{"id":4670,"date":"2025-09-18T16:50:11","date_gmt":"2025-09-18T16:50:11","guid":{"rendered":"https:\/\/site2025.gemmeeurope.org\/membership-form\/"},"modified":"2025-10-09T07:55:40","modified_gmt":"2025-10-09T07:55:40","slug":"membership-form","status":"publish","type":"page","link":"https:\/\/gemmeeurope.org\/en\/membership-form\/","title":{"rendered":"Membership form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css=&#8221;.vc_custom_1758569411694{margin-top: 30px !important;}&#8221;][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h1>Registration form for the European Group of Magistrates for Mediation<\/h1>\n<p><i>This form, for strictly internal use by the Gemme-Europe association, allows the list of its members to be drawn up. Sending this completed form constitutes a commitment to respect the statutes and internal regulations of the association. Unsubscribing from this discussion list constitutes resignation from the association.<\/i>[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/12&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;10\/12&#8243;][vc_column_text css=&#8221;&#8221;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4679-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"4679\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/4670#wpcf7-f4679-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4679\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4679-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:4679,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p><label> Email *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Name *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom\" \/><\/span> <\/label>\n<\/p>\n<p><label> First name *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom\" \/><\/span> <\/label>\n<\/p>\n<p><label> Occupation * <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"profession\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"profession[]\" value=\"Magistrate or judge\" \/><span class=\"wpcf7-list-item-label\">Magistrate or judge<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"profession[]\" value=\"Lawyer\" \/><span class=\"wpcf7-list-item-label\">Lawyer<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"profession[]\" value=\"Mediator\" \/><span class=\"wpcf7-list-item-label\">Mediator<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"profession[]\" value=\"Academic\" \/><span class=\"wpcf7-list-item-label\">Academic<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"profession[]\" value=\"Retired magistrate\" \/><span class=\"wpcf7-list-item-label\">Retired magistrate<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"profession[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Country of residence *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pays\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pays\" \/><\/span> <\/label>\n<\/p>\n<p><label> Town of residence *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ville\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ville\" \/><\/span> <\/label>\n<\/p>\n<p><label> Telephone number *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telephone\" \/><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-cntrintrt\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"GEMME-Administration (Gemme-adm@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">GEMME-Administration (Gemme-adm@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"GEMME-civil (Gemme-civil@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">GEMME-civil (Gemme-civil@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"GEMME-Commerce (Gemme-commerce@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">GEMME-Commerce (Gemme-commerce@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"GEMME-Consommation (Gemme-consommation@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">GEMME-Consommation (Gemme-consommation@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"GEMME-Famille (Gemme-famille@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">GEMME-Famille (Gemme-famille@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"GEMME-international (Gemme-international@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">GEMME-international (Gemme-international@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"Gemme-JR - m\u00e9diation p\u00e9nale et justice restaurative (Gemme-Jr@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">Gemme-JR - m\u00e9diation p\u00e9nale et justice restaurative (Gemme-Jr@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"GEMME-NTIC - m\u00e9diation et nouvelles technologies (Gemme-ntic@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">GEMME-NTIC - m\u00e9diation et nouvelles technologies (Gemme-ntic@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"Gemme-scolaire (Gemme-scolaire@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">Gemme-scolaire (Gemme-scolaire@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"GEMME-Statut - statut et formation des m\u00e9diateurs (Gemme-statut@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">GEMME-Statut - statut et formation des m\u00e9diateurs (Gemme-statut@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"GEMME-vigilance (Gemme-vigilance@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">GEMME-vigilance (Gemme-vigilance@themis-home.fr)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-cntrintrt\" value=\"GEMME-PI (Gemme-pi@themis-home.fr)\" \/><span class=\"wpcf7-list-item-label\">GEMME-PI (Gemme-pi@themis-home.fr)<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> I certify that my membership fee for the current year has been paid or I undertake to pay it without delay. <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-attest\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-attest\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-attest\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Date <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"your-date\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"CONFIRM AND SEND\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/12&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1758569411694{margin-top: 30px !important;}&#8221;][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;] Registration form for the European Group of Magistrates for Mediation This form, for strictly internal use by the Gemme-Europe association, allows the list of its members to be drawn up. Sending this completed form constitutes a commitment to respect the statutes and internal regulations of the association. Unsubscribing&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4670","page","type-page","status-publish","hentry","description-off"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Membership form - Gemme Europe<\/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:\/\/gemmeeurope.org\/en\/membership-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Membership form - Gemme Europe\" \/>\n<meta property=\"og:description\" content=\"[vc_row css=&#8221;.vc_custom_1758569411694{margin-top: 30px !important;}&#8221;][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;] Registration form for the European Group of Magistrates for Mediation This form, for strictly internal use by the Gemme-Europe association, allows the list of its members to be drawn up. 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