{"id":1863,"date":"2022-05-30T23:23:27","date_gmt":"2022-05-30T21:23:27","guid":{"rendered":"https:\/\/aupair.mondoit.de\/?page_id=1863"},"modified":"2024-11-18T09:09:04","modified_gmt":"2024-11-18T08:09:04","slug":"enregistrement-de-la-famille","status":"publish","type":"page","link":"https:\/\/aupairscout.com\/fr\/enregistrement-de-la-famille\/","title":{"rendered":"Les Familles Registre"},"content":{"rendered":"<div id=\"pagehead\" class=\"wp-block-group has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"672\" src=\"https:\/\/aupairscout.com\/wp-content\/uploads\/2023\/09\/Registrierung-Familie-1024x672.jpg\" alt=\"\" class=\"wp-image-4257\" srcset=\"https:\/\/aupairscout.com\/wp-content\/uploads\/2023\/09\/Registrierung-Familie-1024x672.jpg 1024w, https:\/\/aupairscout.com\/wp-content\/uploads\/2023\/09\/Registrierung-Familie-300x197.jpg 300w, https:\/\/aupairscout.com\/wp-content\/uploads\/2023\/09\/Registrierung-Familie-768x504.jpg 768w, https:\/\/aupairscout.com\/wp-content\/uploads\/2023\/09\/Registrierung-Familie-18x12.jpg 18w, https:\/\/aupairscout.com\/wp-content\/uploads\/2023\/09\/Registrierung-Familie.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\"><strong>Inscription gratuite en tant que Famille d&#039;accueil<\/strong><\/h2>\n\n\n\n<p>Souhaitez-vous \u00eatre trouv\u00e9 par une fille au pair dans le monde entier ? Ou souhaitez-vous trouver une jolie fille au pair dans la galerie au pair ? Alors veuillez vous inscrire en ligne ici. T\u00e9l\u00e9chargez imm\u00e9diatement une photo de profil conviviale et une photo de couverture de votre famille. Bien entendu, vous pourrez cr\u00e9er ult\u00e9rieurement beaucoup plus de photos et d\u2019albums dans votre profil. L&#039;adh\u00e9sion vous permet de contacter l&#039;au pair souhait\u00e9, de communiquer et de rendre compte en d\u00e9tail de votre famille, de votre situation de vie et de la vie de famille au quotidien.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"um um-register um-2688\">\n\n\t<div class=\"um-form\" data-mode=\"register\">\n\n\t\t<form method=\"post\" action=\"\" data-trp-original-action=\"\">\n\n\t\t\t<div class=\"um-row _um_row_1\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2525_3\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>Mon Mot De Passe<\/span><\/div><\/div><div  id=\"um_field_2688_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-area\"><input class=\"um-form-field valid\" type=\"password\" name=\"user_password-2688\" id=\"user_password-2688\" value=\"\" placeholder=\"mot de passe\" data-validate=\"\" data-key=\"user_password\" \/>\r\n\r\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-area\"><input class=\"um-form-field valid\" type=\"password\" name=\"confirm_user_password-2688\" id=\"confirm_user_password-2688\" value=\"\" placeholder=\"Confirmez le mot de passe\" data-validate=\"\" data-key=\"confirm_user_password\" \/><\/div><\/div><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2525_3_4\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>Mes Coordonn\u00e9es<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_2\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_anrede\" class=\"um-field um-field-radio  um-field-anrede um-field-radio um-field-type_radio\" data-key=\"anrede\"><div class=\"um-field-label\"><label for=\"anrede-2688\">Salutation<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"anrede[]\" value=\"Frau\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Femme<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"anrede[]\" value=\"Herr\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">M.<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  class=\"um-field um-field-spacing  um-field-spacing um-field-type_spacing\" data-key=\"um_spacing_2688_113\" style=\"height:69px;;\"><\/div><div  id=\"um_field_2688_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-2688\">Nom de famille<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"last_name-2688\" id=\"last_name-2688\" value=\"\" placeholder=\"Nom de famille\" data-validate=\"\" data-key=\"last_name\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_Familienstand\" class=\"um-field um-field-radio  um-field-Familienstand um-field-radio um-field-type_radio\" data-key=\"Familienstand\"><div class=\"um-field-label\"><label for=\"Familienstand-2688\">\u00c9tat civil<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Familienstand[]\" value=\"verheiratet\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">mari\u00e9<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Familienstand[]\" value=\"nichteheliche Gemeinschaft\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">union non conjugale<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Familienstand[]\" value=\"getrennt lebend\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">vivre s\u00e9par\u00e9ment<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Familienstand[]\" value=\"allein erziehend\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">parent c\u00e9libataire<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Familienstand[]\" value=\"ledig\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">c\u00e9libataire<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  class=\"um-field um-field-spacing  um-field-spacing um-field-type_spacing\" data-key=\"um_spacing_2688_112\" style=\"height:25px;\"><\/div><div  id=\"um_field_2688_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"first_name-2688\" id=\"first_name-2688\" value=\"\" placeholder=\"Pr\u00e9nom\" data-validate=\"\" data-key=\"first_name\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_3\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_2688_Adresse\" class=\"um-field um-field-text  um-field-Adresse um-field-text um-field-type_text\" data-key=\"Adresse\"><div class=\"um-field-label\"><label for=\"Adresse-2688\">adresse<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"Adresse-2688\" id=\"Adresse-2688\" value=\"\" placeholder=\"Rue, Maison et Appart.- N \u00b0 \" data-validate=\"\" data-key=\"Adresse\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_Postleitzahl\" class=\"um-field um-field-text  um-field-Postleitzahl um-field-text um-field-type_text\" data-key=\"Postleitzahl\"><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"Postleitzahl-2688\" id=\"Postleitzahl-2688\" value=\"\" placeholder=\"Code Postal\" data-validate=\"\" data-key=\"Postleitzahl\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_Wohnort\" class=\"um-field um-field-text  um-field-Wohnort um-field-text um-field-type_text\" data-key=\"Wohnort\"><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Wohnort-2688\" id=\"Wohnort-2688\" value=\"\" placeholder=\"Lieu de r\u00e9sidence\" data-validate=\"\" data-key=\"Wohnort\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_country\" class=\"um-field um-field-select  um-field-country um-field-select um-field-type_select\" data-key=\"country\"><div class=\"um-field-area\"><select data-default=\"\"     name=\"country\" id=\"country\" data-validate=\"\" data-key=\"country\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Land\" ><option value=\"\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"\u00c5land\" >\u00c5land<\/option><option value=\"Albanien\" >L&#039;albanie<\/option><option value=\"Algerien\" >L&#039;alg\u00e9rie<\/option><option value=\"Amerikanisch-Samoa\" >Les Samoa Am\u00e9ricaines<\/option><option value=\"Andorra\" >Andorre<\/option><option value=\"Angola\" >L&#039;Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antarktika\" >L&#039;antarctide<\/option><option value=\"Antigua und Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Argentinien\" >L&#039;argentine<\/option><option value=\"Armenien\" >L&#039;arm\u00e9nie<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australien\" >Australie<\/option><option value=\"\u00d6sterreich\" >Autriche<\/option><option value=\"Aserbaidschan\" >L&#039;azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahre\u00efn<\/option><option value=\"Bangladesch\" >Bangladesh<\/option><option value=\"Barbados\" >Barbade<\/option><option value=\"Wei\u00dfrussland\" >Bi\u00e9lorussie<\/option><option value=\"Belgien\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >B\u00e9nin<\/option><option value=\"Bermuda\" >Bermoudes<\/option><option value=\"Bhutan\" >Bhoutan<\/option><option value=\"Bolivien\" >Bolivie<\/option><option value=\"Bosnien und Herzegowina\" >La bosnie-et-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Bouvetinsel\" >\u00cele bouvet<\/option><option value=\"Brasilien\" >Br\u00e9sil<\/option><option value=\"Britisches Territorium im Indischen Ozean\" >Territoire britannique de l&#039;Oc\u00e9an Indien<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgarien\" >La bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Kambodscha\" >Cambodge<\/option><option value=\"Kamerun\" >Cameroun<\/option><option value=\"Kanada\" >Canada<\/option><option value=\"Kap Verde\" >Le Cap-Vert<\/option><option value=\"Caymaninseln\" >Camans<\/option><option value=\"Zentralafrikanische Republik\" >R\u00e9publique Centrafricaine<\/option><option value=\"Tschad\" >Tchad<\/option><option value=\"Chile\" >Chili<\/option><option value=\"China\" >Chine<\/option><option value=\"Weihnachtsinsel\" >\u00cele christmas<\/option><option value=\"Kokosinseln (Keelinginseln)\" >Les \u00celes Cocos (Keeling)<\/option><option value=\"Kolumbien\" >Colombie<\/option><option value=\"Komoren\" >Comores<\/option><option value=\"Kongo\" >Kikongo<\/option><option value=\"Kongo\" >Kikongo<\/option><option value=\"Cookinseln\" >\u00celes cook<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Elfenbeink\u00fcste\" >C\u00f4te d&#039;ivoire<\/option><option value=\"Kroatien\" >La croatie<\/option><option value=\"Kuba\" >Cuba<\/option><option value=\"Zypern\" >Chypre<\/option><option value=\"Tschechien\" >La r\u00e9publique tch\u00e8que<\/option><option value=\"D\u00e4nemark\" >Danemark<\/option><option value=\"Dschibuti\" >Djibouti<\/option><option value=\"Dominica\" >Dominique<\/option><option value=\"Dominikanische Republik\" >R\u00e9publique Dominicaine<\/option><option value=\"Ecuador\" >\u00c9quateur<\/option><option value=\"\u00c4gypten\" >L&#039;egypte<\/option><option value=\"El Salvador\" >Salvador<\/option><option value=\"\u00c4quatorialguinea\" >Guin\u00e9e \u00e9quatoriale<\/option><option value=\"Eritrea\" >\u00c9rythr\u00e9e<\/option><option value=\"Estland\" >L&#039;estonie<\/option><option value=\"\u00c4thiopien\" >L&#039;ethiopie<\/option><option value=\"Falklandinseln\" >Les \u00eeles falkland<\/option><option value=\"F\u00e4r\u00f6er\" >\u00celes f\u00e9ro\u00e9<\/option><option value=\"Fidschi\" >Fidji<\/option><option value=\"Finnland\" >Finlande<\/option><option value=\"Frankreich\" >France<\/option><option value=\"Franz\u00f6sisch-Guayana\" >Guyane Fran\u00e7aise<\/option><option value=\"Franz\u00f6sisch-Polynesien\" >Polyn\u00e9sie Fran\u00e7aise<\/option><option value=\"Franz\u00f6sische S\u00fcd- und Antarktisgebiete\" >Terres australes et antarctiques fran\u00e7aises<\/option><option value=\"Gabun\" >Gabon<\/option><option value=\"Gambia\" >Gambie<\/option><option value=\"Sakartvelo\" >Georgie<\/option><option value=\"Deutschland\" >Allemagne<\/option><option value=\"Ghana\" >Le Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Griechenland\" >La gr\u00e8ce<\/option><option value=\"Gr\u00f6nland\" >Le groenland<\/option><option value=\"Grenada\" >Grenade<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guernsey\" >Guernesey<\/option><option value=\"Guinea\" >Guin\u00e9e<\/option><option value=\"Guinea-Bissau\" >La Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyane<\/option><option value=\"Haiti\" >Ha\u00efti<\/option><option value=\"Heard und McDonaldinseln\" >Heard et Mcdonald<\/option><option value=\"Heiliger Stuhl (Staat Vatikanstadt)\" >Saint-Si\u00e8ge (Cit\u00e9 Du Vatican)<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hongkong\" >Hong kong<\/option><option value=\"Ungarn\" >Hongrie<\/option><option value=\"Island\" >Island<\/option><option value=\"Indien\" >L&#039;inde<\/option><option value=\"Indonesien\" >Indon\u00e9sie<\/option><option value=\"Iran\" >L&#039;Iran<\/option><option value=\"Irak\" >Irak<\/option><option value=\"Irland\" >L&#039;irlande<\/option><option value=\"Isle of Man\" >\u00cele de Man<\/option><option value=\"Israel\" >Isra\u00ebl<\/option><option value=\"Italien\" >Italie<\/option><option value=\"Jamaika\" >La jama\u00efque<\/option><option value=\"Japan\" >Japon<\/option><option value=\"Jersey\" >Jersey<\/option><option value=\"Jordanien\" >La jordanie<\/option><option value=\"Kasachstan\" >Kazakhstan<\/option><option value=\"Kenia\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Nordkorea\" >La