Harmonie Sainte Cécile de Bourg de Péage

Not authenticated.Pass :

<header>
        <h1>Inscriptions pour l'année 2025-2026</h1>
    </header>
    <main>
        <form action="/inscription" method="post">
            <fieldset class="nomprenom">
                <legend>Informations personnelles</legend>
                <div>
                    <label for="nom">Nom :</label>
                    <input type="text" id="nom" name="nom" required>
                </div>
                <div>
                    <label for="prenom">Prénom :</label>
                    <input type="text" id="prenom" name="prenom" required>
                </div>
            </fieldset>

<fieldset class="coordonnees">
                <legend>Coordonnées</legend>
                <div>
                    <label for="adresse">Adresse postale :</label>
                    <input type="text" id="adresse" name="adresse" required>
                </div>
                <div>
                    <label for="code_postal">Code postal :</label>
                    <input type="text" id="code_postal" name="code_postal" required>
                </div>
                <div>
                    <label for="ville">Ville :</label>
                    <input type="text" id="ville" name="ville" required>
                </div>
                <div>
                    <label for="telephone">Téléphone :</label>
                    <input type="tel" id="telephone" name="telephone" required>
                </div>
                <div>
                    <label for="email">Email :</label>
                    <input type="email" id="email" name="email" required>
                </div>
            </fieldset>

<fieldset>
                <legend>Informations musicales</legend>
                <div>
                    <label for="pratique">Cours :</label>
                    <input type="text" id="pratique" name="pratique" required>
                </div>
                <div>
                    <label for="niveau">Niveau :</label>
                    <input type="text" id="niveau" name="niveau">
                </div>
            </fieldset>

<div>
                <button type="submit">S'inscrire</button>
            </div>
        </form>
    </main>

IP: 216.73.216.135