{"id":10402,"date":"2025-08-12T11:11:33","date_gmt":"2025-08-12T15:11:33","guid":{"rendered":"https:\/\/vicpark.com\/?page_id=10402"},"modified":"2025-08-12T11:11:34","modified_gmt":"2025-08-12T15:11:34","slug":"prendre-rendez-vous-clinique-reflet","status":"publish","type":"page","link":"https:\/\/vicpark.com\/fr\/prendre-rendez-vous-clinique-reflet\/","title":{"rendered":"Prendre rendez-vous &#8211; Clinique Reflet"},"content":{"rendered":"<div class=\"bk-hero-video active-header\">\r\n<div class=\"bg-image\" data-speed=\"0.3\" style=\"background-image: url(https:\/\/vicpark.com\/wp-content\/uploads\/2025\/01\/INJECT_banner_DERMAL-FILLER.jpg)\"><\/div>\r\n<div id=\"region-container\"><\/div>\r\n\r\n<div class=\"hero-title \">\r\n    <h1 class=\"hero-video-title t-left-animation delay\">\r\n        Prendre rendez-vous &#8211; Clinique Reflet         <\/h1>\r\n    \r\n    <\/div>\r\n\r\n\r\n<\/div>\r\n<nav class=\"breadcrumb\"><span><span><a href=\"https:\/\/vicpark.com\/fr\/\">Accueil<\/a><\/span><\/span><\/nav>\n\n\n<div class=\"wp-block-group wrapper-s has-form is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:var(--wp--preset--spacing--30)\" aria-hidden=\"true\" class=\"wp-block-spacer is-style-responsive-medium\"><\/div>\n\n\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in 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Vous pouvez \u00e9galement nous t\u00e9l\u00e9phoner directement au <a href=\"tel:\r\n4185271659\">418.527.1659<\/a>  afin que l&#8217;on puisse discuter de vos questionnements.<\/p><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_17' id='gform_17' class='rendez-vous' action='\/fr\/wp-json\/wp\/v2\/pages\/10402' data-formid='17' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lc_FecpAAAAABr_KwBpQxKM_vNDo1iyzSCuNgVN' data-tabindex='0'><input id=\"input_631b0728d0f011f9935fb8fcf21f21ce\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_631b0728d0f011f9935fb8fcf21f21ce\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_17' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_17_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_27'>Pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_17_27' type='text' value='' class='large'    placeholder='Pr\u00e9nom*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_28'>Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_17_28' type='text' value='' class='large'    placeholder='Nom*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_16\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_16'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_16' id='input_17_16' type='tel' value='' class='large'  placeholder='T\u00e9l\u00e9phone'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_17\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_17'>Courriel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_17' id='input_17_17' type='email' value='' class='large'   placeholder='Courriel*' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_17_34\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-half gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Postal Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_zip ginput_container_address gform-grid-row' id='input_17_34' >\n                        <input type='hidden' class='gform_hidden' name='input_34.4' id='input_17_34_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_17_34_5_container' >\n                                    <input type='text' name='input_34.5' id='input_17_34_5' value=''   placeholder='Code postal*' aria-required='true'    \/>\n                                    <label for='input_17_34_5' id='input_17_34_5_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_34.6' id='input_17_34_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_17_37\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_37'>Langue de communication<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_17_37' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Langue<\/option><option value='Fran\u00e7ais' >Fran\u00e7ais<\/option><option value='Anglais' >Anglais<\/option><\/select><\/div><\/div><fieldset id=\"field_17_18\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Date de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_17_18' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_17_18_2_container'><label for='input_17_18_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Jour<\/label><select