cor\u00e9e du nord<\/option><option value=\"S\u00fcdkorea\" >La cor\u00e9e du sud<\/option><option value=\"Kuwait\" >Kowe\u00eft<\/option><option value=\"Kirgisistan\" >Kirghizistan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lettland\" >La lettonie<\/option><option value=\"Libanon\" >Liban<\/option><option value=\"Lesotho\" >Le Lesotho<\/option><option value=\"Liberia\" >Lib\u00e9ria<\/option><option value=\"Libyen\" >La libye<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Litauen\" >La lituanie<\/option><option value=\"Luxemburg\" >Luxembourg<\/option><option value=\"Macau\" >Macao<\/option><option value=\"Mazedonien\" >Mac\u00e9doine<\/option><option value=\"Madagaskar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaisie<\/option><option value=\"Malediven\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Peint<\/option><option value=\"Marshallinseln\" >\u00celes marshall<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauretanien\" >La mauritanie<\/option><option value=\"Mauritius\" >\u00cele-Maurice<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexiko\" >Mexique<\/option><option value=\"Mikronesien, F\u00f6derierte Staaten von\" >Micron\u00e9sie, \u00c9tats F\u00e9d\u00e9r\u00e9s de<\/option><option value=\"Moldawien\" >La moldavie<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolei\" >Mongolie<\/option><option value=\"Montenegro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Marokko\" >Maroc<\/option><option value=\"Mosambik\" >Mozambique<\/option><option value=\"Myanmar\" >Birmanie<\/option><option value=\"Namibia\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >N\u00e9pal<\/option><option value=\"Niederlande\" >Pays-bas<\/option><option value=\"Niederl\u00e4ndische Antillen\" >Antilles N\u00e9erlandaises<\/option><option value=\"Neukaledonien\" >La nouvelle-cal\u00e9donie<\/option><option value=\"Neuseeland\" >La nouvelle-z\u00e9lande<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Niue\" >Niou\u00e9<\/option><option value=\"Norfolkinsel\" >\u00cele norfolk<\/option><option value=\"N\u00f6rdliche Marianen\" >\u00celes Mariannes Du Nord<\/option><option value=\"Norwegen\" >La norv\u00e8ge<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palaos<\/option><option value=\"Pal\u00e4stina\" >La palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua-Neuguinea\" >La Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"Paraguay\" >Le Paraguay<\/option><option value=\"Peru\" >P\u00e9rou<\/option><option value=\"Philippinen\" >Philippines<\/option><option value=\"Pitcairninseln\" >\u00celes pitcairn<\/option><option value=\"Polen\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Porto Rico<\/option><option value=\"Katar\" >Qatar<\/option><option value=\"R\u00e9union\" >La R\u00e9union<\/option><option value=\"Rum\u00e4nien\" >La roumanie<\/option><option value=\"Russland\" >La russie<\/option><option value=\"Ruanda\" >Le rwanda<\/option><option value=\"Saint-Barth\u00e9lemy\" >Saint-Barth\u00e9lemy<\/option><option value=\"St. Helena\" >Sainte-H\u00e9l\u00e8ne<\/option><option value=\"St. Kitts und Nevis\" >Saint-Kitts-et-Nevis<\/option><option value=\"St. Lucia\" >Sainte-Lucie<\/option><option value=\"St. Martin (franz\u00f6sischer Teil)\" >Saint-Martin (Partie fran\u00e7aise)<\/option><option value=\"Saint-Pierre und Miquelon\" >Saint-Pierre-et-Miquelon<\/option><option value=\"St. Vincent und die Grenadinen\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >Saint-Marin<\/option><option value=\"S\u00e3o Tom\u00e9 und Pr\u00edncipe\" >S\u00e3o Tom\u00e9-et-Principe<\/option><option value=\"Saudi-Arabien\" >L&#039;Arabie Saoudite<\/option><option value=\"Senegal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbien\" >La serbie<\/option><option value=\"Seychellen\" >Seychelles<\/option><option value=\"Sierra Leone\" >La Sierra Leone<\/option><option value=\"Singapur\" >Singapour<\/option><option value=\"Slowakei\" >Slovaquie<\/option><option value=\"Slowenien\" >La slov\u00e9nie<\/option><option value=\"Salomonen\" >\u00celes salomon<\/option><option value=\"Somalia\" >Somalie<\/option><option value=\"S\u00fcdafrika\" >L&#039;afrique du sud<\/option><option value=\"S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln\" >G\u00e9orgie du sud et les \u00eeles sandwich du Sud<\/option><option value=\"S\u00fcdsudan\" >Le soudan du sud<\/option><option value=\"Spanien\" >Espagne<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Soudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Svalbard und Jan Mayen\" >Svalbard et Jan Mayen<\/option><option value=\"Swasiland\" >Swaziland<\/option><option value=\"Schweden\" >Su\u00e8de<\/option><option value=\"Schweiz\" >Suisse<\/option><option value=\"Syrien\" >La syrie<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tadschikistan\" >Tadjikistan<\/option><option value=\"Tansania\" >La tanzanie<\/option><option value=\"Thailand\" >Tha\u00eflande<\/option><option value=\"Osttimor\" >Le timor-oriental<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tok\u00e9laou<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad und Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunesien\" >Tunisie<\/option><option value=\"T\u00fcrkei\" >Turquie<\/option><option value=\"Turkmenistan\" >Turkm\u00e9nistan<\/option><option value=\"Turks- und Caicosinseln\" >Les \u00eeles Turks et Caicos<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Uganda\" >Ouganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"Vereinigte Arabische Emirate\" >\u00c9mirats Arabes Unis<\/option><option value=\"Vereinigtes K\u00f6nigreich\" >Royaume-Uni<\/option><option value=\"USA\" >\u00c9tats-UNIS<\/option><option value=\"Kleinere abgelegene Inseln der Vereinigten Staaten\" >Les petites \u00celes \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Usbekistan\" >Ouzb\u00e9kistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Britische Jungferninseln\" >\u00celes Vierges Britanniques<\/option><option value=\"Amerikanische Jungferninseln\" >\u00celes Vierges Am\u00e9ricaines<\/option><option value=\"Wallis und Futuna\" >Wallis-et-Futuna<\/option><option value=\"Westsahara\" >Sahara occidental<\/option><option value=\"Jemen\" >Y\u00e9men<\/option><option value=\"Sambia\" >La zambie<\/option><option value=\"Simbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_4\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_phone_number\" class=\"um-field um-field-tel  um-field-phone_number um-field-tel um-field-type_tel\" data-key=\"phone_number\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-phone\" aria-label=\"T\u00e9l\u00e9phone priv\u00e9\"><\/i><\/div><label for=\"phone_number-2688\">T\u00e9l\u00e9phone priv\u00e9<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"tel\" name=\"phone_number-2688\" id=\"phone_number-2688\" value=\"\" placeholder=\"+49 89 1234567\" data-validate=\"phone_number\" data-key=\"phone_number\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_mobile_number\" class=\"um-field um-field-tel  um-field-mobile_number um-field-tel um-field-type_tel\" data-key=\"mobile_number\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-mobile\" aria-label=\"Cellulaire\/T\u00e9l\u00e9phone Portable\"><\/i><\/div><label for=\"mobile_number-2688\">Cellulaire\/T\u00e9l\u00e9phone Portable<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"tel\" name=\"mobile_number-2688\" id=\"mobile_number-2688\" value=\"\" placeholder=\"+49 177 1234567\" data-validate=\"phone_number\" data-key=\"mobile_number\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_Telefon-andere\" class=\"um-field um-field-text  um-field-Telefon-andere um-field-text um-field-type_text\" data-key=\"Telefon-andere\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-android-call\" aria-label=\"T\u00e9l\u00e9phone autres\"><\/i><\/div><label for=\"Telefon-andere-2688\">T\u00e9l\u00e9phone autres<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"Telefon-andere-2688\" id=\"Telefon-andere-2688\" value=\"\" placeholder=\"+49 177 1234567\" data-validate=\"\" data-key=\"Telefon-andere\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-envelope-o\" aria-label=\"E-Mail\"><\/i><\/div><label for=\"user_email-2688\">E-Mail<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"user_email-2688\" id=\"user_email-2688\" value=\"\" placeholder=\"monmail@mysercice\" data-validate=\"unique_email\" data-key=\"user_email\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_5\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-is-conditional um-field-divider um-field-type_divider\" data-key=\"um_divider_2688_100\" style=\"border-bottom:4px solid #7fdabb;\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"contains\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"contains\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-divider-text\"><span>Les coordonn\u00e9es de Votre Partenaire (dans le m\u00eame M\u00e9nage vivant)<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_6\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_anrede-partner\" class=\"um-field um-field-radio  um-is-conditional um-field-anrede-partner um-field-radio um-field-type_radio\" data-key=\"anrede-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"anrede-partner-2688\">Salutation<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"anrede-partner[]\" value=\"Frau\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Femme<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"anrede-partner[]\" value=\"Herr\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">M.<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_2688_lastname-partner\" class=\"um-field um-field-text  um-is-conditional um-field-lastname-partner um-field-text um-field-type_text\" data-key=\"lastname-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"lastname-partner-2688\">Nom<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"lastname-partner-2688\" id=\"lastname-partner-2688\" value=\"\" placeholder=\"Nom de famille\" data-validate=\"\" data-key=\"lastname-partner\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_Telefon-privat-partner\" class=\"um-field um-field-text  um-is-conditional um-field-Telefon-privat-partner um-field-text um-field-type_text\" data-key=\"Telefon-privat-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"contains\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"contains\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Telefon-privat-partner-2688\">T\u00e9l\u00e9phone priv\u00e9<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Telefon-privat-partner-2688\" id=\"Telefon-privat-partner-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Telefon-privat-partner\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_Mobil-Handy-partner\" class=\"um-field um-field-text  um-is-conditional um-field-Mobil-Handy-partner um-field-text um-field-type_text\" data-key=\"Mobil-Handy-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"contains\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"contains\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Mobil-Handy-partner-2688\">Cellulaire\/T\u00e9l\u00e9phone Portable<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Mobil-Handy-partner-2688\" id=\"Mobil-Handy-partner-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Mobil-Handy-partner\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  class=\"um-field um-field-spacing  um-is-conditional um-field-spacing um-field-type_spacing\" data-key=\"um_spacing_2688_125\" style=\"height:77px;\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><\/div><div  class=\"um-field um-field-spacing  um-is-conditional um-field-spacing um-field-type_spacing\" data-key=\"um_spacing_2688_111\" style=\"height:20px;\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><\/div><div  id=\"um_field_2688_firstname-partner\" class=\"um-field um-field-text  um-is-conditional um-field-firstname-partner um-field-text um-field-type_text\" data-key=\"firstname-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"contains\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"contains\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"firstname-partner-2688\" id=\"firstname-partner-2688\" value=\"\" placeholder=\"Pr\u00e9nom\" data-validate=\"\" data-key=\"firstname-partner\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_Telefon-andere-partner\" class=\"um-field um-field-text  um-is-conditional um-field-Telefon-andere-partner um-field-text um-field-type_text\" data-key=\"Telefon-andere-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"contains\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"contains\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Telefon-andere-partner-2688\">T\u00e9l\u00e9phone