a45-label\" class=\"forminator-label\">Jour \/ Day<\/label><input type=\"number\" min=\"1\" max=\"31\" name=\"date-14-day\" value=\"\" placeholder=\"1@31\" id=\"forminator-field-date-14-day_6ad5792f01a45\" class=\"forminator-input\" data-field=\"day\" data-format=\"yy-mm-dd\" data-parent=\"date-14\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-18\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-18_6ad5792f01a45\" id=\"forminator-field-textarea-18_6ad5792f01a45-label\" class=\"forminator-label\">Lieu de naissance \/ Place of birth<\/label><textarea name=\"textarea-18\" placeholder=\"\" id=\"forminator-field-textarea-18_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:24px;\" ><\/textarea><\/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_6ad5792f01a45\" id=\"forminator-field-textarea-9_6ad5792f01a45-label\" class=\"forminator-label\">Notes si requises \/ Notes if required<\/label><span id=\"forminator-field-textarea-9_6ad5792f01a45-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_6ad5792f01a45\" 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_6ad5792f01a45\" id=\"forminator-form-30168__field--select-2_6ad5792f01a45-label\" class=\"forminator-label\">Fran\u00e7ais \/ English<\/label><select  id=\"forminator-form-30168__field--select-2_6ad5792f01a45\" 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_6ad5792f01a45-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\">VOS PARENTS \/ YOUR PARENTS<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-9\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-9_6ad5792f01a45\" id=\"forminator-field-name-9_6ad5792f01a45-label\" class=\"forminator-label\">Nom de votre p\u00e8re \/ Your father&#039;s name<\/label><input type=\"text\" name=\"name-9\" value=\"\" placeholder=\"\" id=\"forminator-field-name-9_6ad5792f01a45\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-10\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-10-picker_6ad5792f01a45\" id=\"forminator-field-date-10-picker_6ad5792f01a45-label\" class=\"forminator-label\">Date naissance p\u00e8re \/ Father&#039;s birth 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-10\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-10-picker_6ad5792f01a45\" 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-19\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-19_6ad5792f01a45\" id=\"forminator-field-textarea-19_6ad5792f01a45-label\" class=\"forminator-label\">Lieu naissance du p\u00e8re \/ Place of birth of the father<\/label><span id=\"forminator-field-textarea-19_6ad5792f01a45-description\" class=\"forminator-description\"><span data-limit=\"40\" data-type=\"characters\" data-editor=\"\">0 \/ 40<\/span><\/span><textarea name=\"textarea-19\" placeholder=\"\" id=\"forminator-field-textarea-19_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:20px;\" maxlength=\"40\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-12\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-12-picker_6ad5792f01a45\" id=\"forminator-field-date-12-picker_6ad5792f01a45-label\" class=\"forminator-label\">Date d\u00e9c\u00e8s p\u00e8re \/ Father&#039;s death 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-12\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-12-picker_6ad5792f01a45\" 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-20\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-20_6ad5792f01a45\" id=\"forminator-field-textarea-20_6ad5792f01a45-label\" class=\"forminator-label\">Lieu de d\u00e9c\u00e8s (p\u00e8re) \/ Place of death (father)<\/label><span id=\"forminator-field-textarea-20_6ad5792f01a45-description\" class=\"forminator-description\"><span data-limit=\"40\" data-type=\"characters\" data-editor=\"\">0 \/ 40<\/span><\/span><textarea name=\"textarea-20\" placeholder=\"\" id=\"forminator-field-textarea-20_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:20px;\" maxlength=\"40\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-10\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-10_6ad5792f01a45\" id=\"forminator-field-name-10_6ad5792f01a45-label\" class=\"forminator-label\">Nom de votre m\u00e8re \/ Your mother&#039;s name<\/label><input type=\"text\" name=\"name-10\" value=\"\" placeholder=\"\" id=\"forminator-field-name-10_6ad5792f01a45\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-11\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-11-picker_6ad5792f01a45\" id=\"forminator-field-date-11-picker_6ad5792f01a45-label\" class=\"forminator-label\">Date naissance m\u00e8re \/ Mother&#039;s birth 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-11\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-11-picker_6ad5792f01a45\" 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-21\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-21_6ad5792f01a45\" id=\"forminator-field-textarea-21_6ad5792f01a45-label\" class=\"forminator-label\">Lieu naissance (m\u00e8re) \/ Place of birth (mother)<\/label><span id=\"forminator-field-textarea-21_6ad5792f01a45-description\" class=\"forminator-description\"><span