{"id":18286,"date":"2026-06-30T16:13:09","date_gmt":"2026-06-30T14:13:09","guid":{"rendered":"https:\/\/strasbourg.eleusal.com\/?page_id=18286"},"modified":"2026-06-30T17:29:26","modified_gmt":"2026-06-30T15:29:26","slug":"registration-form-spanish-courses","status":"publish","type":"page","link":"https:\/\/strasbourg.eleusal.com\/en\/registration-form-spanish-courses\/","title":{"rendered":"Registration Form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f18282-o1\" lang=\"es-ES\" dir=\"ltr\" data-wpcf7-id=\"18282\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/18286#wpcf7-f18282-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulario de contacto\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"18282\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f18282-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"form-inscription-qualiopi\">\n\n <!-- Header -->\n\t<div class=\"form-header\" style=\"background: #f9f9f9;padding: 20px;border-radius: 8px;margin-bottom: 30px;border-left: 5px solid #8B0000\">\n\t\t<h3 style=\"margin-top: 0;color: #8B0000\">REGISTRATION FORM 2026\n\t\t<\/h3>\n\t\t<p style=\"margin-bottom: 0\"><strong>Association Local Institut de langue espagnole ELE USAL Strasbourg<\/strong>\n\t\t<\/p>\n\t\t<p>Qualiopi certified training organization n\u00b0 2022\/98948.2 | CPF eligible training courses\n\t\t<\/p>\n\t\t<p><small>9 rue Saint-Alo\u00efse \u2013 67100 Strasbourg | info@strasbourg-eleusal.com | SIRET: 812 275 733 00036<\/small>\n\t\t<\/p>\n\t<\/div>\n\n <!-- Section 1: Student Information -->\n\t<h4 style=\"border-bottom: 1px solid #ddd;padding-bottom: 10px;margin-bottom: 20px\">1. STUDENT INFORMATION\n\t<\/h4>\n\t<div style=\"flex-wrap: wrap;gap: 20px\">\n\t\t<div style=\"flex: 1;min-width: 100px\">\n\t\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Title *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"civilite\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"civilite\" value=\"Ms.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ms.<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"civilite\" value=\"Mr.\" \/><span class=\"wpcf7-list-item-label\">Mr.<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 2;min-width: 200px\">\n\t\t\t<p><label> Last Name (Surname) of the student *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ex: SMITH\" value=\"\" type=\"text\" name=\"nom\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 2;min-width: 200px\">\n\t\t\t<p><label> First Name of the student *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ex: JOHN\" value=\"\" type=\"text\" name=\"prenom\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div style=\"flex-wrap: wrap;gap: 20px;margin-top: 15px\">\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Date of Birth *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-naissance\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-naissance\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Place of Birth *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lieu-naissance\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lieu-naissance\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Nationality *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nationalite\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nationalite\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\n <!-- MINORS BLOCK -->\n\t<div style=\"background: #e8f4f8;border-left: 5px solid #17a2b8;padding: 15px;border-radius: 5px;margin-top: 20px\">\n\t\t<h5 style=\"margin-top: 0;color: #0056b3\">\ud83d\udc66\ud83d\udc67 If the student is a minor (Children \/ Teens)\n\t\t<\/h5>\n\t\t<p style=\"font-size: 0.9em;margin-bottom: 15px\">Please provide the legal guardian's details below. <em>(Adults can skip this section)<\/em>.\n\t\t<\/p>\n\t\t<div style=\"flex-wrap: wrap;gap: 20px\">\n\t\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t\t<p><label> Parent\/Guardian's Last Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom-parent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Legal guardian&#039;s surname\" value=\"\" type=\"text\" name=\"nom-parent\" \/><\/span> <\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t\t<p><label> Parent\/Guardian's First Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom-parent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Legal guardian&#039;s first name\" value=\"\" type=\"text\" name=\"prenom-parent\" \/><\/span> <\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div style=\"margin-top: 10px\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"autorisation-parentale\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"autorisation-parentale[]\" value=\"As a parent or legal guardian, I authorize the registration of this minor and assume the associated responsibilities.\" \/><span class=\"wpcf7-list-item-label\">As a parent or legal guardian, I authorize the registration of this minor and assume the associated responsibilities.<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div style=\"margin-top: 20px\">\n\t\t<p><label> Full Address *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Number, street, zip code, city\" name=\"adresse\"><\/textarea><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"flex-wrap: wrap;gap: 20px;margin-top: 15px\">\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Phone Number (Main contact) *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telephone\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Email Address *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div style=\"flex-wrap: wrap;gap: 20px;margin-top: 15px\">\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Profession (or \"School student\", \"University student\"...)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"profession\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"profession\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Current Status *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"situation-administrative\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"situation-administrative\"><option value=\"Select...\">Select...<\/option><option value=\"Student \/ School\">Student \/ School<\/option><option value=\"Employed\">Employed<\/option><option value=\"Job seeker\">Job seeker<\/option><option value=\"Other\">Other<\/option><\/select><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\n <!