<?xml version="1.0" encoding="UTF-8" standalone="yes"?><oembed><version><![CDATA[1.0]]></version><provider_name><![CDATA[Yoga Santosha]]></provider_name><provider_url><![CDATA[http://yogasantosha.lu]]></provider_url><author_name><![CDATA[Manon Bergeron]]></author_name><author_url><![CDATA[https://yogasantosha.lu/author/mammouthine/]]></author_url><title><![CDATA[Réserver une séance]]></title><type><![CDATA[link]]></type><html><![CDATA[<div id='contact-form-228'>
<form action='https://yogasantosha.lu/inscription/#contact-form-228' method='post' class='contact-form commentsblock'>

<div class='grunion-field-wrap grunion-field-name-wrap'  >
<label
				for='g228-nom'
				class='grunion-field-label name'
				>Nom<span>(obligatoire)</span></label>
<input
					type='text'
					name='g228-nom'
					id='g228-nom'
					value=''
					class='name' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-email-wrap'  >
<label
				for='g228-courriel'
				class='grunion-field-label email'
				>Courriel<span>(obligatoire)</span></label>
<input
					type='email'
					name='g228-courriel'
					id='g228-courriel'
					value=''
					class='email' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g228-tlphone'
				class='grunion-field-label text'
				>Téléphone<span>(obligatoire)</span></label>
<input
					type='text'
					name='g228-tlphone'
					id='g228-tlphone'
					value=''
					class='text' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-select-wrap'  >
<label
				for='g228-cours'
				class='grunion-field-label select'
				>Cours<span>(obligatoire)</span></label>
	<select name='g228-cours' id='g228-cours' class='select' required aria-required='true'>
		<option value='Séance individuelle'>Séance individuelle</option>
		<option value='Cours en entreprise'>Cours en entreprise</option>
		<option value='Lorentzweiler mercredi 9h30'>Lorentzweiler mercredi 9h30</option>
		<option value='Lorentzweiler lundi 18h30'>Lorentzweiler lundi 18h30</option>
	</select>
	</div>
	<p class='contact-submit'>
		<button type='submit' class='pushbutton-wide'>Envoyer</button>		<input type='hidden' name='contact-form-id' value='228' />
		<input type='hidden' name='action' value='grunion-contact-form' />
		<input type='hidden' name='contact-form-hash' value='65290dfa821db9de56765ef0a7e2676281345bc0' />
	</p>
</form>
</div>
]]></html></oembed>