{"id":4892,"date":"2024-08-20T00:56:55","date_gmt":"2024-08-20T00:56:55","guid":{"rendered":"https:\/\/soccerstl.ca\/?page_id=4892"},"modified":"2026-01-23T03:01:58","modified_gmt":"2026-01-23T03:01:58","slug":"formulaire-de-paiement-assorti-assorted-payment-form","status":"publish","type":"page","link":"https:\/\/soccerstl.ca\/en\/formulaire-de-paiement-assorti-assorted-payment-form\/","title":{"rendered":"Paiements divers &#8211; Assorted Payments"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4892\" class=\"elementor elementor-4892\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-12340e62 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"12340e62\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2c07e4b9\" data-id=\"2c07e4b9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3eabf60 elementor-widget elementor-widget-spacer\" data-id=\"3eabf60\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1870dc3 elementor-widget elementor-widget-heading\" data-id=\"1870dc3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">PAIMENTS DIVERS - ASSORTED PAYMENT FORM<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a4f8b11 elementor-widget elementor-widget-text-editor\" data-id=\"1a4f8b11\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Veuillez compl\u00e9ter et soumettre les informations suivantes afin d\u2019effectuer un paiement en ligne. &#8211; Complete and submit the following information in order to make an online payment.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d1bc1c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d1bc1c3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bf7b659\" data-id=\"bf7b659\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-294d100 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"294d100\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#0c0d0e;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);flex-shrink:0}.elementor-widget-divider .elementor-icon{font-size:var(--divider-icon-size)}.elementor-widget-divider .elementor-divider-separator{display:flex;margin:0;direction:ltr}.elementor-widget-divider--view-line_icon .elementor-divider-separator,.elementor-widget-divider--view-line_text .elementor-divider-separator{align-items:center}.elementor-widget-divider--view-line_icon .elementor-divider-separator:after,.elementor-widget-divider--view-line_icon 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var(--divider-color)}.elementor-widget-divider--separator-type-pattern{--divider-border-style:none}.elementor-widget-divider--separator-type-pattern.elementor-widget-divider--view-line .elementor-divider-separator,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:after,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f06df6 elementor-widget elementor-widget-wpforms\" data-id=\"7f06df6\" data-element_type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"wpforms-container wpforms-container-full wpforms-stripe wpforms-render-modern\" id=\"wpforms-4868\"><form id=\"wpforms-form-4868\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"4868\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/4892\" data-token=\"e7fdde1a50b752e789bac66679b7e46b\" data-token-time=\"1777487971\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-4868-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-4868-field_3\">Participant <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4868-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" placeholder=\"Nom de famille, pr\u00e9nom - Last name, First Name\" aria-errormessage=\"wpforms-4868-field_3-error\" aria-describedby=\"wpforms-4868-field_3-description\" required><div id=\"wpforms-4868-field_3-description\" class=\"wpforms-field-description\">Joueur \/ Player<\/div><\/div><div id=\"wpforms-4868-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-4868-field_4\">Ann\u00e9e de naissance - Year of Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4868-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-4868-field_4-error\" aria-describedby=\"wpforms-4868-field_4-description\" required><div id=\"wpforms-4868-field_4-description\" class=\"wpforms-field-description\">Ann\u00e9e\/Mois\/Jour - Year\/Month\/Day<\/div><\/div><div id=\"wpforms-4868-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-4868-field_7\">Courriel - Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-4868-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" aria-errormessage=\"wpforms-4868-field_7-error\" required><\/div><div id=\"wpforms-4868-field_13-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-4868-field_13\">Num\u00e9ro de t\u00e9l\u00e9phone - Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-4868-field_13\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][13]\" aria-label=\"Num\u00e9ro de t\u00e9l\u00e9phone - Phone Number\" aria-errormessage=\"wpforms-4868-field_13-error\" required><\/div><div id=\"wpforms-4868-field_5-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-4868-field_5\">Programme - Program <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-4868-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>S\u00e9lectionner - Select<\/option><option value=\"CDC 1 avanc\u00e9 - CDC 1 advanced\"  class=\"choice-6 depth-1\"  >CDC 1 avanc\u00e9 - CDC 1 advanced<\/option><option value=\"CDC 2 r\u00e9cr\u00e9atif - CDC 2 Recreational\"  class=\"choice-2 depth-1\"  >CDC 2 r\u00e9cr\u00e9atif - CDC 2 Recreational<\/option><option value=\"Comp\u00e9titif - Competitive\"  class=\"choice-3 depth-1\"  >Comp\u00e9titif - Competitive<\/option><option value=\"Semi-Pro\"  class=\"choice-7 depth-1\"  >Semi-Pro<\/option><option value=\"Tournoi - Tournament\"  class=\"choice-9 depth-1\"  >Tournoi - Tournament<\/option><option value=\"Arbitrage - Refereeing\"  class=\"choice-10 