autres<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"Telefon-andere-partner-2688\" id=\"Telefon-andere-partner-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Telefon-andere-partner\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_E-Mail-Adresse-partner\" class=\"um-field um-field-text  um-is-conditional um-field-E-Mail-Adresse-partner um-field-text um-field-type_text\" data-key=\"E-Mail-Adresse-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"contains\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"contains\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"E-Mail-Adresse-partner-2688\">E-Mail<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"E-Mail-Adresse-partner-2688\" id=\"E-Mail-Adresse-partner-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"E-Mail-Adresse-partner\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_7\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2525_3_4_18\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>Mes Donn\u00e9es personnelles<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_8\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Staatsangehorigkeit\" class=\"um-field um-field-text  um-field-Staatsangehorigkeit um-field-text um-field-type_text\" data-key=\"Staatsangehorigkeit\"><div class=\"um-field-label\"><label for=\"Staatsangehorigkeit-2688\">nationalit\u00e9<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Staatsangehorigkeit-2688\" id=\"Staatsangehorigkeit-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Staatsangehorigkeit\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_religion\" class=\"um-field um-field-select  um-field-religion um-field-select um-field-type_select\" data-key=\"religion\"><div class=\"um-field-label\"><label for=\"religion-2688\">Appartenance religieuse<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"religion\" id=\"religion\" data-validate=\"\" data-key=\"religion\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Christentum\" >Christianisme<\/option><option value=\"Islam\" >Islam<\/option><option value=\"Hinduismus\" >hindouisme<\/option><option value=\"Taoismus\" >tao\u00efsme<\/option><option value=\"Buddhismus\" >bouddhisme<\/option><option value=\"Judentum\" >juda\u00efsme<\/option><option value=\"Konfuzianismus\" >Confucianisme<\/option><option value=\"Sonstiges\" >Divers<\/option><option value=\"Keine\" >Pas<\/option><option value=\"keine Angaben\" >non sp\u00e9cifi\u00e9<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Sind-Sie-berufstatig\" class=\"um-field um-field-radio  um-field-Sind-Sie-berufstatig um-field-radio um-field-type_radio\" data-key=\"Sind-Sie-berufstatig\"><div class=\"um-field-label\"><label for=\"Sind-Sie-berufstatig-2688\">\u00cates-vous employ\u00e9?<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Sind-Sie-berufstatig[]\" value=\"ja, Vollzeit\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">oui, \u00e0 plein temps<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Sind-Sie-berufstatig[]\" value=\"ja, Teilzeit\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">oui, \u00e0 temps partiel<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Sind-Sie-berufstatig[]\" value=\"nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">non<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_birth_date\" class=\"um-field um-field-date  um-field-birth_date um-field-date um-field-type_date\" data-key=\"birth_date\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-calendar\" aria-label=\"Date de naissance\"><\/i><\/div><label for=\"birth_date-2688\">Date de naissance<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid um-datepicker\" type=\"text\" name=\"birth_date-2688\" id=\"birth_date-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"birth_date\" data-range=\"date_range\" data-years=\"18\" data-years_x=\"past\" data-disabled_weekdays=\"\" data-date_min=\"1900,01,01\" data-date_max=\"2004,01,01\" data-format=\"d mmm yyyy\" data-value=\"\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_wie-wichtig-ist-fur-sie-religion\" class=\"um-field um-field-select  um-field-wie-wichtig-ist-fur-sie-religion um-field-select um-field-type_select\" data-key=\"wie-wichtig-ist-fur-sie-religion\"><div class=\"um-field-label\"><label for=\"wie-wichtig-ist-fur-sie-religion-2688\">Quelle est l\u2019importance de la religion pour vous ?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"wie-wichtig-ist-fur-sie-religion\" id=\"wie-wichtig-ist-fur-sie-religion\" data-validate=\"\" data-key=\"wie-wichtig-ist-fur-sie-religion\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Sehr wichtig\" >Tr\u00e8s important<\/option><option value=\"Wichtig\" >Important<\/option><option value=\"Nicht wichtig\" >Pas important<\/option><option value=\"Keine Angabe\" >Non sp\u00e9cifi\u00e9<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Beruf-oder-derzeitige-Beschaftigung\" class=\"um-field um-field-text  um-field-Beruf-oder-derzeitige-Beschaftigung um-field-text um-field-type_text\" data-key=\"Beruf-oder-derzeitige-Beschaftigung\"><div class=\"um-field-label\"><label for=\"Beruf-oder-derzeitige-Beschaftigung-2688\">Profession ou emploi actuel<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Beruf-oder-derzeitige-Beschaftigung-2688\" id=\"Beruf-oder-derzeitige-Beschaftigung-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Beruf-oder-derzeitige-Beschaftigung\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_9\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-is-conditional um-field-divider um-field-type_divider\" data-key=\"um_divider_2525_3_4_18_42\" style=\"border-bottom:4px solid #7fdabb;\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-divider-text\"><span>Les Donn\u00e9es Personnelles De Votre Partenaire<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_10\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Staatsangehorigkeit-partner\" class=\"um-field um-field-text  um-is-conditional um-field-Staatsangehorigkeit-partner um-field-text um-field-type_text\" data-key=\"Staatsangehorigkeit-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Staatsangehorigkeit-partner-2688\">nationalit\u00e9<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Staatsangehorigkeit-partner-2688\" id=\"Staatsangehorigkeit-partner-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Staatsangehorigkeit-partner\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_Religionszugehorigkeit-partner\" class=\"um-field um-field-select  um-is-conditional um-field-Religionszugehorigkeit-partner um-field-select um-field-type_select\" data-key=\"Religionszugehorigkeit-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Religionszugehorigkeit-partner-2688\">Appartenance religieuse<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Religionszugehorigkeit-partner\" id=\"Religionszugehorigkeit-partner\" data-validate=\"\" data-key=\"Religionszugehorigkeit-partner\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"\" ><option value=\"\"><\/option><option value=\"Christentum\" >Christianisme<\/option><option value=\"Islam\" >Islam<\/option><option value=\"Hinduismus\" >hindouisme<\/option><option value=\"Taoismus\" >tao\u00efsme<\/option><option value=\"Buddhismus\" >bouddhisme<\/option><option value=\"Judentum\" >juda\u00efsme<\/option><option value=\"Konfuzianismus\" >Confucianisme<\/option><option value=\"Sonstiges\" >Divers<\/option><option value=\"Keine\" >Pas<\/option><option value=\"keine Angaben\" >non sp\u00e9cifi\u00e9<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Sind-Sie-berufstatig-partner\" class=\"um-field um-field-radio  um-is-conditional um-field-Sind-Sie-berufstatig-partner um-field-radio um-field-type_radio\" data-key=\"Sind-Sie-berufstatig-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Sind-Sie-berufstatig-partner-2688\">\u00cates-vous employ\u00e9?<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Sind-Sie-berufstatig-partner[]\" value=\"ja, Vollzeit\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">oui, \u00e0 plein temps<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Sind-Sie-berufstatig-partner[]\" value=\"ja, Teilzeit\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">oui, \u00e0 temps partiel<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Sind-Sie-berufstatig-partner[]\" value=\"nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">non<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_birth-date-partner\" class=\"um-field um-field-date  um-is-conditional um-field-birth-date-partner um-field-date um-field-type_date\" data-key=\"birth-date-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-calendar\" aria-label=\"Date de naissance\"><\/i><\/div><label for=\"birth-date-partner-2688\">Date de naissance<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid um-datepicker\" type=\"text\" name=\"birth-date-partner-2688\" id=\"birth-date-partner-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"birth-date-partner\" data-range=\"date_range\" data-years=\"50\" data-years_x=\"equal\" data-disabled_weekdays=\"\" data-date_min=\"1900,01,01\" data-date_max=\"2004,01,01\" data-format=\"d mmm yyyy\" data-value=\"\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_Wie-wichtig-ist-fur-Sie-Religion-partner\" class=\"um-field um-field-select  um-is-conditional um-field-Wie-wichtig-ist-fur-Sie-Religion-partner um-field-select um-field-type_select\" data-key=\"Wie-wichtig-ist-fur-Sie-Religion-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Wie-wichtig-ist-fur-Sie-Religion-partner-2688\">Quelle est l\u2019importance de la religion pour vous ?<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Wie-wichtig-ist-fur-Sie-Religion-partner\" id=\"Wie-wichtig-ist-fur-Sie-Religion-partner\" data-validate=\"\" data-key=\"Wie-wichtig-ist-fur-Sie-Religion-partner\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"\" ><option value=\"\"><\/option><option value=\"Sehr wichtig\" >Tr\u00e8s important<\/option><option value=\"Wichtig\" >Important<\/option><option value=\"Nicht wichtig\" >Pas important<\/option><option value=\"Keine Angabe\" >Non sp\u00e9cifi\u00e9<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Beruf-oder-derzeitige-Beschaftigung-partner\" class=\"um-field um-field-text  um-is-conditional um-field-Beruf-oder-derzeitige-Beschaftigung-partner um-field-text um-field-type_text\" data-key=\"Beruf-oder-derzeitige-Beschaftigung-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Beruf-oder-derzeitige-Beschaftigung-partner-2688\">Profession ou emploi actuel<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Beruf-oder-derzeitige-Beschaftigung-partner-2688\" id=\"Beruf-oder-derzeitige-Beschaftigung-partner-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Beruf-oder-derzeitige-Beschaftigung-partner\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_11\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2688_107\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>Votre Famille<\/span><\/div><\/div><div  id=\"um_field_2688_Anzahl-der-im-Haushalt-lebenden-Kinder\" class=\"um-field um-field-select  um-field-Anzahl-der-im-Haushalt-lebenden-Kinder um-field-select um-field-type_select\" data-key=\"Anzahl-der-im-Haushalt-lebenden-Kinder\"><div class=\"um-field-label\"><label for=\"Anzahl-der-im-Haushalt-lebenden-Kinder-2688\">Enfants vivant dans le m\u00e9nage<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Anzahl-der-im-Haushalt-lebenden-Kinder\" id=\"Anzahl-der-im-Haushalt-lebenden-Kinder\" data-validate=\"\" data-key=\"Anzahl-der-im-Haushalt-lebenden-Kinder\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kinder\" >Pas d&#039;enfants<\/option><option value=\"1 Kind\" >1 enfant<\/option><option value=\"2 Kinder\" >2 enfants<\/option><option value=\"3 Kinder\" >3 enfants<\/option><option value=\"4 Kinder\" >4 enfants<\/option><option value=\"5 Kinder\" >5 enfants<\/option><option value=\"6 Kinder\" >6 enfants<\/option><option value=\"Mehr als 6 Kinder\" >Plus de 6 enfants<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Altersgruppe-der-Kinder\" class=\"um-field um-field-checkbox  um-is-conditional um-field-Altersgruppe-der-Kinder um-field-checkbox um-field-type_checkbox\" data-key=\"Altersgruppe-der-Kinder\" data-cond-0-action=\"hide\" data-cond-0-field=\"Anzahl-der-im-Haushalt-lebenden-Kinder\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"Keine Kinder\" data-cond-1-action=\"hide\" data-cond-1-field=\"Anzahl-der-im-Haushalt-lebenden-Kinder\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"\"><div class=\"um-field-label\"><label for=\"Altersgruppe-der-Kinder-2688\">Tranche d&#039;\u00e2ge des enfants<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half\"><input   type=\"checkbox\" name=\"Altersgruppe-der-Kinder[]\" value=\"0-1\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">0-1<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right\"><input   type=\"checkbox\" name=\"Altersgruppe-der-Kinder[]\" value=\"2-5\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">2-5<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-checkbox  um-field-half\"><input   type=\"checkbox\" name=\"Altersgruppe-der-Kinder[]\" value=\"6-10\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">6-10<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right\"><input   type=\"checkbox\" name=\"Altersgruppe-der-Kinder[]\" value=\"ab 10\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">\u00e0 partir de 10<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-checkbox  um-field-half\"><input   type=\"checkbox\" name=\"Altersgruppe-der-Kinder[]\" value=\"ab 18\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">\u00e0 partir de 18<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_12\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Gibt-es-in-Ihrem-Haushalt-jemanden-mit-einer-korperlichen-oder-geistigen-Behinderung\" class=\"um-field um-field-radio  um-field-Gibt-es-in-Ihrem-Haushalt-jemanden-mit-einer-korperlichen-oder-geistigen-Behinderung um-field-radio um-field-type_radio\" data-key=\"Gibt-es-in-Ihrem-Haushalt-jemanden-mit-einer-korperlichen-oder-geistigen-Behinderung\"><div class=\"um-field-label\"><label for=\"Gibt-es-in-Ihrem-Haushalt-jemanden-mit-einer-korperlichen-oder-geistigen-Behinderung-2688\">Y a-t-il une personne dans votre foyer souffrant d&#039;un handicap physique ou mental\u00a0?