{"id":72806,"date":"2025-10-21T17:36:39","date_gmt":"2025-10-21T21:36:39","guid":{"rendered":"https:\/\/fej-canada.ca\/formulaire-de-billet-de-tirage-fej-canada-2025\/"},"modified":"2025-10-21T17:36:39","modified_gmt":"2025-10-21T21:36:39","slug":"formulaire-de-billet-de-tirage-fej-canada-2025","status":"publish","type":"page","link":"https:\/\/fej-canada.ca\/fr\/formulaire-de-billet-de-tirage-fej-canada-2025\/","title":{"rendered":"Formulaire de billet de tirage FEJ Canada 2025<br>"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\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 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_11' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">FEJ Canada 2025 Raffle Form<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_11'  action='\/fr\/wp-json\/wp\/v2\/pages\/72806' data-formid='11' novalidate><input type=\"hidden\" name=\"gpuid_existing_value_9\" id=\"gpuid_existing_value_9\" value=\"05b759788447fa4753e27823665f6dc8\" \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_11_27\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below 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gfield--type-total gfield--width-full gfield_price gfield_price_11_ gfield_total gfield_total_11_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_11_26'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_26' id='input_11_26' value='$ 0.00 CAD' class='gform-text-input-reset ginput_total ginput_total_11' \/>\n\t\t\t\t\t\t<\/div><\/div><fieldset id=\"field_11_22\" class=\"gfield gfield--type-square_creditcard 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 gfield_label_before_complex gform-field-label' >Credit Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"gfield_description validation_message gfield_validation_message\">Configuration requise\u00a0: pour utiliser le champ Square, veuillez configurer vos <a href=\"https:\/\/fej-canada.ca\/wp-admin\/admin.php?page=gf_settings&#038;subview=gravityformssquare\" target=\"_blank\">r\u00e9glages Square<\/a>.<\/div><\/fieldset><div id=\"field_11_24\" class=\"gfield gfield--type-captcha 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_11_24'>CAPTCHA<\/label><div id='input_11_24' class='ginput_container ginput_recaptcha' data-sitekey='6LeCDAgoAAAAAMRdZ-4ccIOqHutijgV_xMl_dd7C'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><div id=\"field_11_25\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><style>\nli { line-height: 1.25 }\n<\/style>\n<h2 style=\"font-size: 14px;\">Raffle to  Improve the life of children in Ha\u00efti<\/h2>\n<ol style=\"font-size: 12px;\">\n<li>Eligibility: The raffle is open to all residents of Canada aged 18 and above. Staff members of the Foundation for Child and Youth Canada and their immediate families are not eligible to participate.\n<li>Registration Details: Each participant must complete a participation form and purchase at least one raffle ticket. Tickets are non-transferable.\n<li>Prizes: The raffle prizes include:\n<ul>\n<li>2 coupons for skin care : Fatima Beauty<\/li>\n<li>2 coupons of $300 each for clothing : Villa Capri<\/li>\n<li>2 coupons of $25 each : Ardene<\/li>\n<li>Trip to Cuba for 2<\/li>\n<li>Smart Phone<\/li>\n<li>Electric scooter<\/li>\n<li>Spa for 2<\/li>\n<\/ul>\n<li>Winner Announcement: Winners will be announced on Saturday, November 28, 2025, at 6:00 PM at RITMO CAFE AND BAR (1781 SAINT DENIS ST. MONTREAL H2X 3K4). This event will feature a Raffle Winner Reveal and a\n      Silent Art Auction. Winners will also be contacted directly via phone or email. 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style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">FEJ Canada 2025 Raffle Form<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_11'  action='\/fr\/wp-json\/wp\/v2\/pages\/72806' data-formid='11' novalidate><input type=\"hidden\" name=\"gpuid_existing_value_9\" id=\"gpuid_existing_value_9\" value=\"05b759788447fa4753e27823665f6dc8\" \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_11_27\" 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_11_27'>LinkedIn<\/label><div class='ginput_container'><input name='input_27' id='input_11_27' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_11_27'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><fieldset id=\"field_11_23\" class=\"gfield gfield--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' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/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_11_23'>\n                            \n                            <span id='input_11_23_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.3' id='input_11_23_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_11_23_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_11_23_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.6' id='input_11_23_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_11_23_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_11_5\" class=\"gfield gfield--type-email gfield--width-half 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_11_5'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_11_5' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_11_6\" class=\"gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_6'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_11_6' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_18\" class=\"gfield gfield--type-select 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_11_18'>Raffle Packages<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_11_18' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Choose