{"id":20219,"date":"2025-09-07T20:31:06","date_gmt":"2025-09-08T00:31:06","guid":{"rendered":"https:\/\/www.airsomprisme.org\/?page_id=20219"},"modified":"2025-09-17T21:22:34","modified_gmt":"2025-09-18T01:22:34","slug":"contact-us-2","status":"publish","type":"page","link":"https:\/\/www.airsomprisme.org\/en\/contact-us-2\/","title":{"rendered":"Book an appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"20219\" class=\"elementor elementor-20219 elementor-20218\">\n\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4c11889 e-flex e-con-boxed parallax_section_no qode_elementor_container_no e-con e-parent\" data-id=\"4c11889\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-93c0f26 elementor-widget elementor-widget-shortcode\" data-id=\"93c0f26\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"booking-prisme-messages\"><\/div>\n\n<form class=\"booking-prisme-form\" method=\"POST\" novalidate>\n    <input type=\"hidden\" id=\"booking_prisme_nonce\" name=\"booking_prisme_nonce\" value=\"08e9207b1b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/20219\" \/>\n    <input type=\"hidden\" name=\"booking_prisme_action\" value=\"submit\" \/>\n\n    <div class=\"bp-step-header\">\n    <div class=\"bp-step-indicator\" aria-live=\"polite\">\u00c9tape 1 sur 4 \/ Step 1 of 4<\/div>\n    <\/div>\n\n    <div class=\"bp-steps\">\n        <!-- Step 1: Basic required info -->\n        <div class=\"bp-step active\" data-step=\"1\">\n            <p>\n                <label for=\"booking_prisme_first_name\">Pr\u00e9nom \/ First Name<\/label><br \/>\n                <input type=\"text\" id=\"booking_prisme_first_name\" name=\"booking_prisme_first_name\" value=\"\" \/>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_last_name\">Nom de famille \/ Last Name *<\/label><br \/>\n                <input required type=\"text\" id=\"booking_prisme_last_name\" name=\"booking_prisme_last_name\" value=\"\" \/>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_telephone\">T\u00e9l\u00e9phone \/ Telephone *<\/label><br \/>\n                <input required type=\"text\" id=\"booking_prisme_telephone\" name=\"booking_prisme_telephone\" value=\"\" \/>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_genre\">Genre \/ Genre *<\/label><br \/>\n                <select required id=\"booking_prisme_genre\" name=\"booking_prisme_genre\">\n                    <option value=\"\">S\u00e9lectionner... \/ Select...<\/option>\n                                            <option value=\"484\">Homme \/ Male<\/option>\n                                            <option value=\"303\">Femme \/ Female<\/option>\n                                            <option value=\"304\">Autre \/ Other<\/option>\n                                    <\/select>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_language\">Langue du service \/ Service Language *<\/label><br \/>\n                <select required id=\"booking_prisme_language\" name=\"booking_prisme_language\">\n                    <option value=\"\">S\u00e9lectionner... \/ Select...<\/option>\n                                            <option value=\"311\">Anglais \/ English<\/option>\n                                            <option value=\"313\">Espagnol \/ Spanish<\/option>\n                                            <option value=\"330\">Fran\u00e7ais \/ French<\/option>\n                                    <\/select>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_immigration_status\">Statut d&#039;immigration actuel \/ Current Immigration Status *<\/label><br \/>\n                <select required id=\"booking_prisme_immigration_status\" name=\"booking_prisme_immigration_status\">\n                    <option value=\"\">S\u00e9lectionner... \/ Select...<\/option>\n                                            <option value=\"430\">Demandeur d&#039;asile \/ Asylum Seeker<\/option>\n                                            <option value=\"431\">Demandeur d&#039;asile reconnu \/ Recognized Asylum Seeker<\/option>\n                                            <option value=\"433\">\u00c9tudiant \u00e9tranger \/ International Student<\/option>\n                                            <option value=\"432\">Autre \/ Other<\/option>\n                                            <option value=\"429\">Citoyen canadien \/ Canadian Citizen<\/option>\n                                            <option value=\"428\">R\u00e9sident permanent \/ Permanent Resident<\/option>\n                                            <option value=\"435\">Travailleur temporaire \/ Temporary Worker<\/option>\n                                    <\/select>\n            <\/p>\n        <\/div>\n\n        <!