data-limit=\"40\" data-type=\"characters\" data-editor=\"\">0 \/ 40<\/span><\/span><textarea name=\"textarea-21\" placeholder=\"\" id=\"forminator-field-textarea-21_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:20px;\" maxlength=\"40\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-13\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-13-picker_6ad5792f01a45\" id=\"forminator-field-date-13-picker_6ad5792f01a45-label\" class=\"forminator-label\">Date d\u00e9c\u00e8s m\u00e8re \/ Mother&#039;s death 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-13\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-13-picker_6ad5792f01a45\" 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-22\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-22_6ad5792f01a45\" id=\"forminator-field-textarea-22_6ad5792f01a45-label\" class=\"forminator-label\">Lieu d\u00e9c\u00e8s (m\u00e8re) \/ Place of death (mother)<\/label><span id=\"forminator-field-textarea-22_6ad5792f01a45-description\" class=\"forminator-description\"><span data-limit=\"40\" data-type=\"characters\" data-editor=\"\">0 \/ 40<\/span><\/span><textarea name=\"textarea-22\" placeholder=\"\" id=\"forminator-field-textarea-22_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:20px;\" maxlength=\"40\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-15\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-15_6ad5792f01a45\" id=\"forminator-field-textarea-15_6ad5792f01a45-label\" class=\"forminator-label\">Mariage de vos parents \/ Marriage of your parents<\/label><span id=\"forminator-field-textarea-15_6ad5792f01a45-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\" data-editor=\"\">0 \/ 50<\/span><\/span><textarea name=\"textarea-15\" placeholder=\"Si connue, inscrire endroit et date de mariage de vos parents \/ If known, list the place and date of your parents&#039; wedding.\" id=\"forminator-field-textarea-15_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" maxlength=\"50\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><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;(la v\u00f4tre) \/ UNION (your)<\/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\"><label class=\"forminator-label\">CONJOINT \u00a0\/ SPOUSE\u00a0<\/label><div style=\"font-size: 18px;font-weight: 600;color: #004a99\">CONJOINT(E) \/ SPOUSE&nbsp;<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-3\" class=\"forminator-field-group forminator-col forminator-col-12 \"><span id=\"forminator-field-group-3_6ad5792f01a45-label\" class=\"forminator-label forminator-repeater-label\">Union (la v\u00f4tre) \/ Union (yours)<\/span><div class=\"forminator-all-group-copies forminator-repeater-field\" role=\"group\" aria-labelledby=\"forminator-field-group-3_6ad5792f01a45-label\"><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;:3,&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=\"name-11\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-11_6ad5792f01a45\" id=\"forminator-field-name-11_6ad5792f01a45-label\" class=\"forminator-label\">Pr\u00e9nom et nom conjoint(e)<\/label><input type=\"text\" name=\"name-11\" value=\"\" placeholder=\"Spouse\u2019s First and Last Name\" id=\"forminator-field-name-11_6ad5792f01a45\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-23\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-23_6ad5792f01a45\" id=\"forminator-field-textarea-23_6ad5792f01a45-label\" class=\"forminator-label\">Date de mariage et lieu de mariage si applicable \/ Wedding date and wedding location if applicable \/<\/label><textarea name=\"textarea-23\" placeholder=\"\" id=\"forminator-field-textarea-23_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:30px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-17\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-17_6ad5792f01a45\" id=\"forminator-field-textarea-17_6ad5792f01a45-label\" class=\"forminator-label\">Info sur l&#039;union \/ Information about the union<\/label><textarea name=\"textarea-17\" placeholder=\"Faire &quot;Ajouter un \u00e9l\u00e9ment&quot; pour inscrire une autre union \/ Click &quot;Add an item&quot; to register another union\" id=\"forminator-field-textarea-17_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/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=\"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=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><label class=\"forminator-label\">ENFANTS\u00a0\/ CHILDREN<\/label><div style=\"font-size: 18px;font-weight: 600;color: #004a99\">ENFANTS&nbsp;\/ CHILDREN<\/div>\n<div style=\"position: absolute;width: 1px;height: 1px;margin: -1px;padding: 0px;border: 0px;overflow: hidden;clip-path: inset(50%);white-space: nowrap\" role=\"status\" aria-live=\"polite\">&nbsp;<\/div>\n<div style=\"position: absolute;width: 1px;height: 1px;margin: -1px;padding: 0px;border: 0px;overflow: hidden;clip-path: inset(50%);white-space: nowrap\" role=\"alert\" aria-live=\"assertive\">&nbsp;<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-2\" 