{"id":422,"date":"2017-10-19T10:11:13","date_gmt":"2017-10-19T08:11:13","guid":{"rendered":"http:\/\/www.artandlowvision.be\/?page_id=422"},"modified":"2022-02-22T11:54:52","modified_gmt":"2022-02-22T10:54:52","slug":"autorisation-parentale","status":"publish","type":"page","link":"https:\/\/www.artandlowvision.be\/fr\/autorisation-parentale\/","title":{"rendered":"Autorisation parentale"},"content":{"rendered":"\n

Je soussign\u00e9(e), en qualit\u00e9 de : p\u00e8re \/ m\u00e8re \/ tuteur l\u00e9gal<\/p>\n\n\n\n

Nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 Pr\u00e9nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n\n\n\n

Adresse : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026……………………………..<\/p>\n\n\n\n

Code postal : \u2026\u2026\u2026\u2026 Ville : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n\n\n\n

T\u00e9l\u00e9phone : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 E-mail :\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n\n\n\n

D\u00e9tenteur\/D\u00e9tentrice de l’autorit\u00e9 parentale sur la personne de : (ci-dessous, le \u00ab Mineur \u00bb)<\/p>\n\n\n\n

Nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 Pr\u00e9nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n\n\n\n

Date et lieu de naissance : \u2026\u2026\u2026\u2026……….\u2026\u2026\u2026\u2026…………….. Age : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n\n\n\n

–          Autorise le mineur \u00e0 participer au Concours National de Dessin et de Peinture pour Malvoyant organis\u00e9 par \u00ab Art and LowVision \u00bb;
–          D\u00e9clare avoir pris connaissance et accept\u00e9 les dispositions du r\u00e8glement du concours notamment celles reprises \u00e0 l’article 22 sur le droit d’auteur ;
–          Autorise \u00ab Art and LowVision \u00bb, conform\u00e9ment au r\u00e8glement et aux conditions g\u00e9n\u00e9rales d’utilisation pr\u00e9cit\u00e9es, \u00e0 diffuser le nom du Mineur ;
–          D\u00e9clare \u00eatre personnellement responsable des faits commis par le Mineur participant dans le cadre de sa participation au Concours National de Dessin et de Peinture pour Malvoyant ;
–          D\u00e9clare que les informations mentionn\u00e9es ci-dessus sont exactes et compl\u00e8tes.<\/p>\n\n\n\n

Fait \u00e0 \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026. Le \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n\n\n\n

Signature<\/p>\n","protected":false},"excerpt":{"rendered":"

Je soussign\u00e9(e), en qualit\u00e9 de : p\u00e8re \/ m\u00e8re \/ tuteur l\u00e9gal Nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 Pr\u00e9nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. Adresse : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026…………………………….. Code postal : \u2026\u2026\u2026\u2026 Ville : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. T\u00e9l\u00e9phone : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 E-mail :\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. D\u00e9tenteur\/D\u00e9tentrice de l’autorit\u00e9 parentale sur la personne de : (ci-dessous, le \u00ab Mineur \u00bb) Nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 Pr\u00e9nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. Date et lieu de naissance : […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-422","page","type-page","status-publish","hentry"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"sylvine","author_link":"https:\/\/www.artandlowvision.be\/fr\/author\/sylvine\/"},"uagb_comment_info":0,"uagb_excerpt":"Je soussign\u00e9(e), en qualit\u00e9 de : p\u00e8re \/ m\u00e8re \/ tuteur l\u00e9gal Nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 Pr\u00e9nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. Adresse : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026…………………………….. Code postal : \u2026\u2026\u2026\u2026 Ville : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. T\u00e9l\u00e9phone : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 E-mail :\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. D\u00e9tenteur\/D\u00e9tentrice de l’autorit\u00e9 parentale sur la personne de : (ci-dessous, le \u00ab Mineur \u00bb) Nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 Pr\u00e9nom : \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. Date et lieu de naissance :\u2026","_links":{"self":[{"href":"https:\/\/www.artandlowvision.be\/fr\/wp-json\/wp\/v2\/pages\/422","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.artandlowvision.be\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.artandlowvision.be\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.artandlowvision.be\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.artandlowvision.be\/fr\/wp-json\/wp\/v2\/comments?post=422"}],"version-history":[{"count":16,"href":"https:\/\/www.artandlowvision.be\/fr\/wp-json\/wp\/v2\/pages\/422\/revisions"}],"predecessor-version":[{"id":2799,"href":"https:\/\/www.artandlowvision.be\/fr\/wp-json\/wp\/v2\/pages\/422\/revisions\/2799"}],"wp:attachment":[{"href":"https:\/\/www.artandlowvision.be\/fr\/wp-json\/wp\/v2\/media?parent=422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}