<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Gibt-es-in-Ihrem-Haushalt-jemanden-mit-einer-korperlichen-oder-geistigen-Behinderung[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Gibt-es-in-Ihrem-Haushalt-jemanden-mit-einer-korperlichen-oder-geistigen-Behinderung[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_Rauchen-Sie\" class=\"um-field um-field-radio  um-field-Rauchen-Sie um-field-radio um-field-type_radio\" data-key=\"Rauchen-Sie\"><div class=\"um-field-label\"><label for=\"Rauchen-Sie-2688\">Est-ce qu&#039;il y a du tabac chez vous ?<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Rauchen-Sie[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Rauchen-Sie[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Rauchen-Sie[]\" value=\"Gelegentlich\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Occasionnellement<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_13\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_2688_Bitte-geben-Sie-eine-kurze-Beschreibung-um-wen-und-um-welche-Behinderung-es-sich-handelt\" class=\"um-field um-field-textarea  um-is-conditional um-field-Bitte-geben-Sie-eine-kurze-Beschreibung-um-wen-und-um-welche-Behinderung-es-sich-handelt um-field-textarea um-field-type_textarea\" data-key=\"Bitte-geben-Sie-eine-kurze-Beschreibung-um-wen-und-um-welche-Behinderung-es-sich-handelt\" data-cond-0-action=\"show\" data-cond-0-field=\"Gibt-es-in-Ihrem-Haushalt-jemanden-mit-einer-korperlichen-oder-geistigen-Behinderung\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"Ja\"><div class=\"um-field-label\"><label for=\"Bitte-geben-Sie-eine-kurze-Beschreibung-um-wen-und-um-welche-Behinderung-es-sich-handelt-2688\">Veuillez fournir une br\u00e8ve description de qui et de quel handicap il s&#039;agit.<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 100px;\" class=\"um-form-field valid\" name=\"Bitte-geben-Sie-eine-kurze-Beschreibung-um-wen-und-um-welche-Behinderung-es-sich-handelt\" id=\"Bitte-geben-Sie-eine-kurze-Beschreibung-um-wen-und-um-welche-Behinderung-es-sich-handelt\" placeholder=\"\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_14\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Ernahren-Sie-sich-vegetarisch\" class=\"um-field um-field-radio  um-field-Ernahren-Sie-sich-vegetarisch um-field-radio um-field-type_radio\" data-key=\"Ernahren-Sie-sich-vegetarisch\"><div class=\"um-field-label\"><label for=\"Ernahren-Sie-sich-vegetarisch-2688\">V\u00e9g\u00e9tarien<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Ernahren-Sie-sich-vegetarisch[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Ernahren-Sie-sich-vegetarisch[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_Ernahren-Sie-sich-vegan\" class=\"um-field um-field-radio  um-field-Ernahren-Sie-sich-vegan um-field-radio um-field-type_radio\" data-key=\"Ernahren-Sie-sich-vegan\"><div class=\"um-field-label\"><label for=\"Ernahren-Sie-sich-vegan-2688\">Vegan<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Ernahren-Sie-sich-vegan[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Ernahren-Sie-sich-vegan[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_15\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2688_123\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>Notre S\u00e9jour Au pair<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_16\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Ich-mochte-anfangen\" class=\"um-field um-field-date  um-field-Ich-mochte-anfangen um-field-date um-field-type_date\" data-key=\"Ich-mochte-anfangen\"><div class=\"um-field-label\"><label for=\"Ich-mochte-anfangen-2688\">Date de d\u00e9but au plus t\u00f4t<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid um-datepicker\" type=\"text\" name=\"Ich-mochte-anfangen-2688\" id=\"Ich-mochte-anfangen-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Ich-mochte-anfangen\" data-range=\"years\" data-years=\"50\" data-years_x=\"equal\" data-disabled_weekdays=\"\" data-date_min=\"2001,4,14\" data-date_max=\"2051,4,14\" data-format=\"d mmm yyyy\" data-value=\"\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_Ich-mochte-bleiben\" class=\"um-field um-field-select  um-field-Ich-mochte-bleiben um-field-select um-field-type_select\" data-key=\"Ich-mochte-bleiben\"><div class=\"um-field-label\"><label for=\"Ich-mochte-bleiben-2688\">La dur\u00e9e du s\u00e9jour<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Ich-mochte-bleiben\" id=\"Ich-mochte-bleiben\" data-validate=\"\" data-key=\"Ich-mochte-bleiben\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"1 Monat\" >1 Mois<\/option><option value=\"2 Monate\" >2 Mois<\/option><option value=\"3 Monate\" >3 Mois<\/option><option value=\"4 Monate\" >4 Mois<\/option><option value=\"5 Monate\" >5 Mois<\/option><option value=\"6 Monate\" >6 Mois<\/option><option value=\"7 Monate\" >7 Mois<\/option><option value=\"8 Monate\" >8 Mois<\/option><option value=\"9 Monate\" >9 Mois<\/option><option value=\"10 Monate\" >10 Mois<\/option><option value=\"11 Monate\" >11 Mois<\/option><option value=\"12 Monate\" >12 Mois<\/option><option value=\"13 Monate\" >13 Mois<\/option><option value=\"14 Monate\" >14 Mois<\/option><option value=\"15 Monate\" >15 Mois<\/option><option value=\"16 Monate\" >16 Mois<\/option><option value=\"17 Monate\" >17 Mois<\/option><option value=\"18 Monate\" >18 Mois<\/option><option value=\"19 Monate\" >19 Mois<\/option><option value=\"20 Monate\" >20 Mois<\/option><option value=\"21 Monate\" >21 Mois<\/option><option value=\"22 Monate\" >22 Mois<\/option><option value=\"23 Monate\" >23 Mois<\/option><option value=\"24 Monate\" >24 Mois<\/option><\/select><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_Spetester-Antrittstermin\" class=\"um-field um-field-date  um-field-Spetester-Antrittstermin um-field-date um-field-type_date\" data-key=\"Spetester-Antrittstermin\"><div class=\"um-field-label\"><label for=\"Spetester-Antrittstermin-2688\">Derni\u00e8re date de d\u00e9but<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid um-datepicker\" type=\"text\" name=\"Spetester-Antrittstermin-2688\" id=\"Spetester-Antrittstermin-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Spetester-Antrittstermin\" data-range=\"years\" data-years=\"50\" data-years_x=\"equal\" data-disabled_weekdays=\"\" data-date_min=\"2001,4,14\" data-date_max=\"2051,4,14\" data-format=\"d mmm yyyy\" data-value=\"\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_in-welche-lander-vermitteln-sie-agentur\" class=\"um-field um-field-multiselect  um-field-in-welche-lander-vermitteln-sie-agentur um-field-multiselect um-field-type_multiselect\" data-key=\"in-welche-lander-vermitteln-sie-agentur\"><div class=\"um-field-label\"><label for=\"in-welche-lander-vermitteln-sie-agentur-2688\">Pays souhait\u00e9\/pays souhait\u00e9s<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select   multiple=\"multiple\" name=\"in-welche-lander-vermitteln-sie-agentur[]\" id=\"in-welche-lander-vermitteln-sie-agentur\" data-maxsize=\"0\" data-validate=\"\" data-key=\"in-welche-lander-vermitteln-sie-agentur\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\"><option value=\"\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"\u00c5land\" >\u00c5land<\/option><option value=\"Albanien\" >L&#039;albanie<\/option><option value=\"Algerien\" >L&#039;alg\u00e9rie<\/option><option value=\"Amerikanisch-Samoa\" >Les Samoa Am\u00e9ricaines<\/option><option value=\"Andorra\" >Andorre<\/option><option value=\"Angola\" >L&#039;Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antarktika\" >L&#039;antarctide<\/option><option value=\"Antigua und Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Argentinien\" >L&#039;argentine<\/option><option value=\"Armenien\" >L&#039;arm\u00e9nie<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australien\" >Australie<\/option><option value=\"\u00d6sterreich\" >Autriche<\/option><option value=\"Aserbaidschan\" >L&#039;azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahre\u00efn<\/option><option value=\"Bangladesch\" >Bangladesh<\/option><option value=\"Barbados\" >Barbade<\/option><option value=\"Wei\u00dfrussland\" >Bi\u00e9lorussie<\/option><option value=\"Belgien\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >B\u00e9nin<\/option><option value=\"Bermuda\" >Bermoudes<\/option><option value=\"Bhutan\" >Bhoutan<\/option><option value=\"Bolivien\" >Bolivie<\/option><option value=\"Bosnien und Herzegowina\" >La bosnie-et-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Bouvetinsel\" >\u00cele bouvet<\/option><option value=\"Brasilien\" >Br\u00e9sil<\/option><option value=\"Britisches Territorium im Indischen Ozean\" >Territoire britannique de l&#039;Oc\u00e9an Indien<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgarien\" >La bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Kambodscha\" >Cambodge<\/option><option value=\"Kamerun\" >Cameroun<\/option><option value=\"Kanada\" >Canada<\/option><option value=\"Kap Verde\" >Le Cap-Vert<\/option><option value=\"Caymaninseln\" >Camans<\/option><option value=\"Zentralafrikanische Republik\" >R\u00e9publique Centrafricaine<\/option><option value=\"Tschad\" >Tchad<\/option><option value=\"Chile\" >Chili<\/option><option value=\"China\" >Chine<\/option><option value=\"Weihnachtsinsel\" >\u00cele christmas<\/option><option value=\"Kokosinseln (Keelinginseln)\" >Les \u00celes Cocos (Keeling)<\/option><option value=\"Kolumbien\" >Colombie<\/option><option value=\"Komoren\" >Comores<\/option><option value=\"Kongo\" >Kikongo<\/option><option value=\"Kongo\" >Kikongo<\/option><option value=\"Cookinseln\" >\u00celes cook<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Elfenbeink\u00fcste\" >C\u00f4te d&#039;ivoire<\/option><option value=\"Kroatien\" >La croatie<\/option><option value=\"Kuba\" >Cuba<\/option><option value=\"Zypern\" >Chypre<\/option><option value=\"Tschechien\" >La r\u00e9publique tch\u00e8que<\/option><option value=\"D\u00e4nemark\" >Danemark<\/option><option value=\"Dschibuti\" >Djibouti<\/option><option value=\"Dominica\" >Dominique<\/option><option value=\"Dominikanische Republik\" >R\u00e9publique Dominicaine<\/option><option value=\"Ecuador\" >\u00c9quateur<\/option><option value=\"\u00c4gypten\" >L&#039;egypte<\/option><option value=\"El Salvador\" >Salvador<\/option><option value=\"\u00c4quatorialguinea\" >Guin\u00e9e \u00e9quatoriale<\/option><option value=\"Eritrea\" >\u00c9rythr\u00e9e<\/option><option value=\"Estland\" >L&#039;estonie<\/option><option value=\"\u00c4thiopien\" >L&#039;ethiopie<\/option><option value=\"Falklandinseln\" >Les \u00eeles falkland<\/option><option value=\"F\u00e4r\u00f6er\" >\u00celes f\u00e9ro\u00e9<\/option><option value=\"Fidschi\" >Fidji<\/option><option value=\"Finnland\" >Finlande<\/option><option value=\"Frankreich\" >France<\/option><option value=\"Franz\u00f6sisch-Guayana\" >Guyane Fran\u00e7aise<\/option><option value=\"Franz\u00f6sisch-Polynesien\" >Polyn\u00e9sie Fran\u00e7aise<\/option><option value=\"Franz\u00f6sische S\u00fcd- und Antarktisgebiete\" >Terres australes et antarctiques fran\u00e7aises<\/option><option value=\"Gabun\" >Gabon<\/option><option value=\"Gambia\" >Gambie<\/option><option value=\"Sakartvelo\" >Georgie<\/option><option value=\"Deutschland\" >Allemagne<\/option><option