-- Step 2: Contact and location details -->\n        <div class=\"bp-step\" data-step=\"2\">\n            <p>\n                <label for=\"booking_prisme_email\">Courriel \/ Email<\/label><br \/>\n                <input type=\"email\" id=\"booking_prisme_email\" name=\"booking_prisme_email\" value=\"\" \/>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_address\">Adresse \/ Address<\/label><br \/>\n                <input type=\"text\" id=\"booking_prisme_address\" name=\"booking_prisme_address\" value=\"\" \/>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_postal_code\">Code postal \/ Postal Code<\/label><br \/>\n                <input type=\"text\" id=\"booking_prisme_postal_code\" name=\"booking_prisme_postal_code\" value=\"\" \/>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_city\">Ville \/ City<\/label><br \/>\n                <select id=\"booking_prisme_city\" name=\"booking_prisme_city\">\n                    <option value=\"\">S\u00e9lectionner... \/ Select...<\/option>\n                                            <option value=\"193\">Montreal<\/option>\n                                            <option value=\"194\">Ch\u00e2teauguay<\/option>\n                                            <option value=\"198\">Laval<\/option>\n                                            <option value=\"199\">Dorval<\/option>\n                                            <option value=\"200\">Saint-Constant<\/option>\n                                            <option value=\"201\">C\u00f4te-saint-luc<\/option>\n                                            <option value=\"204\">Longueil<\/option>\n                                            <option value=\"532\">Autre \/ Other<\/option>\n                                    <\/select>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_neighborhood\">Quartier \/ Neighborhood<\/label><br \/>\n                <select id=\"booking_prisme_neighborhood\" name=\"booking_prisme_neighborhood\">\n                    <option value=\"\">S\u00e9lectionner... \/ Select...<\/option>\n                                            <option value=\"287\">Ahuntsic-Cartierville<\/option>\n                                            <option value=\"299\">Anjou<\/option>\n                                            <option value=\"288\">C\u00f4te-des-Neiges\u2013Notre-Dame-de-Gr\u00e2ce<\/option>\n                                            <option value=\"301\">\u00cele-Bizard\u2013Sainte-Genevi\u00e8ve<\/option>\n                                            <option value=\"285\">Lachine<\/option>\n                                            <option value=\"284\">LaSalle<\/option>\n                                            <option value=\"289\">Le Plateau-Mont-Royal<\/option>\n                                            <option value=\"290\">Le Sud-Ouest<\/option>\n                                            <option value=\"294\">Mercier\u2013Hochelaga-Maisonneuve<\/option>\n                                            <option value=\"296\">Montr\u00e9al-Nord<\/option>\n                                            <option value=\"300\">Outremont<\/option>\n                                            <option value=\"298\">Pierrefonds-Roxboro<\/option>\n                                            <option value=\"302\">Rivi\u00e8re-des-Prairies\u2013Pointe-aux-Trembles<\/option>\n                                            <option value=\"293\">Rosemont\u2013La Petite-Patrie<\/option>\n                                            <option value=\"297\">Saint-Laurent<\/option>\n                                            <option value=\"292\">Saint-L\u00e9onard<\/option>\n                                            <option value=\"286\">Verdun<\/option>\n                                            <option value=\"295\">Ville-Mari<\/option>\n                                            <option value=\"291\">Villeray\u2013Saint-Michel\u2013Parc-Extension<\/option>\n                                    <\/select>\n            <\/p>\n        <\/div>\n\n        <!