{"id":3728,"date":"2022-05-29T22:19:25","date_gmt":"2022-05-29T22:19:25","guid":{"rendered":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/?page_id=3728"},"modified":"2023-05-12T14:15:05","modified_gmt":"2023-05-12T14:15:05","slug":"formulario-inscripcion-retiro-dialogo-consciente-voces-del-despertar","status":"publish","type":"page","link":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/formulario-inscripcion-retiro-dialogo-consciente-voces-del-despertar\/","title":{"rendered":"FORMULARIO INSCRIPCI\u00d3N RETIRO DI\u00c1LOGO CONSCIENTE \u00abVoces del despertar\u00bb"},"content":{"rendered":"\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5897-o1\" lang=\"es-ES\" dir=\"ltr\" data-wpcf7-id=\"5897\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/formularios\/wp-json\/wp\/v2\/pages\/3728#wpcf7-f5897-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Formulario de contacto\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"5897\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5897-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"contact-form-style-2\">\n\t<p>Nombre \/ Name <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><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=\"your-name\" \/><\/span>\n\t<\/p>\n\t<p>Apellidos \/ Surname <span class=\"wpcf7-form-control-wrap\" data-name=\"apellido\"><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=\"apellido\" \/><\/span>\n\t<\/p>\n\t<p>Email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-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=\"your-email\" \/><\/span>\n\t<\/p>\n\t<p>DNI \/ NIE \/ Pasaporte \/ Passport number <span class=\"wpcf7-form-control-wrap\" data-name=\"dni\"><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=\"dni\" \/><\/span>\n\t<\/p>\n\t<p>Tel\u00e9fono de contacto \/ Telephone number <span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n\t<\/p>\n\t<p>Direcci\u00f3n \/ Address <span class=\"wpcf7-form-control-wrap\" data-name=\"direccion\"><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=\"direccion\" \/><\/span>\n\t<\/p>\n\t<p>C\u00f3digo postal \/ Postcode <span class=\"wpcf7-form-control-wrap\" data-name=\"codigopostal\"><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=\"codigopostal\" \/><\/span>\n\t<\/p>\n\t<p>Localidad \/ City <span class=\"wpcf7-form-control-wrap\" data-name=\"ciudad\"><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=\"ciudad\" \/><\/span>\n\t<\/p>\n\t<p>Provincia \/ Province <span class=\"wpcf7-form-control-wrap\" data-name=\"provincia\"><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=\"provincia\" \/><\/span>\n\t<\/p>\n\t<p>Pa\u00eds \/ Country <span class=\"wpcf7-form-control-wrap\" data-name=\"pais\"><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=\"pais\" \/><\/span>\n\t<\/p>\n\t<p>Adjunta el cuestionario requerido para el curso (solo para los retiros - <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/wp-content\/uploads\/2023\/05\/cuestionario-retiro-soria-octubre-2023.docx\">Descargar cuestionario<\/a>) \/ Attach here the evaluation questionnaire required for the course (only for retreats - <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/wp-content\/uploads\/2023\/05\/cuestionario-retiro-soria-octubre-2023.docx\">Questionnaire download<\/a>):<span class=\"wpcf7-form-control-wrap\" data-name=\"archivo-cuestionario\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\"image\/*,.txt,.doc,.docx,.ppt,.pptx,.odt,application\/pdf\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"archivo-cuestionario\" \/><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-235\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-235\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> Acepto la <a href=\"https:\/\/www.espaciosaludypsicoterapia.com\/mod\/page\/view.php?id=41\" target=\"blank\" rel=\"nofollow\" >pol\u00edtica de privacidad (pincha aqu\u00ed para leerla)<\/a><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mailjet-opt-in\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"mailjet-opt-in[]\" value=\"Quiero recibir informaci\u00f3n sobre novedades y cursos de EFSYP\" \/><span class=\"wpcf7-list-item-label\">Quiero recibir informaci\u00f3n sobre novedades y cursos de EFSYP<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<div>\n\t\n\t<\/div>\n\t<details class=\"accordion\">\n\t\t<summary><br \/>\n<span class=\"accordion-icon\">+<\/span> Exenci\u00f3n de responsabilidad. <span class=\"wpcf7-form-control-wrap\" data-name=\"acepto-los-terminos-y-condiciones-anteriores\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acepto-los-terminos-y-condiciones-anteriores\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Acepto los t\u00e9rminos y condiciones anteriores.<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/summary>\n\t\t<p><br \/>\nEntendiendo la naturaleza voluntaria de mi participaci\u00f3n en el trabajo, programas y actividades ofrecidas por EFSYP, libero y descargo a EFSYP y a sus agentes y empleados de todas las causas de acci\u00f3n, responsabilidad y reclamaciones por todas las lesiones personales, enfermedades, da\u00f1os a la propiedad o muerte que pueda suceder ahora o en el futuro, que sean causados por, o est\u00e9n directa o indirectamente relacionados con, cualquier trabajo que pueda realizar o cualquier actividad en la que me involucre durante mi participaci\u00f3n en este programa de EFSYP o mi estad\u00eda en el centro. Para el per\u00edodo de tiempo cubierto por este programa, al hacer clic en la casilla de abajo, acepto que estoy cubierto por un seguro m\u00e9dico, y reconozco que el seguro m\u00e9dico no es responsabilidad del ESPACIO DE FORMACI\u00d3N EN SALUD Y PSICOTERAPIA.\n\t\t<\/p>\n\t<\/details>\n\t<p style=\"text-align: center;\"><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn\" type=\"submit\" value=\"Enviar\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3728","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/wp-json\/wp\/v2\/pages\/3728","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/wp-json\/wp\/v2\/comments?post=3728"}],"version-history":[{"count":3,"href":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/wp-json\/wp\/v2\/pages\/3728\/revisions"}],"predecessor-version":[{"id":5899,"href":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/wp-json\/wp\/v2\/pages\/3728\/revisions\/5899"}],"wp:attachment":[{"href":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/wp-json\/wp\/v2\/media?parent=3728"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}