{"id":13156,"date":"2026-09-23T16:28:51","date_gmt":"2026-09-23T20:28:51","guid":{"rendered":"https:\/\/www.phsd.ca\/?page_id=13156"},"modified":"2026-09-28T10:59:45","modified_gmt":"2026-09-28T14:59:45","slug":"dattestation-sensibilisation-a-la-vaccination","status":"publish","type":"page","link":"https:\/\/www.phsd.ca\/fr\/contact\/formulaires\/dattestation-sensibilisation-a-la-vaccination\/","title":{"rendered":"Formulaire d\u2019attestation de participation \u00e0 une s\u00e9ance de sensibilisation \u00e0 la vaccination"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Avisez-le que vous avez suivi la <em>s\u00e9ance de sensibilisation \u00e0 la vaccination en<\/em> remplissant le formulaire. Si vous demandez une exemption pour plus d&rsquo;un enfant, veuillez remplir un formulaire pour chaque enfant.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si vous avez d&rsquo;autres questions ou ne pouvez remplir le pr\u00e9sent formulaire, veuillez <a href=\"https:\/\/www.phsd.ca\/fr\/contact\/\">communiquer avec nous<\/a>.<\/p>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework mht-form_wrapper end_wrapper' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_31' ><form method='post' enctype='multipart\/form-data'  id='gform_31' class='mht-form end' action='\/fr\/wp-json\/wp\/v2\/pages\/13156' data-formid='31' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_31' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_31_18\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_18'><span class='gform-field-label__text'>LinkedIn<\/span><\/label><div class='ginput_container'><input name='input_18' id='input_31_18' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_31_18'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><fieldset id=\"field_31_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Nom complet du parent ou du tuteur<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Ce champ est obligatoire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_31_1'>\n                            \n                            <span id='input_31_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_31_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_31_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_31_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_31_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_31_1_6' class='gform-field-label gform-field-label--type-sub '>Nom de famille<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_31_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_3'><span class='gform-field-label__text'>Num\u00e9ro de t\u00e9l\u00e9phone du parent ou du tuteur<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Ce champ est obligatoire)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_31_3' type='tel' value='' class='large'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_31_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_4'><span class='gform-field-label__text'>Adresse de courriel du parent ou du tuteur<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Ce champ est obligatoire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_31_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_31_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_5'><span class='gform-field-label__text'>Confirmer l&#039;adresse de courriel<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Ce champ est obligatoire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_31_5' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_31_6\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Nom complet de l&#039;enfant<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_31_6'>\n                            \n                            <span id='input_31_6_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.3' id='input_31_6_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_31_6_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_31_6_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.6' id='input_31_6_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_31_6_6' class='gform-field-label gform-field-label--type-sub '>Nom de famille<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_31_7\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date de naissance de l&#039;enfant<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Ce champ est obligatoire)<\/span><\/span><\/legend><div id='input_31_7' class='ginput_container ginput_complex gform-grid-row'>\n                                        <div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_31_7_3_container'>\n                                            <input type='number' maxlength='4' name='input_7[]' id='input_31_7_3' value=''   