value=\"Ghana\" >Le Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Griechenland\" >La gr\u00e8ce<\/option><option value=\"Gr\u00f6nland\" >Le groenland<\/option><option value=\"Grenada\" >Grenade<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guernsey\" >Guernesey<\/option><option value=\"Guinea\" >Guin\u00e9e<\/option><option value=\"Guinea-Bissau\" >La Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyane<\/option><option value=\"Haiti\" >Ha\u00efti<\/option><option value=\"Heard und McDonaldinseln\" >Heard et Mcdonald<\/option><option value=\"Heiliger Stuhl (Staat Vatikanstadt)\" >Saint-Si\u00e8ge (Cit\u00e9 Du Vatican)<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hongkong\" >Hong kong<\/option><option value=\"Ungarn\" >Hongrie<\/option><option value=\"Island\" >Island<\/option><option value=\"Indien\" >L&#039;inde<\/option><option value=\"Indonesien\" >Indon\u00e9sie<\/option><option value=\"Iran\" >L&#039;Iran<\/option><option value=\"Irak\" >Irak<\/option><option value=\"Irland\" >L&#039;irlande<\/option><option value=\"Isle of Man\" >\u00cele de Man<\/option><option value=\"Israel\" >Isra\u00ebl<\/option><option value=\"Italien\" >Italie<\/option><option value=\"Jamaika\" >La jama\u00efque<\/option><option value=\"Japan\" >Japon<\/option><option value=\"Jersey\" >Jersey<\/option><option value=\"Jordanien\" >La jordanie<\/option><option value=\"Kasachstan\" >Kazakhstan<\/option><option value=\"Kenia\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Nordkorea\" >La cor\u00e9e du nord<\/option><option value=\"S\u00fcdkorea\" >La cor\u00e9e du sud<\/option><option value=\"Kuwait\" >Kowe\u00eft<\/option><option value=\"Kirgisistan\" >Kirghizistan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lettland\" >La lettonie<\/option><option value=\"Libanon\" >Liban<\/option><option value=\"Lesotho\" >Le Lesotho<\/option><option value=\"Liberia\" >Lib\u00e9ria<\/option><option value=\"Libyen\" >La libye<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Litauen\" >La lituanie<\/option><option value=\"Luxemburg\" >Luxembourg<\/option><option value=\"Macau\" >Macao<\/option><option value=\"Mazedonien\" >Mac\u00e9doine<\/option><option value=\"Madagaskar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaisie<\/option><option value=\"Malediven\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Peint<\/option><option value=\"Marshallinseln\" >\u00celes marshall<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauretanien\" >La mauritanie<\/option><option value=\"Mauritius\" >\u00cele-Maurice<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexiko\" >Mexique<\/option><option value=\"Mikronesien, F\u00f6derierte Staaten von\" >Micron\u00e9sie, \u00c9tats F\u00e9d\u00e9r\u00e9s de<\/option><option value=\"Moldawien\" >La moldavie<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolei\" >Mongolie<\/option><option value=\"Montenegro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Marokko\" >Maroc<\/option><option value=\"Mosambik\" >Mozambique<\/option><option value=\"Myanmar\" >Birmanie<\/option><option value=\"Namibia\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >N\u00e9pal<\/option><option value=\"Niederlande\" >Pays-bas<\/option><option value=\"Niederl\u00e4ndische Antillen\" >Antilles N\u00e9erlandaises<\/option><option value=\"Neukaledonien\" >La nouvelle-cal\u00e9donie<\/option><option value=\"Neuseeland\" >La nouvelle-z\u00e9lande<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Niue\" >Niou\u00e9<\/option><option value=\"Norfolkinsel\" >\u00cele norfolk<\/option><option value=\"N\u00f6rdliche Marianen\" >\u00celes Mariannes Du Nord<\/option><option value=\"Norwegen\" >La norv\u00e8ge<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palaos<\/option><option value=\"Pal\u00e4stina\" >La palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua-Neuguinea\" >La Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"Paraguay\" >Le Paraguay<\/option><option value=\"Peru\" >P\u00e9rou<\/option><option value=\"Philippinen\" >Philippines<\/option><option value=\"Pitcairninseln\" >\u00celes pitcairn<\/option><option value=\"Polen\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Porto Rico<\/option><option value=\"Katar\" >Qatar<\/option><option value=\"R\u00e9union\" >La R\u00e9union<\/option><option value=\"Rum\u00e4nien\" >La roumanie<\/option><option value=\"Russland\" >La russie<\/option><option value=\"Ruanda\" >Le rwanda<\/option><option value=\"Saint-Barth\u00e9lemy\" >Saint-Barth\u00e9lemy<\/option><option value=\"St. Helena\" >Sainte-H\u00e9l\u00e8ne<\/option><option value=\"St. Kitts und Nevis\" >Saint-Kitts-et-Nevis<\/option><option value=\"St. Lucia\" >Sainte-Lucie<\/option><option value=\"St. Martin (franz\u00f6sischer Teil)\" >Saint-Martin (Partie fran\u00e7aise)<\/option><option value=\"Saint-Pierre und Miquelon\" >Saint-Pierre-et-Miquelon<\/option><option value=\"St. Vincent und die Grenadinen\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >Saint-Marin<\/option><option value=\"S\u00e3o Tom\u00e9 und Pr\u00edncipe\" >S\u00e3o Tom\u00e9-et-Principe<\/option><option value=\"Saudi-Arabien\" >L&#039;Arabie Saoudite<\/option><option value=\"Senegal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbien\" >La serbie<\/option><option value=\"Seychellen\" >Seychelles<\/option><option value=\"Sierra Leone\" >La Sierra Leone<\/option><option value=\"Singapur\" >Singapour<\/option><option value=\"Slowakei\" >Slovaquie<\/option><option value=\"Slowenien\" >La slov\u00e9nie<\/option><option value=\"Salomonen\" >\u00celes salomon<\/option><option value=\"Somalia\" >Somalie<\/option><option value=\"S\u00fcdafrika\" >L&#039;afrique du sud<\/option><option value=\"S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln\" >G\u00e9orgie du sud et les \u00eeles sandwich du Sud<\/option><option value=\"S\u00fcdsudan\" >Le soudan du sud<\/option><option value=\"Spanien\" >Espagne<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Soudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Svalbard und Jan Mayen\" >Svalbard et Jan Mayen<\/option><option value=\"Swasiland\" >Swaziland<\/option><option value=\"Schweden\" >Su\u00e8de<\/option><option value=\"Schweiz\" >Suisse<\/option><option value=\"Syrien\" >La syrie<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tadschikistan\" >Tadjikistan<\/option><option value=\"Tansania\" >La tanzanie<\/option><option value=\"Thailand\" >Tha\u00eflande<\/option><option value=\"Osttimor\" >Le timor-oriental<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tok\u00e9laou<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad und Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunesien\" >Tunisie<\/option><option value=\"T\u00fcrkei\" >Turquie<\/option><option value=\"Turkmenistan\" >Turkm\u00e9nistan<\/option><option value=\"Turks- und Caicosinseln\" >Les \u00eeles Turks et Caicos<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Uganda\" >Ouganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"Vereinigte Arabische Emirate\" >\u00c9mirats Arabes Unis<\/option><option value=\"Vereinigtes K\u00f6nigreich\" >Royaume-Uni<\/option><option value=\"USA\" >\u00c9tats-UNIS<\/option><option value=\"Kleinere abgelegene Inseln der Vereinigten Staaten\" >Les petites \u00celes \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Usbekistan\" >Ouzb\u00e9kistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Britische Jungferninseln\" >\u00celes Vierges Britanniques<\/option><option value=\"Amerikanische Jungferninseln\" >\u00celes Vierges Am\u00e9ricaines<\/option><option value=\"Wallis und Futuna\" >Wallis-et-Futuna<\/option><option value=\"Westsahara\" >Sahara occidental<\/option><option value=\"Jemen\" >Y\u00e9men<\/option><option value=\"Sambia\" >La zambie<\/option><option value=\"Simbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><\/div><div class=\"um-clear\"><\/div><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2525_3_4_18_42_47\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>Leurs Comp\u00e9tences Linguistiques<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_17\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Deutsch\" class=\"um-field um-field-select  um-field-Deutsch um-field-select um-field-type_select\" data-key=\"Deutsch\"><div class=\"um-field-label\"><label for=\"Deutsch-2688\">Allemand<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Deutsch\" id=\"Deutsch\" data-validate=\"\" data-key=\"Deutsch\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kenntnisse\" >Aucune Connaissance<\/option><option value=\"Grundkenntnisse\" >Connaissances de base<\/option><option value=\"Ausreichend\" >Suffisamment<\/option><option value=\"Befriedigend\" >Satisfaisant<\/option><option value=\"Gut\" >Bien<\/option><option value=\"Sehr gut\" >Tr\u00e8s bien<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Englisch\" class=\"um-field um-field-select  um-field-Englisch um-field-select um-field-type_select\" data-key=\"Englisch\"><div class=\"um-field-label\"><label for=\"Englisch-2688\">Anglais<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Englisch\" id=\"Englisch\" data-validate=\"\" data-key=\"Englisch\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kenntnisse\" >Aucune Connaissance<\/option><option value=\"Grundkenntnisse\" >Connaissances de base<\/option><option value=\"Ausreichend\" >Suffisamment<\/option><option value=\"Befriedigend\" >Satisfaisant<\/option><option value=\"Gut\" >Bien<\/option><option value=\"Sehr gut\" >Tr\u00e8s bien<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Franzosisch\" class=\"um-field um-field-select  um-field-Franzosisch um-field-select um-field-type_select\" data-key=\"Franzosisch\"><div class=\"um-field-label\"><label for=\"Franzosisch-2688\">Fran\u00e7ais<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Franzosisch\" id=\"Franzosisch\" data-validate=\"\" data-key=\"Franzosisch\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kenntnisse\" >Aucune Connaissance<\/option><option value=\"Grundkenntnisse\" >Connaissances de base<\/option><option value=\"Ausreichend\" >Suffisamment<\/option><option value=\"Befriedigend\" >Satisfaisant<\/option><option value=\"Gut\" >Bien<\/option><option value=\"Sehr gut\" >Tr\u00e8s bien<\/option><\/select><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_Spanisch\" class=\"um-field um-field-select  um-field-Spanisch um-field-select um-field-type_select\" data-key=\"Spanisch\"><div class=\"um-field-label\"><label for=\"Spanisch-2688\">Espagnol<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Spanisch\" id=\"Spanisch\" data-validate=\"\" data-key=\"Spanisch\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kenntnisse\" >Aucune Connaissance<\/option><option value=\"Grundkenntnisse\" >Connaissances de base<\/option><option value=\"Ausreichend\" >Suffisamment<\/option><option value=\"Befriedigend\" >Satisfaisant<\/option><option value=\"Gut\" >Bien<\/option><option value=\"Sehr gut\" >Tr\u00e8s bien<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Italienisch\" class=\"um-field um-field-select  um-field-Italienisch um-field-select um-field-type_select\" data-key=\"Italienisch\"><div class=\"um-field-label\"><label for=\"Italienisch-2688\">italien<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Italienisch\" id=\"Italienisch\" data-validate=\"\" data-key=\"Italienisch\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kenntnisse\" >Aucune Connaissance<\/option><option value=\"Grundkenntnisse\" >Connaissances de base<\/option><option value=\"Ausreichend\" >Suffisamment<\/option><option value=\"Befriedigend\" >Satisfaisant<\/option><option value=\"Gut\" >Bien<\/option><option value=\"Sehr gut\" >Tr\u00e8s bien<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Andere-Sprachkenntnisse\" class=\"um-field um-field-text  um-field-Andere-Sprachkenntnisse um-field-text um-field-type_text\" data-key=\"Andere-Sprachkenntnisse\"><div class=\"um-field-label\"><label for=\"Andere-Sprachkenntnisse-2688\">Autres comp\u00e9tences linguistiques<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"Andere-Sprachkenntnisse-2688\" id=\"Andere-Sprachkenntnisse-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Andere-Sprachkenntnisse\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_18\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-is-conditional um-field-divider um-field-type_divider\" data-key=\"um_divider_2525_3_4_18_42_47_56\" style=\"border-bottom:4px solid #7fdabb;\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-divider-text\"><span>Les Comp\u00e9tences Linguistiques De Votre Partenaire<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_19\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Deutsch-partner\" class=\"um-field um-field-select  um-is-conditional um-field-Deutsch-partner um-field-select