{"id":2021,"date":"2025-08-25T11:09:34","date_gmt":"2025-08-25T11:09:34","guid":{"rendered":"https:\/\/fundacja-veritas.pl\/?page_id=2021"},"modified":"2025-08-25T12:26:10","modified_gmt":"2025-08-25T12:26:10","slug":"zajawka-na-zycie-formularz","status":"publish","type":"page","link":"https:\/\/fundacja-veritas.pl\/en\/zajawka-na-zycie-formularz\/","title":{"rendered":"Zajawka na \u017cycie formularz"},"content":{"rendered":"<h2>Formularz zg\u0142oszeniowy Zajawka na \u017bycie<\/h2>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f2023-o1\" lang=\"pl-PL\" dir=\"ltr\">\n<div class=\"screen-reader-response\" role=\"alert\" aria-live=\"polite\"><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2021#wpcf7-f2023-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/2021#wpcf7-f2023-o1\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"2023\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.2.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2023-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:2023,&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;notice_dismissed_update-cf7-5.4.1&quot;:true}}\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p><label>*Do jakiej grupy chcesz do\u0142\u0105czy\u0107?<\/label><span class=\"wpcf7-form-control-wrap radio-200\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-200\" value=\"Centrum na Przedmie\u015bciu, Wroc\u0142aw, ul. Pr\u0105dzy\u0144skiego 39A, zaj\u0119cia w poniedzia\u0142ki 16:00-19:00\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Centrum na Przedmie\u015bciu, Wroc\u0142aw, ul. Pr\u0105dzy\u0144skiego 39A, zaj\u0119cia w\u00a0poniedzia\u0142ki 16:00-19:00<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-200\" value=\"Siedziba Fundacji Veritas, Wroc\u0142aw ul. Skarbowc\u00f3w 23b, zaj\u0119cia w \u015brody 16:00-19:00\" \/><span class=\"wpcf7-list-item-label\">Siedziba Fundacji Veritas, Wroc\u0142aw ul. Skarbowc\u00f3w 23b, zaj\u0119cia w\u00a0\u015brody 16:00-19:00<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-200\" value=\"Plac \u015awi\u0119tego Macieja 21, Wroc\u0142aw, w ka\u017cdy poniedzia\u0142ek od 15:00 do 18:00, od pa\u017adziernika 2025 do czerwca 2026\" \/><span class=\"wpcf7-list-item-label\">Plac \u015awi\u0119tego Macieja 21, Wroc\u0142aw, w\u00a0ka\u017cdy poniedzia\u0142ek od 15:00 do 18:00, od pa\u017adziernika 2025 do czerwca 2026<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-200\" value=\"Liceum Og\u00f3lnokszta\u0142c\u0105ce nr VII, Wroc\u0142aw, ul. Krucza 49, W ka\u017cdy wtorek od 16:00 do 19:00, od pa\u017adziernika 2025 do czerwca 2026\" \/><span class=\"wpcf7-list-item-label\">Liceum Og\u00f3lnokszta\u0142c\u0105ce nr VII, Wroc\u0142aw, ul. Krucza 49, W\u00a0ka\u017cdy wtorek od 16:00 do 19:00, od pa\u017adziernika 2025 do czerwca 2026<\/span><\/label><\/span><\/span><\/span><br \/>\n<label>*Imi\u0119 i\u00a0nazwisko<span class=\"wpcf7-form-control-wrap text-813\"><input type=\"text\" name=\"text-813\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>*Data urodzenia<span class=\"wpcf7-form-control-wrap text-814\"><input type=\"text\" name=\"text-814\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>*Telefon kontaktowy<span class=\"wpcf7-form-control-wrap text-815\"><input type=\"text\" name=\"text-815\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>*Mail<span class=\"wpcf7-form-control-wrap text-816\"><input type=\"text\" name=\"text-816\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>Imi\u0119 i\u00a0nazwisko opiekuna prawnego (w\u00a0przypadku os\u00f3b niepe\u0142noletnich)<span class=\"wpcf7-form-control-wrap text-817\"><input type=\"text\" name=\"text-817\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>Telefon kontaktowy opiekuna prawnego (w\u00a0przypadku os\u00f3b niepe\u0142noletnich)<span class=\"wpcf7-form-control-wrap text-818\"><input type=\"text\" name=\"text-818\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>Mail opiekuna prawnego (w\u00a0przypadku os\u00f3b niepe\u0142noletnich)<span class=\"wpcf7-form-control-wrap text-819\"><input type=\"text\" name=\"text-819\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>*Nazwa szko\u0142y, do kt\u00f3rej ucz\u0119szczasz.<span class=\"wpcf7-form-control-wrap text-923\"><input type=\"text\" name=\"text-923\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>*Dlaczego chcesz do\u0142\u0105czy\u0107 do Zajawki na \u017cycie?<span class=\"wpcf7-form-control-wrap text-826\"><input type=\"text\" name=\"text-826\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>*Czego oczekujesz od Zajawki na \u017cycie?<span class=\"wpcf7-form-control-wrap text-827\"><input type=\"text\" name=\"text-827\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>*Sk\u0105d dowiedzia\u0142e\u015b si\u0119 o\u00a0programie?<span class=\"wpcf7-form-control-wrap text-828\"><input type=\"text\" name=\"text-828\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><br \/>\n<label>Czy jeste\u015b wychowankiem o\u015brodka opieku\u0144czo-wychowawczego?<\/label><span class=\"wpcf7-form-control-wrap radio-201\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-201\" value=\"tak\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">tak<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-201\" value=\"nie\" \/><span class=\"wpcf7-list-item-label\">nie<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap acceptance-657\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-657\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Niniejszym o\u015bwiadczam, \u017ce wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych zawartych w\u00a0formularzu do cel\u00f3w rozpatrzenia zg\u0142oszenia do udzia\u0142u w\u00a0Programie Zajawka na \u017cycie jako uczestnik oraz umo\u017cliwienia kontaktu w\u00a0sprawach organizacyjnych zwi\u0105zanych z\u00a0Programem. Dane osobowe zawarte w\u00a0formularzu kontaktowym b\u0119d\u0105 przetwarzane przez Fundacja Veritas, ul. Skarbowc\u00f3w 23B, 53-025 Wroc\u0142aw. Pe\u0142na informacja o\u00a0ochronie danych na podstawie RODO znajduje si\u0119 na stronie Fundacja Veritas <a href=\"https:\/\/fundacja-veritas.pl\/en\/polityka-prywatnosci\/\">https:\/\/fundacja-veritas.pl\/polityka-prywatnosci\/<\/a><\/span><\/label><\/span><\/span><\/span><br \/>\n<input type=\"submit\" value=\"Wy\u015blij\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" role=\"alert\" aria-hidden=\"true\"><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div>","protected":false},"excerpt":{"rendered":"<p>Formularz zg\u0142oszeniowy Zajawka na \u017bycie<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":19,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-2021","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - 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