name='input_18[]' id='input_17_18_2'   aria-required='true'  ><option value=''>Jour<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_17_18_1_container'><label for='input_17_18_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Mois<\/label><select name='input_18[]' id='input_17_18_1'   aria-required='true'  ><option value=''>Mois<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_17_18_3_container'><label for='input_17_18_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Ann\u00e9e<\/label><select name='input_18[]' id='input_17_18_3'   aria-required='true'  ><option value=''>Ann\u00e9e<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_17_35\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_35'>Genre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_17_35' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Femme' >Femme<\/option><option value='Homme' >Homme<\/option><option value='Non sp\u00e9cifi\u00e9' >Non sp\u00e9cifi\u00e9<\/option><\/select><\/div><\/div><div id=\"field_17_30\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_30'>Domaine d&#039;int\u00e9r\u00eat<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_17_30' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Domaine d&#039;int\u00e9r\u00eat*<\/option><option value='Agents de comblement dermique' >Agents de comblement dermique<\/option><option value='Augmentation et remodelage des l\u00e8vres' >Augmentation et remodelage des l\u00e8vres<\/option><option value='Belkyra (une solution pour le double menton)' >Belkyra (une solution pour le double menton)<\/option><option value='CoolSculpting' >CoolSculpting<\/option><option value='\u00c9pilation au laser' >\u00c9pilation au laser<\/option><option value='Injections de Skin Boosters' >Injections de Skin Boosters<\/option><option value='MD Formula Peels' >MD Formula Peels<\/option><option value='Micro-aiguillage' >Micro-aiguillage<\/option><option value='Morpheus8' >Morpheus8<\/option><option value='R\u00e9duction de la transpiration' >R\u00e9duction de la transpiration<\/option><option value='Relaxants musculaires (neuromodulateurs)' >Relaxants musculaires (neuromodulateurs)<\/option><option value='Scl\u00e9roth\u00e9rapie pour les varices et les varicosit\u00e9s' >Scl\u00e9roth\u00e9rapie pour les varices et les varicosit\u00e9s<\/option><option value='Traitement PRP - Solutions pour la perte de cheveux' >Traitement PRP &#8211; Solutions pour la perte de cheveux<\/option><option value='Traitement Sculptra\u00ae' >Traitement Sculptra\u00ae<\/option><\/select><\/div><\/div><div id=\"field_17_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_19'>Comment avez-vous entendu de nous?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_17_19' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Comment avez-vous entendu de nous?*<\/option><option value='Ami ou membre de la famille' >Ami ou membre de la famille<\/option><option value='C\u00e9l\u00e9brit\u00e9 ou influenceur' >C\u00e9l\u00e9brit\u00e9 ou influenceur<\/option><option value='M\u00e9decin ou infirmi\u00e8re' >M\u00e9decin ou infirmi\u00e8re<\/option><option value='Recherches sur le web' >Recherches sur le web<\/option><option value='Tik-Tok' >Tik-Tok<\/option><option value='Facebook ou Instagram' >Facebook ou Instagram<\/option><option value='Chat GPT ou autre plateforme IA' >Chat GPT ou autre plateforme IA<\/option><option value='Radio ou balado' >Radio ou balado<\/option><option value='Publicit\u00e9 t\u00e9l\u00e9vis\u00e9e' >Publicit\u00e9 t\u00e9l\u00e9vis\u00e9e<\/option><\/select><\/div><\/div><div id=\"field_17_41\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_41'>Super ! Pouvez-vous nous dire qui vous a r\u00e9f\u00e9r\u00e9 ?<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_17_41' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_43\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_43'>M\u00e9thode de communication pr\u00e9f\u00e9r\u00e9e<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_43' id='input_17_43' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>M\u00e9thode de communication pr\u00e9f\u00e9r\u00e9e*<\/option><option value='Appelez-moi' >Appelez-moi<\/option><option value='Par courriel' >Par courriel<\/option><\/select><\/div><\/div><div id=\"field_17_3\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_3'>Your Question<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_17_3' class='textarea medium'    placeholder='Pour garantir un service de qualit\u00e9, veuillez pr\u00e9ciser ce que vous souhaitez traiter et si vous recherchez une technologie sp\u00e9cifique.' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_42\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_42'>Communication marketing<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_42' id='input_17_42' class='large gfield_select'  aria-describedby=\"gfield_description_17_42\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Souhaitez-vous recevoir nos communication marketing?<\/option><option value='Oui' >Oui<\/option><option value='Non' >Non<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_17_42'>Recevez nos nouveaut\u00e9s et offres exclusives par courriel et SMS. Abonnez-vous et obtenez 25$ de rabais! Exclut injectables, consultations, proc\u00e9dures m\u00e9dicales, chirurgies, produits et cartes-cadeaux. Frais de consultation en sus.<\/div><\/div><fieldset id=\"field_17_45\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >marketing<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_17_45'><div class='gchoice gchoice_17_45_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.1' type='checkbox'  value='En cochant cette case, j\u2019accepte de recevoir des messages texte \u00e0 caract\u00e8re promotionnel de Victoria Park Medispa au num\u00e9ro de t\u00e9l\u00e9phone fourni. La fr\u00e9quence des messages peut varier. Des frais de messagerie et de donn\u00e9es peuvent s\u2019appliquer. Textez AIDE pour obtenir de l\u2019assistance ou STOP pour vous d\u00e9sabonner.'  id='choice_17_45_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_17_45_1' id='label_17_45_1' class='gform-field-label gform-field-label--type-inline'>En cochant cette case, j\u2019accepte de recevoir des messages texte \u00e0 caract\u00e8re promotionnel de Victoria Park Medispa au num\u00e9ro de t\u00e9l\u00e9phone fourni. La fr\u00e9quence des messages peut varier. Des frais de messagerie et de donn\u00e9es peuvent s\u2019appliquer. Textez AIDE pour obtenir de l\u2019assistance ou STOP pour vous d\u00e9sabonner.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_46\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >consent<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_17_46'><div class='gchoice gchoice_17_46_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.1' type='checkbox'  value='Je consens \u00e9galement \u00e0 recevoir des messages transactionnels concernant mon compte, mes commandes ou les services que j\u2019ai demand\u00e9s. Ces messages peuvent inclure des rappels de rendez-vous, des confirmations de commande, ainsi que des notifications li\u00e9es \u00e0 mon compte. La fr\u00e9quence des messages peut varier. Des frais de messagerie et de donn\u00e9es peuvent s\u2019appliquer. R\u00e9pondez AIDE pour de l\u2019aide ou STOP pour vous d\u00e9sabonner. &lt;a class=&quot;check-link&quot; href=&quot;https:\/\/vicpark.com\/fr\/politique-de-confidentialite\/&quot;&gt;Politique de confidentialit\u00e9 et conditions g\u00e9n\u00e9rales&lt;\/a&gt;.'  id='choice_17_46_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_17_46_1' id='label_17_46_1' class='gform-field-label gform-field-label--type-inline'>Je consens \u00e9galement \u00e0 recevoir des messages transactionnels concernant mon compte, mes commandes ou les services que j\u2019ai demand\u00e9s. Ces messages peuvent inclure des rappels de rendez-vous, des confirmations de commande, ainsi que des notifications li\u00e9es \u00e0 mon compte. La fr\u00e9quence des messages peut varier. Des frais de messagerie et de donn\u00e9es peuvent s\u2019appliquer. R\u00e9pondez AIDE pour de l\u2019aide ou STOP pour vous d\u00e9sabonner. <a class=\"check-link\" href=\"https:\/\/vicpark.com\/fr\/politique-de-confidentialite\/\">Politique de confidentialit\u00e9 et conditions g\u00e9n\u00e9rales<\/a>.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_17' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer'  \/> <input type='hidden' name='gform_ajax' value='form_id=17&amp;title=&amp;description=1&amp;tabindex=0&amp;theme=orbital&amp;styles={&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;,&quot;descriptionFontSize&quot;:&quot;10&quot;}&amp;hash=537417b84eef06ef403979c761f2597b' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_17' value='iframe' \/>\n            <input 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