um-field-type_select\" data-key=\"Deutsch-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"contains\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"contains\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Deutsch-partner-2688\">Allemand<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Deutsch-partner\" id=\"Deutsch-partner\" data-validate=\"\" data-key=\"Deutsch-partner\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kenntnisse\" >Aucune Connaissance<\/option><option value=\"Grundkenntnisse\" >Connaissances de base<\/option><option value=\"Ausreichend\" >Suffisamment<\/option><option value=\"Befriedigend\" >Satisfaisant<\/option><option value=\"Gut\" >Bien<\/option><option value=\"Sehr gut\" >Tr\u00e8s bien<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Englisch-partner\" class=\"um-field um-field-select  um-is-conditional um-field-Englisch-partner um-field-select um-field-type_select\" data-key=\"Englisch-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Englisch-partner-2688\">Anglais<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Englisch-partner\" id=\"Englisch-partner\" data-validate=\"\" data-key=\"Englisch-partner\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kenntnisse\" >Aucune Connaissance<\/option><option value=\"Grundkenntnisse\" >Connaissances de base<\/option><option value=\"Ausreichend\" >Suffisamment<\/option><option value=\"Befriedigend\" >Satisfaisant<\/option><option value=\"Gut\" >Bien<\/option><option value=\"Sehr gut\" >Tr\u00e8s bien<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Franzosisch-partner\" class=\"um-field um-field-select  um-is-conditional um-field-Franzosisch-partner um-field-select um-field-type_select\" data-key=\"Franzosisch-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"verheiratet\"><div class=\"um-field-label\"><label for=\"Franzosisch-partner-2688\">Fran\u00e7ais<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Franzosisch-partner\" id=\"Franzosisch-partner\" data-validate=\"\" data-key=\"Franzosisch-partner\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kenntnisse\" >Aucune Connaissance<\/option><option value=\"Grundkenntnisse\" >Connaissances de base<\/option><option value=\"Ausreichend\" >Suffisamment<\/option><option value=\"Befriedigend\" >Satisfaisant<\/option><option value=\"Gut\" >Bien<\/option><option value=\"Sehr gut\" >Tr\u00e8s bien<\/option><\/select><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_Spanisch-partner\" class=\"um-field um-field-select  um-is-conditional um-field-Spanisch-partner um-field-select um-field-type_select\" data-key=\"Spanisch-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Spanisch-partner-2688\">Espagnol<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Spanisch-partner\" id=\"Spanisch-partner\" data-validate=\"\" data-key=\"Spanisch-partner\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kenntnisse\" >Aucune Connaissance<\/option><option value=\"Grundkenntnisse\" >Connaissances de base<\/option><option value=\"Ausreichend\" >Suffisamment<\/option><option value=\"Befriedigend\" >Satisfaisant<\/option><option value=\"Gut\" >Bien<\/option><option value=\"Sehr gut\" >Tr\u00e8s bien<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Italienisch-partner\" class=\"um-field um-field-select  um-is-conditional um-field-Italienisch-partner um-field-select um-field-type_select\" data-key=\"Italienisch-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Italienisch-partner-2688\">italien<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Italienisch-partner\" id=\"Italienisch-partner\" data-validate=\"\" data-key=\"Italienisch-partner\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"Keine Kenntnisse\" >Aucune Connaissance<\/option><option value=\"Grundkenntnisse\" >Connaissances de base<\/option><option value=\"Ausreichend\" >Suffisamment<\/option><option value=\"Befriedigend\" >Satisfaisant<\/option><option value=\"Gut\" >Bien<\/option><option value=\"Sehr gut\" >Tr\u00e8s bien<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Andere-Sprachkenntnisse-partner\" class=\"um-field um-field-text  um-is-conditional um-field-Andere-Sprachkenntnisse-partner um-field-text um-field-type_text\" data-key=\"Andere-Sprachkenntnisse-partner\" data-cond-0-action=\"show\" data-cond-0-field=\"Familienstand\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"verheiratet\" data-cond-1-action=\"show\" data-cond-1-field=\"Familienstand\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"nichteheliche Gemeinschaft\"><div class=\"um-field-label\"><label for=\"Andere-Sprachkenntnisse-partner-2688\">Autres comp\u00e9tences linguistiques<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"Andere-Sprachkenntnisse-partner-2688\" id=\"Andere-Sprachkenntnisse-partner-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Andere-Sprachkenntnisse-partner\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_20\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2688_121\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>Votre Logement<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_21\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Sie-leben-in-einem-r\" class=\"um-field um-field-radio  um-field-Sie-leben-in-einem-r um-field-radio um-field-type_radio\" data-key=\"Sie-leben-in-einem-r\"><div class=\"um-field-label\"><label for=\"Sie-leben-in-einem-r-2688\">Situation de vie<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Sie-leben-in-einem-r[]\" value=\"Dorf\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Village<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Sie-leben-in-einem-r[]\" value=\"Kleinstadt\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Ville<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Sie-leben-in-einem-r[]\" value=\"Stadt\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Ville<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Sie-leben-in-einem-r[]\" value=\"Gro\u00dfstadt\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Ville<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_2688_Nachste-grobere-Stadt\" class=\"um-field um-field-text  um-field-Nachste-grobere-Stadt um-field-text um-field-type_text\" data-key=\"Nachste-grobere-Stadt\"><div class=\"um-field-label\"><label for=\"Nachste-grobere-Stadt-2688\">Prochaine plus grande ville<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Nachste-grobere-Stadt-2688\" id=\"Nachste-grobere-Stadt-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Nachste-grobere-Stadt\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_erreichbar_mit\" class=\"um-field um-field-checkbox  um-field-erreichbar_mit um-field-checkbox um-field-type_checkbox\" data-key=\"erreichbar_mit\"><div class=\"um-field-label\"><label for=\"erreichbar_mit-2688\">Joignable avec<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half\"><input   type=\"checkbox\" name=\"erreichbar_mit[]\" value=\"Zu Fu\u00df\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">\u00c0 pied<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right\"><input   type=\"checkbox\" name=\"erreichbar_mit[]\" value=\"Fahrrad\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">V\u00e9lo<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-checkbox  um-field-half\"><input   type=\"checkbox\" name=\"erreichbar_mit[]\" value=\"Bus\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">bus<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right\"><input   type=\"checkbox\" name=\"erreichbar_mit[]\" value=\"Bahn\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Former<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_Sie-wohnen-in-einem-r\" class=\"um-field um-field-radio  um-field-Sie-wohnen-in-einem-r um-field-radio um-field-type_radio\" data-key=\"Sie-wohnen-in-einem-r\"><div class=\"um-field-label\"><label for=\"Sie-wohnen-in-einem-r-2688\">Vous vivez dans un...<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Sie-wohnen-in-einem-r[]\" value=\"Haus\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Maison<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Sie-wohnen-in-einem-r[]\" value=\"Wohnung\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Appartement<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  class=\"um-field um-field-spacing  um-field-spacing um-field-type_spacing\" data-key=\"um_spacing_2688_119\" style=\"height:25px;\"><\/div><div  id=\"um_field_2688_Entfernung-in-km\" class=\"um-field um-field-text  um-field-Entfernung-in-km um-field-text um-field-type_text\" data-key=\"Entfernung-in-km\"><div class=\"um-field-label\"><label for=\"Entfernung-in-km-2688\">Distance en kilom\u00e8tres<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Entfernung-in-km-2688\" id=\"Entfernung-in-km-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Entfernung-in-km\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_Nachste-Sprachschule\" class=\"um-field um-field-text  um-field-Nachste-Sprachschule um-field-text um-field-type_text\" data-key=\"Nachste-Sprachschule\"><div class=\"um-field-label\"><label for=\"Nachste-Sprachschule-2688\">\u00c9cole de langue la plus proche<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Nachste-Sprachschule-2688\" id=\"Nachste-Sprachschule-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Nachste-Sprachschule\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_22\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Entfernung-in-km2\" class=\"um-field um-field-text  um-field-Entfernung-in-km2 um-field-text um-field-type_text\" data-key=\"Entfernung-in-km2\"><div class=\"um-field-label\"><label for=\"Entfernung-in-km2-2688\">Distance en kilom\u00e8tres<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Entfernung-in-km2-2688\" id=\"Entfernung-in-km2-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Entfernung-in-km2\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_erreichbar_mit2\" class=\"um-field um-field-checkbox  um-field-erreichbar_mit2 um-field-checkbox um-field-type_checkbox\" data-key=\"erreichbar_mit2\"><div class=\"um-field-label\"><label for=\"erreichbar_mit2-2688\">Joignable avec<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half\"><input   type=\"checkbox\" name=\"erreichbar_mit2[]\" value=\"Zu Fu\u00df\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">\u00c0 pied<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right\"><input   type=\"checkbox\" name=\"erreichbar_mit2[]\" value=\"Fahrrad\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">V\u00e9lo<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-checkbox  um-field-half\"><input   type=\"checkbox\" name=\"erreichbar_mit2[]\" value=\"Bus\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">bus<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right\"><input   type=\"checkbox\" name=\"erreichbar_mit2[]\" value=\"Bahn\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Former<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_23\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Haben-Sie-Haustiere\" class=\"um-field um-field-radio  um-field-Haben-Sie-Haustiere um-field-radio um-field-type_radio\" data-key=\"Haben-Sie-Haustiere\"><div class=\"um-field-label\"><label for=\"Haben-Sie-Haustiere-2688\">As-tu des animaux?<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Haben-Sie-Haustiere[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Haben-Sie-Haustiere[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_2688_Wenn-ja-Welche\" class=\"um-field um-field-text  um-is-conditional um-field-Wenn-ja-Welche um-field-text um-field-type_text\" data-key=\"Wenn-ja-Welche\" data-cond-0-action=\"show\" data-cond-0-field=\"Haben-Sie-Haustiere\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"Ja\"><div class=\"um-field-label\"><label for=\"Wenn-ja-Welche-2688\">Si oui, lequel<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Wenn-ja-Welche-2688\" id=\"Wenn-ja-Welche-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Wenn-ja-Welche\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_24\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2688_99\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>Votre Au pair Exp\u00e9rience<\/span><\/div><\/div><div  id=\"um_field_2688_Hatte-sie-schon-Au-Pairs\" class=\"um-field um-field-select  um-field-Hatte-sie-schon-Au-Pairs um-field-select um-field-type_select\" data-key=\"Hatte-sie-schon-Au-Pairs\"><div class=\"um-field-label\"><label for=\"Hatte-sie-schon-Au-Pairs-2688\">Avait-elle d\u00e9j\u00e0 eu des filles au pair ?