-- Step 3: Remaining optional details -->\n        <div class=\"bp-step\" data-step=\"3\">\n            <p>\n                <label for=\"booking_prisme_date_of_birth\">Date de naissance \/ Date of Birth<\/label><br \/>\n                <input type=\"date\" id=\"booking_prisme_date_of_birth\" name=\"booking_prisme_date_of_birth\" \/>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_country_of_birth\">Pays de naissance \/ Country of Birth<\/label><br \/>\n                <select id=\"booking_prisme_country_of_birth\" name=\"booking_prisme_country_of_birth\">\n                    <option value=\"\">S\u00e9lectionner... \/ Select...<\/option>\n                                            <option value=\"35\">Chine \/ China<\/option>\n                                            <option value=\"30\">Colombie \/ Colombia<\/option>\n                                            <option value=\"31\">Inde \/ India<\/option>\n                                            <option value=\"33\">Mexique \/ Mexico<\/option>\n                                            <option value=\"25\">Nig\u00e9ria \/ Nigeria<\/option>\n                                            <option value=\"22\">Russie \/ Russia<\/option>\n                                            <option value=\"60\">Turquie \/ Turkey<\/option>\n                                            <option value=\"24\">Ukraine \/ Ukraine<\/option>\n                                            <option value=\"532\">Autre \/ Other<\/option>\n                                    <\/select>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_mother_tongue\">Langue maternelle \/ Mother Tongue<\/label><br \/>\n                <select id=\"booking_prisme_mother_tongue\" name=\"booking_prisme_mother_tongue\">\n                    <option value=\"\">S\u00e9lectionner... \/ Select...<\/option>\n                                            <option value=\"311\">Anglais \/ English<\/option>\n                                            <option value=\"315\">Arabe \/ Arabic<\/option>\n                                            <option value=\"313\">Espagnol \/ Spanish<\/option>\n                                            <option value=\"330\">Fran\u00e7ais \/ French<\/option>\n                                            <option value=\"337\">Hindi \/ Hindi<\/option>\n                                            <option value=\"319\">Mandarin \/ Mandarin<\/option>\n                                            <option value=\"314\">Portugais \/ Portuguese<\/option>\n                                            <option value=\"323\">Punjabi \/ Punjabi<\/option>\n                                            <option value=\"312\">russe \/ Russian<\/option>\n                                            <option value=\"335\">Serbo-croate \/ Serbo-Croatian<\/option>\n                                            <option value=\"346\">Tagalog \/ Tagalog<\/option>\n                                            <option value=\"340\">Turc \/ Turkish<\/option>\n                                            <option value=\"316\">Ukr\u00e9nien \/ Ukrainian<\/option>\n                                            <option value=\"321\">Autres \/ Others<\/option>\n                                    <\/select>\n            <\/p>\n            <!-- Main Activity field removed as requested -->\n            <p>\n                <label for=\"booking_prisme_education_level\">Niveau d&#039;\u00e9tudes \/ Education Level<\/label><br \/>\n                <select id=\"booking_prisme_education_level\" name=\"booking_prisme_education_level\">\n                    <option value=\"\">S\u00e9lectionner... \/ Select...<\/option>\n                                            <option value=\"410\">Coll\u00e8ge ou c\u00e9gep \/ College or CEGEP<\/option>\n                                            <option value=\"412\">\u00c9cole de m\u00e9tier \/ Trade School<\/option>\n                                            <option value=\"411\">Secondaire \/ High School<\/option>\n                                            <option value=\"409\">Universitaire \/ University<\/option>\n                                            <option value=\"408\">inconnu \/ Unknown<\/option>\n                                            <option value=\"413\">Aucun \/ None<\/option>\n                                    <\/select>\n            <\/p>\n        <\/div>\n\n        <!