-- Section 2: Pedagogical Data -->\n\t<h4 style=\"border-bottom: 1px solid #ddd;padding-bottom: 10px;margin-top: 40px;margin-bottom: 20px\">2. PEDAGOGICAL DATA AND NEEDS\n\t<\/h4>\n\t<div style=\"flex-wrap: wrap;gap: 20px\">\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Current Spanish Level *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"niveau-actuel\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"niveau-actuel\"><option value=\"Select...\">Select...<\/option><option value=\"Beginner\">Beginner<\/option><option value=\"False beginner\">False beginner<\/option><option value=\"Intermediate\">Intermediate<\/option><option value=\"Advanced\">Advanced<\/option><\/select><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Have you studied at ELE USAL before? *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"etudie-avant\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"etudie-avant\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"etudie-avant\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div style=\"margin-top: 15px\">\n\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Course Objectives (multiple choices possible) *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"objectifs\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"objectifs[]\" value=\"School studies \/ Support\" \/><span class=\"wpcf7-list-item-label\">School studies \/ Support<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"objectifs[]\" value=\"Professional goal\" \/><span class=\"wpcf7-list-item-label\">Professional goal<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"objectifs[]\" value=\"Prepare for an official exam (DELE\/SIELE)\" \/><span class=\"wpcf7-list-item-label\">Prepare for an official exam (DELE\/SIELE)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"objectifs[]\" value=\"Personal project \/ Travel\" \/><span class=\"wpcf7-list-item-label\">Personal project \/ Travel<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-top: 15px;background: #eef2f5;padding: 15px;border-radius: 5px\">\n\t\t<p><label> <strong>Qualiopi Requirement:<\/strong> What is your exact final goal and the expected result at the end of this course? *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"resultat-attendu\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ex: Improve school grades, get a bilingual job, pass the B2 exam...\" name=\"resultat-attendu\"><\/textarea><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-top: 15px\">\n\t\t<p><label> Accessibility: Do you wish to report any special accessibility needs or disability accommodations?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"handicap\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Leave blank if not applicable. If yes, please specify.\" name=\"handicap\"><\/textarea><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\n <!-- Section 3: Modalities -->\n\t<h4 style=\"border-bottom: 1px solid #ddd;padding-bottom: 10px;margin-top: 40px;margin-bottom: 20px\">3. COURSES, PRICES, AND PAYMENT OPTIONS\n\t<\/h4>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Chosen Format *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"formule-choisie\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"formule-choisie\" value=\"Individual\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Individual<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"formule-choisie\" value=\"Group\" \/><span class=\"wpcf7-list-item-label\">Group<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"formule-choisie\" value=\"Hybrid\" \/><span class=\"wpcf7-list-item-label\">Hybrid<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"formule-choisie\" value=\"Online\" \/><span class=\"wpcf7-list-item-label\">Online<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Select the course(s) you are interested in *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"selection-cours\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Group course \/ 30h (New student: 500\u20ac \/ Returning: 400\u20ac)\" \/><span class=\"wpcf7-list-item-label\">Group course \/ 30h (New student: 500\u20ac \/ Returning: 400\u20ac)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"CPF Group course \/ 30h (New student: 1,200\u20ac \/ Returning: 900\u20ac)\" \/><span class=\"wpcf7-list-item-label\">CPF Group course \/ 30h (New student: 1,200\u20ac \/ Returning: 900\u20ac)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Mixed course \/ 30h group + 10h individual (2,100\u20ac)\" \/><span class=\"wpcf7-list-item-label\">Mixed course \/ 30h group + 10h individual (2,100\u20ac)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Middle\/High School course (Individual: 350\u20ac \/ Group: 250\u20ac)\" \/><span class=\"wpcf7-list-item-label\">Middle\/High School course (Individual: 350\u20ac \/ Group: 250\u20ac)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Children&#039;s course \/ 10 sessions (New student: 300\u20ac \/ Returning: 250\u20ac)\" \/><span class=\"wpcf7-list-item-label\">Children&#039;s course \/ 10 sessions (New student: 300\u20ac \/ Returning: 250\u20ac)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"DELE Preparation\" \/><span class=\"wpcf7-list-item-label\">DELE Preparation<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Other (please specify below)\" \/><span class=\"wpcf7-list-item-label\">Other (please specify below)<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\n <!-- Nuevo campo de texto para detallar el curso en la versi\u00f3n inglesa -->\n\t<div style=\"margin-bottom: 15px;background: #fcfcfc;padding: 10px;border-left: 3px solid #ccc\">\n\t\t<p><label> If \"Other\", please specify the desired course:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"autre-cours\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Specify the course name or type here\" value=\"\" type=\"text\" name=\"autre-cours\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"flex-wrap: wrap;gap: 20px;margin-top: 15px\">\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Desired Course Level *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"niveau-souhaite\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"niveau-souhaite\"><option value=\"Select...\">Select...