<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Hatte-sie-schon-Au-Pairs\" id=\"Hatte-sie-schon-Au-Pairs\" data-validate=\"\" data-key=\"Hatte-sie-schon-Au-Pairs\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"noch kein Au-pair\" >pas encore de fille au pair<\/option><option value=\"1 Au-pair\" >1 fille au pair<\/option><option value=\"2 Au-pairs\" >2 filles au pair<\/option><option value=\"3 Au-pairs\" >3 filles au pair<\/option><option value=\"4 Au-pairs\" >4 filles au pair<\/option><option value=\"5 Au-pairs\" >5 filles au pair<\/option><option value=\"mehr als 5 Au-pairs\" >plus de 5 filles au pair<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Wurde-Ihnen-schon-ein-Au-pair-von-uns-vermittelt\" class=\"um-field um-field-radio  um-is-conditional um-field-Wurde-Ihnen-schon-ein-Au-pair-von-uns-vermittelt um-field-radio um-field-type_radio\" data-key=\"Wurde-Ihnen-schon-ein-Au-pair-von-uns-vermittelt\" data-cond-0-action=\"hide\" data-cond-0-field=\"Hatte-sie-schon-Au-Pairs\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"noch kein Au-pair\" data-cond-1-action=\"hide\" data-cond-1-field=\"Hatte-sie-schon-Au-Pairs\" data-cond-1-operator=\"equals to\" data-cond-1-value=\"noch kein Au-pair\" data-cond-2-action=\"hide\" data-cond-2-field=\"Hatte-sie-schon-Au-Pairs\" data-cond-2-operator=\"equals to\" data-cond-2-value=\"\"><div class=\"um-field-label\"><label for=\"Wurde-Ihnen-schon-ein-Au-pair-von-uns-vermittelt-2688\">Avons-nous d\u00e9j\u00e0 trouv\u00e9 une fille au pair pour vous ?<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Wurde-Ihnen-schon-ein-Au-pair-von-uns-vermittelt[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Wurde-Ihnen-schon-ein-Au-pair-von-uns-vermittelt[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_2688_Waren-Sie-zufrieden\" class=\"um-field um-field-radio  um-is-conditional um-field-Waren-Sie-zufrieden um-field-radio um-field-type_radio\" data-key=\"Waren-Sie-zufrieden\" data-cond-0-action=\"show\" data-cond-0-field=\"Wurde-Ihnen-schon-ein-Au-pair-von-uns-vermittelt\" data-cond-0-operator=\"contains\" data-cond-0-value=\"Ja\"><div class=\"um-field-label\"><label for=\"Waren-Sie-zufrieden-2688\">\u00c9tiez-vous satisfait ?<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Waren-Sie-zufrieden[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Waren-Sie-zufrieden[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_2688_Bitte-nennen-Sie-uns-die-Grunde-warum-Sie-nicht-zufrieden-waren\" class=\"um-field um-field-textarea  um-is-conditional um-field-Bitte-nennen-Sie-uns-die-Grunde-warum-Sie-nicht-zufrieden-waren um-field-textarea um-field-type_textarea\" data-key=\"Bitte-nennen-Sie-uns-die-Grunde-warum-Sie-nicht-zufrieden-waren\" data-cond-0-action=\"show\" data-cond-0-field=\"Waren-Sie-zufrieden\" data-cond-0-operator=\"contains\" data-cond-0-value=\"Nein\"><div class=\"um-field-label\"><label for=\"Bitte-nennen-Sie-uns-die-Grunde-warum-Sie-nicht-zufrieden-waren-2688\">Veuillez nous indiquer les raisons pour lesquelles vous n&#039;\u00eates pas satisfait<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 100px;\" class=\"um-form-field valid\" name=\"Bitte-nennen-Sie-uns-die-Grunde-warum-Sie-nicht-zufrieden-waren\" id=\"Bitte-nennen-Sie-uns-die-Grunde-warum-Sie-nicht-zufrieden-waren\" placeholder=\"\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_25\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2688_105\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>C&#039;est ce qui attend le jeune Au pair chez Vous<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_26\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Aufgaben-des-Au-pairs\" class=\"um-field um-field-checkbox  um-field-Aufgaben-des-Au-pairs um-field-checkbox um-field-type_checkbox\" data-key=\"Aufgaben-des-Au-pairs\"><div class=\"um-field-label\"><label for=\"Aufgaben-des-Au-pairs-2688\">Devoirs du jeune au pair<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half\"><input   type=\"checkbox\" name=\"Aufgaben-des-Au-pairs[]\" value=\"Kinderbetreuung\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">garde d&#039;enfants<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right\"><input   type=\"checkbox\" name=\"Aufgaben-des-Au-pairs[]\" value=\"Babysitten\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Baby-sitting<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-checkbox  um-field-half\"><input   type=\"checkbox\" name=\"Aufgaben-des-Au-pairs[]\" value=\"Haustiere betreuen\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Prendre soin des animaux de compagnie<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right\"><input   type=\"checkbox\" name=\"Aufgaben-des-Au-pairs[]\" value=\"Allg. Hilfe im Haushalt\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Aide g\u00e9n\u00e9rale au m\u00e9nage<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_Steht-dem-Au-pair-bei-Ihnen-ein-eigenes-Zimmer-zur-Verfugung\" class=\"um-field um-field-radio  um-field-Steht-dem-Au-pair-bei-Ihnen-ein-eigenes-Zimmer-zur-Verfugung um-field-radio um-field-type_radio\" data-key=\"Steht-dem-Au-pair-bei-Ihnen-ein-eigenes-Zimmer-zur-Verfugung\"><div class=\"um-field-label\"><label for=\"Steht-dem-Au-pair-bei-Ihnen-ein-eigenes-Zimmer-zur-Verfugung-2688\">L&#039;au pair a-t-il sa propre chambre ?<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Steht-dem-Au-pair-bei-Ihnen-ein-eigenes-Zimmer-zur-Verfugung[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Steht-dem-Au-pair-bei-Ihnen-ein-eigenes-Zimmer-zur-Verfugung[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_27\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_2688_room-description\" class=\"um-field um-field-textarea  um-is-conditional um-field-room-description um-field-textarea um-field-type_textarea\" data-key=\"room-description\" data-cond-0-action=\"show\" data-cond-0-field=\"Steht-dem-Au-pair-bei-Ihnen-ein-eigenes-Zimmer-zur-Verfugung\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"Ja\"><div class=\"um-field-label\"><label for=\"room-description-2688\">Br\u00e8ve description de la chambre (emplacement, taille, \u00e9quipements) ou du logement que vous pouvez proposer au jeune au pair<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 100px;\" class=\"um-form-field valid\" name=\"room-description\" id=\"room-description\" placeholder=\"\"><\/textarea><\/div><\/div><div  id=\"um_field_2688_room-description2\" class=\"um-field um-field-textarea  um-is-conditional um-field-room-description2 um-field-textarea um-field-type_textarea\" data-key=\"room-description2\" data-cond-0-action=\"show\" data-cond-0-field=\"Steht-dem-Au-pair-bei-Ihnen-ein-eigenes-Zimmer-zur-Verfugung\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"Nein\"><div class=\"um-field-label\"><label for=\"room-description2-2688\">Br\u00e8ve description de la chambre o\u00f9 vous pouvez loger votre au pair<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 100px;\" class=\"um-form-field valid\" name=\"room-description2\" id=\"room-description2\" placeholder=\"\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_28\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_2688_Monatliches-Taschengeld-fur-Ihr-Au-pair\" class=\"um-field um-field-text  um-field-Monatliches-Taschengeld-fur-Ihr-Au-pair um-field-text um-field-type_text\" data-key=\"Monatliches-Taschengeld-fur-Ihr-Au-pair\"><div class=\"um-field-label\"><label for=\"Monatliches-Taschengeld-fur-Ihr-Au-pair-2688\">Argent de poche mensuel pour votre au pair<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"Monatliches-Taschengeld-fur-Ihr-Au-pair-2688\" id=\"Monatliches-Taschengeld-fur-Ihr-Au-pair-2688\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Monatliches-Taschengeld-fur-Ihr-Au-pair\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_2688_Kostenubernahme-fur-Sprachkurse\" class=\"um-field um-field-select  um-field-Kostenubernahme-fur-Sprachkurse um-field-select um-field-type_select\" data-key=\"Kostenubernahme-fur-Sprachkurse\"><div class=\"um-field-label\"><label for=\"Kostenubernahme-fur-Sprachkurse-2688\">Remboursement des frais de cours de langue<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Kostenubernahme-fur-Sprachkurse\" id=\"Kostenubernahme-fur-Sprachkurse\" data-validate=\"\" data-key=\"Kostenubernahme-fur-Sprachkurse\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"ja, bis 1 Kurs\" >oui, jusqu&#039;\u00e0 1 cours<\/option><option value=\"ja, bis 2 Kurse\" >oui, jusqu&#039;\u00e0 2 cours<\/option><option value=\"alle Kurse\" >tous les cours<\/option><option value=\"vielleicht\" >peut-\u00eatre<\/option><option value=\"nein\" >non<\/option><\/select><\/div><\/div><div  class=\"um-field um-field-spacing  um-field-spacing um-field-type_spacing\" data-key=\"um_spacing_2688_120\" style=\"height:25px;\"><\/div><div  id=\"um_field_2688_Kostenubernahme-fur-Monatsfahrkarten\" class=\"um-field um-field-radio  um-field-Kostenubernahme-fur-Monatsfahrkarten um-field-radio um-field-type_radio\" data-key=\"Kostenubernahme-fur-Monatsfahrkarten\"><div class=\"um-field-label\"><label for=\"Kostenubernahme-fur-Monatsfahrkarten-2688\">Remboursement des frais pour les billets mensuels<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Kostenubernahme-fur-Monatsfahrkarten[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Kostenubernahme-fur-Monatsfahrkarten[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Kostenubernahme-fur-Monatsfahrkarten[]\" value=\"Vielleicht\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Peut-\u00eatre<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_2688_Erstattung-der-Anreisekosten\" class=\"um-field um-field-select  um-field-Erstattung-der-Anreisekosten um-field-select um-field-type_select\" data-key=\"Erstattung-der-Anreisekosten\"><div class=\"um-field-label\"><label for=\"Erstattung-der-Anreisekosten-2688\">Remboursement des frais de d\u00e9placement<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"Erstattung-der-Anreisekosten\" id=\"Erstattung-der-Anreisekosten\" data-validate=\"\" data-key=\"Erstattung-der-Anreisekosten\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Bitte w\u00e4hlen\" ><option value=\"\"><\/option><option value=\"ja, bis 50 Euro\" >oui, jusqu&#039;\u00e0 50 euros<\/option><option value=\"ja, bis 100 Euro\" >oui, jusqu&#039;\u00e0 100 euros<\/option><option value=\"ja, bis 150 Euro\" >oui, jusqu&#039;\u00e0 150 euros<\/option><option value=\"ja, bis 200 Euro\" >oui, jusqu&#039;\u00e0 200 euros<\/option><option value=\"ja, die gesamten Kosten\" >oui, tout le co\u00fbt<\/option><option value=\"vielleicht\" >peut-\u00eatre<\/option><option value=\"nein\" >non<\/option><\/select><\/div><\/div><div  id=\"um_field_2688_Ubernahme-der-Fahrtkosten-zur-Schule\" class=\"um-field um-field-radio  um-field-Ubernahme-der-Fahrtkosten-zur-Schule um-field-radio um-field-type_radio\" data-key=\"Ubernahme-der-Fahrtkosten-zur-Schule\"><div class=\"um-field-label\"><label for=\"Ubernahme-der-Fahrtkosten-zur-Schule-2688\">Prise en charge des frais de d\u00e9placement jusqu&#039;\u00e0 l&#039;\u00e9cole<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Ubernahme-der-Fahrtkosten-zur-Schule[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Ubernahme-der-Fahrtkosten-zur-Schule[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Ubernahme-der-Fahrtkosten-zur-Schule[]\" value=\"Vielleicht\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Peut-\u00eatre<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_2688_Mitnahme-des-Au-pairs-in-den-Urlaub\" class=\"um-field um-field-radio  um-field-Mitnahme-des-Au-pairs-in-den-Urlaub um-field-radio um-field-type_radio\" data-key=\"Mitnahme-des-Au-pairs-in-den-Urlaub\"><div class=\"um-field-label\"><label for=\"Mitnahme-des-Au-pairs-in-den-Urlaub-2688\">Emmener l&#039;au pair avec vous en vacances<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Mitnahme-des-Au-pairs-in-den-Urlaub[]\" value=\"Ja\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Oui<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"Mitnahme-des-Au-pairs-in-den-Urlaub[]\" value=\"Nein\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Non<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"Mitnahme-des-Au-pairs-in-den-Urlaub[]\" value=\"Vielleicht\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Peut-\u00eatre<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_29\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2688_128\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>Nos photos<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_30 illustrated-uploader\" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px;\"><div class=\"um-col-131\"><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_2688_129\">La photo de profil est requise pour que vos visages puissent \u00eatre vus lors de la consultation de votre profil et ailleurs. Soyez amical et souriez \u00e0 votre nouvelle fille au pair. Si vous souhaitez rester anonyme, utilisez une autre photo conviviale, par exemple du chien de la famille ou de votre hamster.