your raffle package<\/option><option value='Bronze' >Bronze<\/option><option value='Silver' >Silver<\/option><option value='Gold' >Gold<\/option><\/select><\/div><\/div><div id=\"field_11_11\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_11_11'>Raffle Ticket Numbers<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_11_11' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_11_9\" class=\"gfield gfield--type-uid gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><label class='gfield_label gform-field-label' for='input_11_9'>Unique ID<\/label><div class='ginput_container ginput_container_hidden'><input name='input_9' id='input_11_9' type='hidden' value=''  \/><\/div><\/div><div id=\"field_11_19\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_11_19 gfield_product_11_19 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_11_19_1'>Single Ticket<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_19.1' value='Single Ticket' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_11_19' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_11_19' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_19.2' id='ginput_base_price_11_19' value='$ 25.00 CAD' aria-label='Single Ticket Prix'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_19.3' value='1' class='ginput_quantity_11_19 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_11_20\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_11_20 gfield_product_11_20 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_11_20_1'>Silver<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_20.1' value='Silver' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_11_20' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_11_20' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_20.2' id='ginput_base_price_11_20' value='$ 50.00 CAD' aria-label='Silver Prix' aria-describedby=\"gfield_description_11_20\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_20.3' value='1' class='ginput_quantity_11_20 gform_hidden' \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_11_20'>3 Tickets<\/div><\/div><div id=\"field_11_21\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_11_21 gfield_product_11_21 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_11_21_1'>Gold<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_21.1' value='Gold' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_11_21' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_11_21' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_21.2' id='ginput_base_price_11_21' value='$ 100.00 CAD' aria-label='Gold Prix' aria-describedby=\"gfield_description_11_21\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_21.3' value='1' class='ginput_quantity_11_21 gform_hidden' \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_11_21'>6 Tickets<\/div><\/div><div id=\"field_11_26\" class=\"gfield gfield--type-total gfield--width-full gfield_price gfield_price_11_ gfield_total gfield_total_11_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_11_26'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_26' id='input_11_26' value='$ 0.00 CAD' class='gform-text-input-reset ginput_total ginput_total_11' \/>\n\t\t\t\t\t\t<\/div><\/div><fieldset id=\"field_11_22\" class=\"gfield gfield--type-square_creditcard 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 gfield_label_before_complex gform-field-label' >Credit Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"gfield_description validation_message gfield_validation_message\">Configuration requise\u00a0: pour utiliser le champ Square, veuillez configurer vos <a href=\"https:\/\/fej-canada.ca\/wp-admin\/admin.php?page=gf_settings&#038;subview=gravityformssquare\" target=\"_blank\">r\u00e9glages Square<\/a>.<\/div><\/fieldset><div id=\"field_11_24\" class=\"gfield gfield--type-captcha 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_11_24'>CAPTCHA<\/label><div id='input_11_24' class='ginput_container ginput_recaptcha' data-sitekey='6LeCDAgoAAAAAMRdZ-4ccIOqHutijgV_xMl_dd7C'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><div id=\"field_11_25\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><style>\nli { line-height: 1.25 }\n<\/style>\n<h2 style=\"font-size: 14px;\">Raffle to  Improve the life of children in Ha\u00efti<\/h2>\n<ol style=\"font-size: 12px;\">\n<li>Eligibility: The raffle is open to all residents of Canada aged 18 and above. Staff members of the Foundation for Child and Youth Canada and their immediate families are not eligible to participate.\n<li>Registration Details: Each participant must complete a participation form and purchase at least one raffle ticket. Tickets are non-transferable.\n<li>Prizes: The raffle prizes include:\n<ul>\n<li>2 coupons for skin care : Fatima Beauty<\/li>\n<li>2 coupons of $300 each for clothing : Villa Capri<\/li>\n<li>2 coupons of $25 each : Ardene<\/li>\n<li>Trip to Cuba for 2<\/li>\n<li>Smart Phone<\/li>\n<li>Electric scooter<\/li>\n<li>Spa for 2<\/li>\n<\/ul>\n<li>Winner Announcement: Winners will be announced on Saturday, November 28, 2025, at 6:00 PM at RITMO CAFE AND BAR (1781 SAINT DENIS ST. MONTREAL H2X 3K4). This event will feature a Raffle Winner Reveal and a\n      Silent Art Auction. Winners will also be contacted directly via phone or email. If a winner doesn't respond within 7 days, a new drawing will take place.<\/li>\n<li>Prize Collection: Prizes must be collected in person at the Foundation's address with valid ID. 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