depth-1\"  >Arbitrage - Refereeing<\/option><option value=\"\u00c9cole de soccer EDS - EDS Soccer School\"  class=\"choice-4 depth-1\"  >\u00c9cole de soccer EDS - EDS Soccer School<\/option><option value=\"Camp\"  class=\"choice-8 depth-1\"  >Camp<\/option><option value=\"Frais de lib\u00e9ration - Release Fee\"  class=\"choice-12 depth-1\"  >Frais de lib\u00e9ration - Release Fee<\/option><option value=\"Amendes disciplinaires - Disciplinary Fines\"  class=\"choice-13 depth-1\"  >Amendes disciplinaires - Disciplinary Fines<\/option><option value=\"Location de terrain - Field Rental\"  class=\"choice-14 depth-1\"  >Location de terrain - Field Rental<\/option><option value=\"Modification de match - Game Change Request\"  class=\"choice-5 depth-1\"  >Modification de match - Game Change Request<\/option><option value=\"Autre - Other\"  class=\"choice-15 depth-1\"  >Autre - Other<\/option><\/select><div id=\"wpforms-4868-field_5-description\" class=\"wpforms-field-description\">S\u00e9lectionnez le programme pour lequel vous effectuez le paiement. Si vous choisissez \u00ab Autre \u00bb, veuillez pr\u00e9ciser la raison du paiement dans la section Remarques. \/ \nSelect the program you are making the payment for. If you choose \u201cOther,\u201d please specify the reason for the payment in the Notes section.<\/div><\/div><div id=\"wpforms-4868-field_11-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-field-select-style-classic\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-4868-field_11\">Montant du paiement - Payment Amount <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-4868-field_11\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>S\u00e9lectionner - Select<\/option><option value=\"27\" data-amount=\"20.00\" >A) Frais de lib\u00e9ration -Release fee - &#036;20.00<\/option><option value=\"28\" data-amount=\"25.00\" >AA) Amendes Disciplinaires - Discipline Fine - &#036;25.00<\/option><option value=\"17\" data-amount=\"25.00\" >AAA) Frais de modification de match - Game Change Request Fees - &#036;25.00<\/option><option value=\"18\" data-amount=\"50.00\" >B - &#036;50.00<\/option><option value=\"2\" data-amount=\"75.00\" >C - &#036;75.00<\/option><option value=\"3\" data-amount=\"100.00\" >D - &#036;100.00<\/option><option value=\"13\" data-amount=\"125.00\" >E - &#036;125.00<\/option><option value=\"30\" data-amount=\"145.00\" >EE - &#036;145.00<\/option><option value=\"12\" data-amount=\"150.00\" >F - &#036;150.00<\/option><option value=\"11\" data-amount=\"175.00\" >G - &#036;175.00<\/option><option value=\"24\" data-amount=\"180.00\" >GG - &#036;180.00<\/option><option value=\"10\" data-amount=\"200.00\" >H - &#036;200.00<\/option><option value=\"9\" data-amount=\"225.00\" >I - &#036;225.00<\/option><option value=\"29\" data-amount=\"240.00\" >II - &#036;240.00<\/option><option value=\"8\" data-amount=\"250.00\" >J - &#036;250.00<\/option><option value=\"26\" data-amount=\"256.25\" >K - &#036;256.25<\/option><option value=\"7\" data-amount=\"275.00\" >KK - &#036;275.00<\/option><option value=\"6\" data-amount=\"300.00\" >L - &#036;300.00<\/option><option value=\"5\" data-amount=\"325.00\" >M - &#036;325.00<\/option><option value=\"4\" data-amount=\"350.00\" >N - &#036;350.00<\/option><option value=\"25\" data-amount=\"355.00\" >NN - &#036;355.00<\/option><option value=\"14\" data-amount=\"375.00\" >O - &#036;375.00<\/option><option value=\"15\" data-amount=\"400.00\" >P - &#036;400.00<\/option><option value=\"21\" data-amount=\"500.00\" >Q - &#036;500.00<\/option><\/select><\/div><div id=\"wpforms-4868-field_6-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-4868-field_6\">Remarques - Note<\/label><textarea id=\"wpforms-4868-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-4868-field_6-error\" ><\/textarea><\/div><div id=\"wpforms-4868-field_12-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium\" data-field-id=\"12\" aria-live=\"polite\" aria-atomic=\"true\"><label class=\"wpforms-field-label\">Total <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"text\" id=\"wpforms-4868-field_12\" class=\"wpforms-field-medium wpforms-field-required wpforms-payment-total\" data-rule-required-payment=\"1\" name=\"wpforms[fields][12]\" value=\"0\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" readonly=\"readonly\"><\/div><div id=\"wpforms-4868-field_9-container\" class=\"wpforms-field wpforms-field-stripe-credit-card\" data-field-id=\"9\"><label class=\"wpforms-field-label\">Paiement par carte de cr\u00e9dit - Credit Card Payment <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-no-columns wpforms-field-medium \" data-sublabel-position=\"above\" data-link-email=\"\" data-required=\"1\"><div id=\"wpforms-field-stripe-link-element-4868\"><\/div><div id=\"wpforms-field-stripe-payment-element-4868\"><\/div><input type=\"text\" class=\"wpforms-stripe-credit-card-hidden-input\" name=\"wpforms[stripe-credit-card-hidden-input-4868]\" disabled style=\"display: none;\"><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4868\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/soccerstl.ca\/en\/wp-json\/wp\/v2\/pages\/4892\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4868\" class=\"wpforms-submit\" data-alt-text=\"Envoyer - Sending....\" data-submit-text=\"SOUMETTRE - SUBMIT\" aria-live=\"assertive\" value=\"wpforms-submit\">SOUMETTRE - SUBMIT<\/button><img decoding=\"async\" src=\"https:\/\/soccerstl.ca\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>PAIMENTS DIVERS &#8211; ASSORTED PAYMENT FORM Veuillez compl\u00e9ter et soumettre les informations suivantes afin d\u2019effectuer un paiement en ligne. &#8211; Complete and submit the following information in order to make an online payment. 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