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;:7,&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-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><div style=\"font-size: 18px;font-weight: 600;color: #004a99\">&nbsp;<\/div>\n<div style=\"position: absolute;width: 1px;height: 1px;margin: -1px;padding: 0px;border: 0px;overflow: hidden;clip-path: inset(50%);white-space: nowrap\" role=\"status\" aria-live=\"polite\">&nbsp;<\/div>\n<div style=\"position: absolute;width: 1px;height: 1px;margin: -1px;padding: 0px;border: 0px;overflow: hidden;clip-path: inset(50%);white-space: nowrap\" role=\"alert\" aria-live=\"assertive\">&nbsp;<\/div>\n<div style=\"position: absolute;width: 1px;height: 1px;margin: -1px;padding: 0px;border: 0px;overflow: hidden;clip-path: inset(50%);white-space: nowrap\" role=\"status\" aria-live=\"polite\">&nbsp;<\/div>\n<div style=\"position: absolute;width: 1px;height: 1px;margin: -1px;padding: 0px;border: 0px;overflow: hidden;clip-path: inset(50%);white-space: nowrap\" role=\"alert\" aria-live=\"assertive\">&nbsp;<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-8\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-8_6ad5792f01a45\" id=\"forminator-field-name-8_6ad5792f01a45-label\" class=\"forminator-label\">Nom<\/label><input type=\"text\" name=\"name-8\" value=\"\" placeholder=\"Nom enfant \/ Child name\" id=\"forminator-field-name-8_6ad5792f01a45\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-30168__field--select-5_6ad5792f01a45\" id=\"forminator-form-30168__field--select-5_6ad5792f01a45-label\" class=\"forminator-label\">M \/ F<\/label><select  id=\"forminator-form-30168__field--select-5_6ad5792f01a45\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-5\" 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-5_6ad5792f01a45-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><div class=\"forminator-row\"><div id=\"textarea-24\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-24_6ad5792f01a45\" id=\"forminator-field-textarea-24_6ad5792f01a45-label\" class=\"forminator-label\">Date et lieu naissance \/ Date and place of birth<\/label><textarea name=\"textarea-24\" placeholder=\"\" id=\"forminator-field-textarea-24_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:30px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-11\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-11_6ad5792f01a45\" id=\"forminator-field-textarea-11_6ad5792f01a45-label\" class=\"forminator-label\">Note<\/label><textarea name=\"textarea-11\" placeholder=\"Autres renseignements (date de d\u00e9c\u00e8s, mariage, endroit, descendants) \/ Other information (date of death, marriage, place, descendants)\" id=\"forminator-field-textarea-11_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:80px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-25\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-25_6ad5792f01a45\" id=\"forminator-field-textarea-25_6ad5792f01a45-label\" class=\"forminator-label\">Ajouter\/ Add<\/label><textarea name=\"textarea-25\" placeholder=\"*** Faire &quot;Ajouter un \u00e9l\u00e9ment&quot; pour inscrire une autre enfant \n*** Click &quot;Add an item&quot; to register another child\" id=\"forminator-field-textarea-25_6ad5792f01a45\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/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_6ad5792f01a45\" id=\"forminator-field-consent-1_6ad5792f01a45-label\" class=\"forminator-label\">Consent <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6ad5792f01a45__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6ad5792f01a45\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6ad5792f01a45-label\" aria-describedby=\"forminator-field-consent-1_6ad5792f01a45__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6ad5792f01a45__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\"><div id=\"captcha-1\" class=\"forminator-field-captcha forminator-col forminator-col-12 \"><div class=\"forminator-captcha-center forminator-turnstile\" data-theme=\"auto\" data-language=\"fr-fr\" data-sitekey=\"0x4AAAAAAEbalhmg-hJHqPec\" data-size=\"normal\"><\/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=\"8d0008ea2a\" \/><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<div style=\"position: absolute; width: 1px; height: 1px; margin: -1px; padding: 0px; border: 0px; overflow: hidden; clip: rect(0px, 0px, 0px, 0px); clip-path: inset(50%); white-space: nowrap;\" role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/div>\n<div style=\"position: absolute; width: 1px; height: 1px; margin: -1px; padding: 0px; border: 0px; overflow: hidden; clip: rect(0px, 0px, 0px, 0px); clip-path: inset(50%); white-space: nowrap;\" role=\"alert\" aria-live=\"assertive\" aria-atomic=\"true\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Fiche de collecte g\u00e9n\u00e9alogique Les renseignements personnels et les dates  [&#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 v28.7 - 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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