<\/div><\/div><div class=\"um-col-132\"><div  id=\"um_field_2688_register_profile_photo\" class=\"um-field um-field-image  um-field-register_profile_photo um-field-image um-field-type_image\" data-key=\"register_profile_photo\" data-mode=\"register\" data-upload-label=\"Hochladen\"><input type=\"hidden\" name=\"register_profile_photo-2688\" id=\"register_profile_photo-2688\" value=\"\" \/><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-ios-person\" aria-label=\"Image de profil\"><\/i><\/div><label for=\"register_profile_photo-2688\">Image de profil<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\" style=\"text-align: center;\"><div class=\"um-single-image-preview crop\" data-crop=\"user\" data-key=\"register_profile_photo\"><a href=\"javascript:void(0);\" class=\"cancel\"><i class=\"um-icon-close\"><\/i><\/a><img decoding=\"async\" src=\"\" alt=\"\" \/><div class=\"um-clear\"><\/div><\/div><a href=\"javascript:void(0);\" data-modal=\"um_upload_single\" data-modal-size=\"normal\" data-modal-copy=\"1\" class=\"um-button um-btn-auto-width\">T\u00e9l\u00e9charger<\/a><\/div><div class=\"um-modal-hidden-content\"><div class=\"um-modal-header\"> Image de profil<\/div><div class=\"um-modal-body\"><div class=\"um-single-image-preview crop\"  data-crop=\"user\" data-ratio=\"1\" data-min_width=\"190\" data-min_height=\"190\" data-coord=\"\"><a href=\"javascript:void(0);\" class=\"cancel\"><i class=\"um-icon-close\"><\/i><\/a><img decoding=\"async\" src=\"\" alt=\"\" \/><div class=\"um-clear\"><\/div><\/div><div class=\"um-clear\"><\/div><div class=\"um-single-image-upload\" data-user_id=\"\" data-nonce=\"40878dfff3\" data-timestamp=\"1776198777\"  data-set_id=\"2688\" data-set_mode=\"register\" data-type=\"image\" data-key=\"register_profile_photo\" data-max_size=\"9999999\" data-max_size_error=\"Cette image est trop volumineuse\u00a0!\" data-min_size_error=\"Cette image est trop petite\u00a0!\" data-extension_error=\"D\u00e9sole, cette image n\u2019est pas valide.\"  data-allowed_types=\"png,jpeg,jpg,gif\" data-upload_text=\"Laden Sie Ihr Profilbild hoch\" data-max_files_error=\"Vous ne pouvez t\u00e9l\u00e9verser qu\u2019une seule image\" data-upload_help_text=\"\">T\u00e9l\u00e9charger<\/div><div class=\"um-modal-footer\">\r\n\t\t\t\t\t\t\t\t\t<div class=\"um-modal-right\">\r\n\t\t\t\t\t\t\t\t\t\t<a href=\"javascript:void(0);\" class=\"um-modal-btn um-finish-upload image disabled\" data-key=\"register_profile_photo\" data-change=\"Modifier la photo\" data-processing=\"En cours\u2026\">AppliquerEnregistrer<\/a>\r\n\t\t\t\t\t\t\t\t\t\t<a href=\"javascript:void(0);\" class=\"um-modal-btn alt\" data-action=\"um_remove_modal\"> Cancel<\/a>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<div class=\"um-clear\"><\/div>\r\n\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><div class=\"um-col-133\"><div  class=\"um-field um-field-shortcode  um-field-shortcode um-field-type_shortcode\" data-key=\"um_shortcode_2688_139\"><div class=\"is-ok\"><img decoding=\"async\" src=\"\/wp-content\/themes\/twentytwentythree-aupairscout\/assets\/images\/Portrait.jpg\"><\/div><div class=\"is-not-ok\"><img decoding=\"async\" src=\"\/wp-content\/themes\/twentytwentythree-aupairscout\/assets\/images\/Cover.jpg\"><\/div><div class=\"is-not-ok\"><img decoding=\"async\" src=\"\/wp-content\/themes\/twentytwentythree-aupairscout\/assets\/images\/Handy.jpg\"><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_31 illustrated-uploader\" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px;\"><div class=\"um-col-131\"><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_2688_129_132\">La photo de couverture est importante pour rendre votre profil int\u00e9ressant. Il doit par exemple vous montrer, vous et vos enfants, dans votre environnement familial. Si vous souhaitez rester anonyme, utilisez une autre belle photo de votre environnement familial.<\/div><\/div><div class=\"um-col-132\"><div  id=\"um_field_2688_register_cover_photo\" class=\"um-field um-field-image  um-field-register_cover_photo um-field-image um-field-type_image\" data-key=\"register_cover_photo\" data-mode=\"register\" data-upload-label=\"Hochladen\"><input type=\"hidden\" name=\"register_cover_photo-2688\" id=\"register_cover_photo-2688\" value=\"\" \/><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-picture-o\" aria-label=\"photo de couverture\"><\/i><\/div><label for=\"register_cover_photo-2688\">photo de couverture<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\" style=\"text-align: center;\"><div class=\"um-single-image-preview crop\" data-crop=\"user\" data-key=\"register_cover_photo\"><a href=\"javascript:void(0);\" class=\"cancel\"><i class=\"um-icon-close\"><\/i><\/a><img decoding=\"async\" src=\"\" alt=\"\" \/><div class=\"um-clear\"><\/div><\/div><a href=\"javascript:void(0);\" data-modal=\"um_upload_single\" data-modal-size=\"normal\" data-modal-copy=\"1\" class=\"um-button um-btn-auto-width\">T\u00e9l\u00e9charger<\/a><\/div><div class=\"um-modal-hidden-content\"><div class=\"um-modal-header\"> photo de couverture<\/div><div class=\"um-modal-body\"><div class=\"um-single-image-preview crop\"  data-crop=\"user\" data-ratio=\"1\" data-min_width=\"1000\" data-min_height=\"190\" data-coord=\"\"><a href=\"javascript:void(0);\" class=\"cancel\"><i class=\"um-icon-close\"><\/i><\/a><img decoding=\"async\" src=\"\" alt=\"\" \/><div class=\"um-clear\"><\/div><\/div><div class=\"um-clear\"><\/div><div class=\"um-single-image-upload\" data-user_id=\"\" data-nonce=\"40878dfff3\" data-timestamp=\"1776198777\"  data-set_id=\"2688\" data-set_mode=\"register\" data-type=\"image\" data-key=\"register_cover_photo\" data-max_size=\"9999999\" data-max_size_error=\"Cette image est trop volumineuse\u00a0!\" data-min_size_error=\"Cette image est trop petite\u00a0!\" data-extension_error=\"D\u00e9sole, cette image n\u2019est pas valide.\"  data-allowed_types=\"png,jpeg,jpg,gif\" data-upload_text=\"Laden Sie ein Titelbild hoch\" data-max_files_error=\"Vous ne pouvez t\u00e9l\u00e9verser qu\u2019une seule image\" data-upload_help_text=\"\">T\u00e9l\u00e9charger<\/div><div class=\"um-modal-footer\">\r\n\t\t\t\t\t\t\t\t\t<div class=\"um-modal-right\">\r\n\t\t\t\t\t\t\t\t\t\t<a href=\"javascript:void(0);\" class=\"um-modal-btn um-finish-upload image disabled\" data-key=\"register_cover_photo\" data-change=\"Modifier la photo\" data-processing=\"En cours\u2026\">AppliquerEnregistrer<\/a>\r\n\t\t\t\t\t\t\t\t\t\t<a href=\"javascript:void(0);\" class=\"um-modal-btn alt\" data-action=\"um_remove_modal\"> Cancel<\/a>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<div class=\"um-clear\"><\/div>\r\n\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><div class=\"um-col-133\"><div  class=\"um-field um-field-shortcode  um-field-shortcode um-field-type_shortcode\" data-key=\"um_shortcode_2688_138\"><div class=\"is-ok\"><img decoding=\"async\" src=\"\/wp-content\/themes\/twentytwentythree-aupairscout\/assets\/images\/Cover.jpg\"><\/div><div class=\"is-not-ok\"><img decoding=\"async\" src=\"\/wp-content\/themes\/twentytwentythree-aupairscout\/assets\/images\/Portrait.jpg\"><\/div><div class=\"is-not-ok\"><img decoding=\"async\" src=\"\/wp-content\/themes\/twentytwentythree-aupairscout\/assets\/images\/Handy.jpg\"><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_32\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_2688_129_132_134_135\"><strong>Plus d&#039;albums et de photos :<\/strong>\r\nWenn Sie registriert und angemeldet sind, m\u00fcssen Sie in Ihrem Profil weitere Alben und Bilder unter \"Fotos\" hinzuf\u00fcgen. Diese Fotos sollten Ihre Familie, Ihre Kinder sowie Haus, Garten, Umgebung, Haustiere, das Zimmer des Au-pairs, alles was Sie m\u00f6chten, darstellen. Selbstverst\u00e4ndlich kann diese Fotos nur das Au-pair sehen.<\/div><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_2688_128_133\" style=\"border-bottom:4px solid #7fdabb;\"><div class=\"um-field-divider-text\"><span>Mon message \u00e0 la fille au pair<\/span><\/div><\/div><div  id=\"um_field_2688_ihre-nachricht\" class=\"um-field um-field-textarea  um-field-ihre-nachricht um-field-textarea um-field-type_textarea\" data-key=\"ihre-nachricht\"><div class=\"um-field-label\"><label for=\"ihre-nachricht-2688\">Votre message \u00e0 AuPair<span class=\"um-req\" title=\"Obligatoire\">*<\/span><\/label><span class=\"um-tip um-tip-w\" title=\"Le nombre maximum de mots est de 2000\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 300px;\" class=\"um-form-field valid\" name=\"ihre-nachricht\" id=\"ihre-nachricht\" placeholder=\"Veuillez ne pas inclure d&#039;informations de contact dans votre message, sinon votre profil sera imm\u00e9diatement supprim\u00e9.\"><\/textarea><\/div><\/div><\/div><\/div>\n<!-- This file should primarily consist of HTML with a little bit of PHP. -->\n<div class=\"um-field um-field-type_terms_conditions\" data-key=\"use_terms_conditions_agreement\" style=\"display:block;padding:0;\">\n\t<div class=\"um-field-area\">\n\t\t<div class=\"um-gdpr-content\" style=\"display:none;\">\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<a href=\"javascript:void(0);\" class=\"um-toggle-gdpr\" data-toggle-state=\"hidden\"\n\t\t   data-toggle-show=\"Datenschutzerkl\u00e4rung zeigen\"\n\t\t   data-toggle-hide=\"Datenschutzerkl\u00e4rung verstecken\">\n\t\t\tPolitique de confidentialit\u00e9 de montrer\t\t<\/a>\n\t<\/div>\n\t<div class=\"um-field-area\">\n\n\t\t\n\t\t<label class=\"um-field-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"use_gdpr_agreement\" value=\"1\">\n\t\t\t<span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span>\n\t\t\t<span class=\"um-field-checkbox-option\">Je confirme par la pr\u00e9sente que les informations que j&#039;ai fournies ci-dessus sont compl\u00e8tes et v\u00e9ridiques. Je confirme en outre que j&#039;ai lu et accept\u00e9 les conditions g\u00e9n\u00e9rales et la d\u00e9claration de protection des donn\u00e9es.<\/span>\n\t\t<\/label>\n\t\t<div class=\"um-clear\"><\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\t<\/div>\n<\/div>\n\t\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_2688\" value=\"2688\" \/>\n\t\n\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_2688\">Ne remplissez que si vous n&#039;\u00eates pas humain<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_2688\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"314fc9582f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/1863\" \/>\r\n\t<div class=\"um-col-alt\">\r\n\r\n\t\t\r\n\t\t\t<div class=\"um-center\">\r\n\t\t\t\t<input type=\"submit\" value=\"enregistrer\" class=\"um-button\" id=\"um-submit-btn\" \/>\r\n\t\t\t<\/div>\r\n\r\n\t\t\r\n\t\t<div class=\"um-clear\"><\/div>\r\n\r\n\t<\/div>\r\n\r\n\t\n\t\t<input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form>\n\n\t<\/div>\n\n<\/div>\n<style>\n\t\t\t.um-2688.um {\n\t\t\tmax-width: 1100px;\n\t\t}\n\t\t<\/style>\n\n\n\n\n<section class=\"wp-block-group with-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\">Encore des questions ?<\/h3>\n\n\n\n<p>ENCORE DES QUESTIONS ? Si vous avez des questions, des probl\u00e8mes ou des suggestions, nous serons heureux de vous aider pendant les heures normales de bureau. Vous pouvez nous joindre par t\u00e9l\u00e9phone, email ou formulaire de contact. Nous avons dress\u00e9 une liste de questions et r\u00e9ponses, r\u00e9parties par domaine, dans la section \u00ab\u00a0Foire aux questions\u00a0\u00bb.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Kostenlose Registrierung als Gastfamilie M\u00f6chten Sie von einem Au-pair weltweit gefunden werden? Oder m\u00f6chten Sie in der Au-pair Galerie ein nettes Au-pair finden? Dann registrieren Sie sich bitte hier online. Laden Sie gleich ein symphatisches Profil-Bild sowie ein Titel-Foto Ihrer Familie hoch. Sp\u00e4ter k\u00f6nnen Sie nat\u00fcrlich noch sehr viel mehr Fotos und Alben in Ihrem [&hellip;]<\/p>\n","protected":false},"author":990158,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1863","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/aupairscout.com\/fr\/wp-json\/wp\/v2\/pages\/1863","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/aupairscout.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aupairscout.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aupairscout.com\/fr\/wp-json\/wp\/v2\/users\/990158"}],"replies":[{"embeddable":true,"href":"https:\/\/aupairscout.com\/fr\/wp-json\/wp\/v2\/comments?post=1863"}],"version-history":[{"count":12,"href":"https:\/\/aupairscout.com\/fr\/wp-json\/wp\/v2\/pages\/1863\/revisions"}],"predecessor-version":[{"id":6415,"href":"https:\/\/aupairscout.com\/fr\/wp-json\/wp\/v2\/pages\/1863\/revisions\/6415"}],"wp:attachment":[{"href":"https:\/\/aupairscout.com\/fr\/wp-json\/wp\/v2\/media?parent=1863"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}