aria-required='true'   placeholder='AAAA' min='1920' max='2027' step='1'\/>\n                                            <label for='input_31_7_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Ann\u00e9e<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_31_7_1_container'>\n                                            <input type='number' maxlength='2' name='input_7[]' id='input_31_7_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_31_7_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Mois<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_31_7_2_container'>\n                                            <input type='number' maxlength='2' name='input_7[]' id='input_31_7_2' value=''   aria-required='true'   placeholder='JJ' min='1' max='31' step='1'\/>\n                                            <label for='input_31_7_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Jour<\/label>\n                                       <\/div>\n                                    <\/div><\/fieldset><div id=\"field_31_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_14'><span class='gform-field-label__text'>Num\u00e9ro de carte de sant\u00e9 d\u2019Ontario de l\u2019enfant<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_31_14' type='text' value='' class='large'    placeholder='(xxxx-xxx-xxx)'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_31_9\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Adresse de l&#039;enfant<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Ce champ est obligatoire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_31_9' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_31_9_1_container' >\n                                        <input type='text' name='input_9.1' id='input_31_9_1' value=''    aria-required='true'    \/>\n                                        <label for='input_31_9_1' id='input_31_9_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse municipale<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_31_9_3_container' >\n                                    <input type='text' name='input_9.3' id='input_31_9_3' value=''    aria-required='true'    \/>\n                                    <label for='input_31_9_3' id='input_31_9_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_31_9_4_container' >\n                                        <input type='text' name='input_9.4' id='input_31_9_4' value=''      aria-required='true'    \/>\n                                        <label for='input_31_9_4' id='input_31_9_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_31_9_5_container' >\n                                    <input type='text' name='input_9.5' id='input_31_9_5' value=''    aria-required='true'    \/>\n                                    <label for='input_31_9_5' id='input_31_9_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_9.6' id='input_31_9_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_31_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_31_10'><span class='gform-field-label__text'>Nom de l&#039;\u00e9cole de l&#039;enfant<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Ce champ est obligatoire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_31_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_31_16\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Untitled<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Ce champ est obligatoire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_31_16'><div class='gchoice gchoice_31_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='En tant que parent ou tuteur de l&#039;enfant mentionn\u00e9 ci-dessus, je confirme que j&#039;ai regard\u00e9 int\u00e9gralement la vid\u00e9o d&#039;information sur les vaccins obligatoires. Je comprends que le visionnement de la vid\u00e9o est une exigence du minist\u00e8re de la Sant\u00e9 de l&#039;Ontario.'  id='choice_31_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_31_16_1' id='label_31_16_1' class='gform-field-label gform-field-label--type-inline'>En tant que parent ou tuteur de l&rsquo;enfant mentionn\u00e9 ci-dessus, je confirme que j&rsquo;ai regard\u00e9 int\u00e9gralement la vid\u00e9o d&rsquo;information sur les vaccins obligatoires. Je comprends que le visionnement de la vid\u00e9o est une exigence du minist\u00e8re de la Sant\u00e9 de l&rsquo;Ontario.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_31_17\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Untitled<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_31_17'><div class='gchoice gchoice_31_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Si votre enfant est \u00e2g\u00e9 de 16 ans ou plus : mon enfant m&#039;a donn\u00e9 l&#039;autorisation de soumettre le pr\u00e9sent formulaire en son nom.'  id='choice_31_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_31_17_1' id='label_31_17_1' class='gform-field-label gform-field-label--type-inline'>Si votre enfant est \u00e2g\u00e9 de 16 ans ou plus : mon enfant m&rsquo;a donn\u00e9 l&rsquo;autorisation de soumettre le pr\u00e9sent formulaire en son nom.