<\/option><option value=\"A1-1\">A1-1<\/option><option value=\"A1-2\">A1-2<\/option><option value=\"A2-1\">A2-1<\/option><option value=\"A2-2\">A2-2<\/option><option value=\"B1-1\">B1-1<\/option><option value=\"B1-2\">B1-2<\/option><option value=\"B2-1\">B2-1<\/option><option value=\"B2-2\">B2-2<\/option><option value=\"B2-3\">B2-3<\/option><option value=\"C1\">C1<\/option><option value=\"C2\">C2<\/option><\/select><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Chosen Payment Method *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mode-paiement\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"mode-paiement\"><option value=\"Select...\">Select...<\/option><option value=\"Bank Transfer\">Bank Transfer<\/option><option value=\"Cheque\">Cheque<\/option><option value=\"Cash\">Cash<\/option><option value=\"CPF Funding\">CPF Funding<\/option><\/select><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\n <!-- CPF Section -->\n\t<div style=\"margin-top: 20px;background: #fff3cd;border: 1px solid #ffeeba;padding: 15px;border-radius: 5px\">\n\t\t<h5 style=\"margin-top: 0;color: #856404\">\u26a0\ufe0f If using CPF funding, please note and accept:\n\t\t<\/h5>\n\t\t<p style=\"font-size: 0.9em;margin-bottom: 10px\">Mandatory fixed contribution payable by the account holder of <strong>150 \u20ac<\/strong> (2026 rate) \u2013 unless legally exempt. Attendance and signature are mandatory for each session.\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"accord-cpf\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"accord-cpf[]\" value=\"I commit to taking the official certification exam (DELE) at the end of the training, which is mandatory for CPF funding. I am aware that failing to attend may result in the loss of my funding rights.\" \/><span class=\"wpcf7-list-item-label\">I commit to taking the official certification exam (DELE) at the end of the training, which is mandatory for CPF funding. I am aware that failing to attend may result in the loss of my funding rights.<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\n <!-- Section 4: Consent -->\n\t<h4 style=\"border-bottom: 1px solid #ddd;padding-bottom: 10px;margin-top: 40px;margin-bottom: 20px\">4. CONSENTS AND COMMITMENTS\n\t<\/h4>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"info-qualiopi\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"info-qualiopi\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I certify that I have been informed of the access times for the training, the evaluation methods, and the pedagogical details (Qualiopi Transparency).<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cgv\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"cgv\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I have read and accept the school's <a href=\"https:\/\/strasbourg.eleusal.com\/en\/terms-and-conditions\/\" target=\"_blank\" style=\"color:#8B0000;text-decoration:underline\">General Terms and Conditions<\/a> and <a href=\"https:\/\/strasbourg.eleusal.com\/en\/internal-regulations\/\" target=\"_blank\" style=\"color:#8B0000;text-decoration:underline\">Internal Regulations<\/a>.<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adhesion-asso\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"adhesion-asso\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I agree to become a member of the ELE USAL Strasbourg association (mandatory membership for insurance purposes, fee included in the price).<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rgpd\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"rgpd\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I consent to the processing of my personal data by ELE USAL Strasbourg in accordance with the <a href=\"https:\/\/strasbourg.eleusal.com\/en\/privacy-policy\/\" target=\"_blank\" style=\"color:#8B0000;text-decoration:underline\">Privacy Policy (GDPR)<\/a>.<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-bottom: 20px\">\n\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Image Rights *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"droit-image\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"droit-image\" value=\"I authorize the use of photos taken during activities\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">I authorize the use of photos taken during activities<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"droit-image\" value=\"I refuse the use of photos\" \/><span class=\"wpcf7-list-item-label\">I refuse the use of photos<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\n <!-- Submit Button -->\n\t<div style=\"text-align: center;margin-top: 30px\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner button-primaire\" type=\"submit\" value=\"Submit my registration request\" \/>\n\t\t<\/p>\n\t<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/div><input type=\"hidden\" id=\"ct_checkjs_cf7_f7664060cc52bc6f3d620bcedc94a4b6\" name=\"ct_checkjs_cf7\" value=\"0\" \/><script >setTimeout(function(){var ct_input_name = \"ct_checkjs_cf7_f7664060cc52bc6f3d620bcedc94a4b6\";if (document.getElementById(ct_input_name) !== null) {var ct_input_value = document.getElementById(ct_input_name).value;document.getElementById(ct_input_name).value = 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n\u00b0 2022\/98948.2 | CPF eligible training courses 9 rue Saint-Alo\u00efse \u2013 67100 Strasbourg | info@strasbourg-eleusal.com | SIRET: 812 275 733 00036 1. STUDENT INFORMATION Title * Ms.Mr. Last Name...","protected":false},"author":19,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-18286","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Registration Form - ELE USAL Strasbourg<\/title>\n<meta name=\"robots\" content=\"noindex, nofollow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Registration Form - ELE USAL Strasbourg\" \/>\n<meta property=\"og:url\" content=\"https:\/\/strasbourg.eleusal.com\/en\/registration-form-spanish-courses\/\" \/>\n<meta property=\"og:site_name\" content=\"ELE USAL Strasbourg\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/StrasbourgELEUSAL\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-06-30T15:29:26+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@StrasbourgEle\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/strasbourg.eleusal.com\/en\/registration-form-spanish-courses\/\",\"url\":\"https:\/\/strasbourg.eleusal.com\/en\/registration-form-spanish-courses\/\",\"name\":\"Registration Form - 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