-- Step 4: Requested service and schedule -->\n        <div class=\"bp-step\" data-step=\"4\">\n            <p>\n                <label for=\"booking_prisme_comments\">Service demand\u00e9 \/ Requested service *<\/label><br \/>\n                <textarea id=\"booking_prisme_comments\" name=\"booking_prisme_comments\" rows=\"4\" style=\"width:100%\" required><\/textarea>\n            <\/p>\n            <p>\n                <label for=\"booking_prisme_available_schedule\">Horaire disponible \/ Available Schedule *<\/label><br \/>\n                <select required id=\"booking_prisme_available_schedule\" name=\"booking_prisme_available_schedule\">\n                    <option value=\"\">S\u00e9lectionner... \/ Select...<\/option>\n                                            <option value=\"228\">Lundi \/ Monday, May 11, 3:00 PM<\/option>\n                                            <option value=\"229\">Lundi \/ Monday, May 11, 4:00 PM<\/option>\n                                            <option value=\"230\">Lundi \/ Monday, May 11, 5:00 PM<\/option>\n                                            <option value=\"231\">Jeudi \/ Thursday, May 14, 9:00 AM<\/option>\n                                            <option value=\"232\">Jeudi \/ Thursday, May 14, 10:00 AM<\/option>\n                                            <option value=\"233\">Jeudi \/ Thursday, May 14, 11:00 AM<\/option>\n                                            <option value=\"234\">Lundi \/ Monday, May 18, 3:00 PM<\/option>\n                                            <option value=\"235\">Lundi \/ Monday, May 18, 4:00 PM<\/option>\n                                            <option value=\"236\">Lundi \/ Monday, May 18, 5:00 PM<\/option>\n                                            <option value=\"237\">Jeudi \/ Thursday, May 21, 9:00 AM<\/option>\n                                            <option value=\"238\">Jeudi \/ Thursday, May 21, 10:00 AM<\/option>\n                                            <option value=\"239\">Jeudi \/ Thursday, May 21, 11:00 AM<\/option>\n                                    <\/select>\n            <\/p>\n        <\/div>\n    <\/div>\n\n    <div class=\"bp-nav\">\n    <button type=\"button\" class=\"bp-btn-prev\" data-bp-prev style=\"display:none\">Retour \/ Back<\/button>\n    <button type=\"button\" class=\"bp-btn-next\" data-bp-next>Suivant \/ Next<\/button>\n                <div style=\"margin:12px 0\">\n            <div class=\"g-recaptcha\" data-sitekey=\"6LcaKYUaAAAAAI_307iSWmUFIIb4eM3CscrZMtKd\"><\/div>\n        <\/div>\n        <button type=\"submit\" class=\"bp-btn-submit\" data-bp-submit style=\"display:none\">Pr\u00e9inscription \/ Pre-register<\/button>\n    <\/div>\n<\/form>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"\u00c9tape 1 sur 4 \/ Step 1 of 4 Pr\u00e9nom \/ First Name Nom de famille \/ Last Name * T\u00e9l\u00e9phone \/ Telephone * Genre \/ Genre * S\u00e9lectionner... \/ Select... Homme \/ Male Femme \/ Female Autre \/ Other Langue du service \/ Service...","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full_width.php","meta":{"content-type":"","footnotes":""},"class_list":["post-20219","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.airsomprisme.org\/en\/wp-json\/wp\/v2\/pages\/20219","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.airsomprisme.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.airsomprisme.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.airsomprisme.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.airsomprisme.org\/en\/wp-json\/wp\/v2\/comments?post=20219"}],"version-history":[{"count":10,"href":"https:\/\/www.airsomprisme.org\/en\/wp-json\/wp\/v2\/pages\/20219\/revisions"}],"predecessor-version":[{"id":20296,"href":"https:\/\/www.airsomprisme.org\/en\/wp-json\/wp\/v2\/pages\/20219\/revisions\/20296"}],"wp:attachment":[{"href":"https:\/\/www.airsomprisme.org\/en\/wp-json\/wp\/v2\/media?parent=20219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}