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_31_15\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Protection de la vie priv\u00e9e<\/h3>\n\n\n<p>Les renseignements personnels contenus sur ce formulaire sont recueillis en vertu de l\u2019autorit\u00e9 d\u2019une ou de plusieurs des lois suivantes : la <em>Loi sur la protection et la promotion de la sant\u00e9, L.R.O. 1990<\/em>; la <em>Loi sur l\u2019immunisation des \u00e9l\u00e8ves, L.R.O. 1990<\/em>; la<em> Loi de 1991 sur les professions de la sant\u00e9 r\u00e9glement\u00e9es, L.O. 1991<\/em>. La cueillette de renseignements respecte les dispositions de la <em>Loi sur l\u2019acc\u00e8s \u00e0 l\u2019information municipale et la protection de la vie priv\u00e9e, L.R.O. 1990<\/em>; et la <em>Loi de 2004 sur la protection des renseignements personnels sur la sant\u00e9, L.O. 2004<\/em>. Les renseignements servent \u00e0 assurer que les personnes re\u00e7oivent les soins personnels et les services de sant\u00e9 publique appropri\u00e9s, et que des donn\u00e9es statistiques n\u00e9cessaires sont recueillies.<\/p>\n\n\n\n<p>Les questions concernant la collecte de ces renseignements devraient \u00eatre adress\u00e9es \u00e0 l\u2019agent de la protection de la vie priv\u00e9e, \u00e0 Sant\u00e9 publique Sudbury et districts, 1300, rue Paris, Sudbury, ON P3E 3A3 num\u00e9ro 705.522.9200.<\/p>\n<\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_31' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Soumettre<\/button> <input type='hidden' class='gform_hidden' name='gform_submission_speeds' value='{&quot;pages&quot;:[]}' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_31' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_31' id='gform_theme_31' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_31' id='gform_style_settings_31' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_31' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='31' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='VFXFBXz8pef0LpSz7cwQrMtwM20Ccv+C1AbM8mTCIKPaBQOzEaZ2BMJ9pB541QO66+JcZwVCa05FVvYVEL5aj61YQkno\/IM+JtEVjgA1uwHjl8g=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_31' value='WyJ7XCI5LjZcIjpcIjg4ZTY1NjkzMDNiZTkwMWFjYWI4M2M4ZWYxYjQ2MjhhXCIsXCIxNi4xXCI6XCI5NjQ1YTJhNmMyMDUyY2Q1NDg3ZmMyOWZmYTdlZTZmNlwiLFwiMTcuMVwiOlwiOGQ3ZTM4NGExZDAzMDdiOWQ2ZGRlMmEyMTc1ODIyZmFcIixcImdmb3JtX3N1Ym1pc3Npb25fbWV0aG9kXCI6W1wiYzkxY2I2YmZmYTkzNDkzZjliMzI0NTNiOGI0YWVlZWVcIixcIjgwNGZmM2VlYzgxODFkYmI2NTcxZjQwODAyNmQ1NjZhXCJdLFwiZ2Zvcm1fdGhlbWVcIjpcImZhOWQyYzAwYjYwZDZhNjk4MTA0NzZhMGNiMThkYTAwXCIsXCJnZm9ybV9zdHlsZV9zZXR0aW5nc1wiOlwiZjZlYjE0ZjA3Mjc1YmZmMzFkNzFlZDg4OWIwMzIyNjBcIixcImZvcm1faWRcIjpcImIwOGZkMTliNjY3ZDMyY2MzZGVhODQzMmU1ZTVmZDY3XCIsXCJ1cmxcIjpcIjYzNGIzNmFhOTA0ZDRjMmQyNDAxODlhYjRiMmM4OTBlXCIsXCJzdGF0ZV90aW1lc3RhbXBcIjpcImRmMzkyZDYxZDM2Y2E0OWVlYmQ0NWE1NGZhYjYyMTE0XCJ9IiwiYWVlNDJlMmUxYjNmMjU3MWYxMWE0ZTcxNTdjODhmOWQiLDE3OTE3NzA1NzFd' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_31' id='gform_target_page_number_31' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_31' id='gform_source_page_number_31' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>","protected":false},"excerpt":{"rendered":"<p>Avisez-le que vous avez suivi la s\u00e9ance de sensibilisation \u00e0 la vaccination en remplissant le formulaire. Si vous demandez une exemption pour plus d&rsquo;un enfant, veuillez remplir un formulaire pour chaque enfant. Si vous avez d&rsquo;autres questions ou ne pouvez remplir le pr\u00e9sent formulaire, veuillez communiquer avec nous.<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":7067,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"class_list":["post-13156","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Formulaire d\u2019attestation de participation \u00e0 une s\u00e9ance de sensibilisation \u00e0 la vaccination : Sant\u00e9 publique Sudbury et districts<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.phsd.ca\/fr\/contact\/formulaires\/dattestation-sensibilisation-a-la-vaccination\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaire d\u2019attestation de participation \u00e0 une s\u00e9ance de sensibilisation \u00e0 la vaccination\" \/>\n<meta property=\"og:description\" content=\"Avisez-le que vous avez suivi la s\u00e9ance de sensibilisation \u00e0 la vaccination en remplissant le formulaire. 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