{"id":105,"date":"2022-02-20T21:02:26","date_gmt":"2022-02-20T21:02:26","guid":{"rendered":"http:\/\/kriispoznan.pan.pl\/?page_id=105"},"modified":"2024-02-20T14:51:05","modified_gmt":"2024-02-20T14:51:05","slug":"formularz-rejestracyjny","status":"publish","type":"page","link":"https:\/\/kriis.pl\/?page_id=105","title":{"rendered":"Formularz rejestracyjny"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_4_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_formularzrejestracyjnyleczenieuzdrowiskowe\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Formularz Rejestracyjny Leczenie Uzdrowiskowe<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"4\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_4\" id=\"frm_hide_fields_4\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"formularzrejestracyjnyleczenieuzdrowiskowe\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"ed3d5e0bbb\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F105\" \/><div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_nbmpl\" id=\"field_nbmpl_label\" class=\"frm_primary_label\">Imi\u0119 i Nazwisko\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_nbmpl\" name=\"item_meta[22]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Tekst is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_29_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_hikm7\" id=\"field_hikm7_label\" class=\"frm_primary_label\">Tytu\u0142 naukowy\/zawodowy\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hikm7\" name=\"item_meta[29]\" value=\"\"  data-invmsg=\"Tekst is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_26_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_r1i7d\" id=\"field_r1i7d_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_r1i7d\" name=\"item_meta[26]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_gm9to\" id=\"field_gm9to_label\" class=\"frm_primary_label\">Miejsce pracy\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_gm9to\" name=\"item_meta[27]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Tekst is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_30_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n    <div  id=\"field_68dlv_label\" class=\"frm_primary_label\">Zaw\u00f3d\n        <span class=\"frm_required\">*<\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_68dlv_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_30-0\"><label for=\"field_68dlv-0\"><input type=\"checkbox\" name=\"item_meta[30][]\" id=\"field_68dlv-0\" value=\"Lekarz\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Zaw\u00f3d is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> Lekarz<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_30-1\"><label for=\"field_68dlv-1\"><input type=\"checkbox\" name=\"item_meta[30][]\" id=\"field_68dlv-1\" value=\"Fizjoterapeuta\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Zaw\u00f3d is invalid\" aria-invalid=\"false\"   \/> Fizjoterapeuta<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_30-2\"><label for=\"field_68dlv-2\"><input type=\"checkbox\" name=\"item_meta[30][]\" id=\"field_68dlv-2\" value=\"Piel\u0119gniarka\/Po\u0142o\u017cna\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Zaw\u00f3d is invalid\" aria-invalid=\"false\"   \/> Piel\u0119gniarka\/Po\u0142o\u017cna<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_30-3\"><label for=\"field_68dlv-3\"><input type=\"checkbox\" name=\"item_meta[30][]\" id=\"field_68dlv-3\" value=\"Inne\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Zaw\u00f3d is invalid\" aria-invalid=\"false\"   \/> Inne<\/label><\/div>\n<\/div>\n    \n    \n<\/div>\n<div id=\"frm_field_31_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n    <div  id=\"field_1gt7t_label\" class=\"frm_primary_label\">Pole wyboru\n        <span class=\"frm_required\">*<\/span>\n    <\/div>\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_1gt7t_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_31-0\"><label for=\"field_1gt7t-0\"><input type=\"checkbox\" name=\"item_meta[31][]\" id=\"field_1gt7t-0\" value=\"O\u015bwiadczam, i\u017c dane osobowe poda\u0142em\/-am dobrowolnie, a przed wyra\u017ceniem zgody zapozna\u0142em\/-am si\u0119 z informacjami, kt\u00f3rych podanie jest wymagane zgodnie z art. 13  Ustawy o ochronie danych osobowych z dnia 10.05.2018 roku.\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Pole wyboru is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> O\u015bwiadczam, i\u017c dane osobowe poda\u0142em\/-am dobrowolnie, a przed wyra\u017ceniem zgody zapozna\u0142em\/-am si\u0119 z informacjami, kt\u00f3rych podanie jest wymagane zgodnie z art. 13  Ustawy o ochronie danych osobowych z dnia 10.05.2018 roku.<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_31-1\"><label for=\"field_1gt7t-1\"><input type=\"checkbox\" name=\"item_meta[31][]\" id=\"field_1gt7t-1\" value=\"Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych przez Organizatora wydarzenia: Komisj\u0119 Rehabilitacji i Integracji Spo\u0142ecznej Polskiej Akademii Nauk Oddzia\u0142 Pozna\u0144 w celu rejestracji na Konferencj\u0119, w tym otrzymywaniu komunikat\u00f3w dotycz\u0105cych Konferencji w formie wiadomo\u015bci e-mail. Podanie danych jest dobrowolne, ale niezb\u0119dne do rejestracji i uczestnictwa w Wydarzeniu. Mam \u015bwiadomo\u015b\u0107 przys\u0142uguj\u0105cego mi prawa dost\u0119pu do moich danych, mo\u017cliwo\u015bci ich poprawiania, \u017c\u0105dania zaprzestania ich przetwarzania.\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"Pole wyboru is invalid\" aria-invalid=\"false\"   \/> Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych przez Organizatora wydarzenia: Komisj\u0119 Rehabilitacji i Integracji Spo\u0142ecznej Polskiej Akademii Nauk Oddzia\u0142 Pozna\u0144 w celu rejestracji na Konferencj\u0119, w tym otrzymywaniu komunikat\u00f3w dotycz\u0105cych Konferencji w formie wiadomo\u015bci e-mail. Podanie danych jest dobrowolne, ale niezb\u0119dne do rejestracji i uczestnictwa w Wydarzeniu. Mam \u015bwiadomo\u015b\u0107 przys\u0142uguj\u0105cego mi prawa dost\u0119pu do moich danych, mo\u017cliwo\u015bci ich poprawiania, \u017c\u0105dania zaprzestania ich przetwarzania.<\/label><\/div>\n<\/div>\n    \n    \n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__65dcf98aad085\">\n\t\t\t\t<label for=\"frm_email_4\" >\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_4\" type=\"text\" class=\"frm_verify\" name=\"frm__65dcf98aad085\" value=\"\" autocomplete=\"false\"  \/>\n\t\t\t<\/div>\n\t\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Wy\u015blij<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/kriis.pl\/index.php?rest_route=\/wp\/v2\/pages\/105"}],"collection":[{"href":"https:\/\/kriis.pl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kriis.pl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kriis.pl\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kriis.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=105"}],"version-history":[{"count":2,"href":"https:\/\/kriis.pl\/index.php?rest_route=\/wp\/v2\/pages\/105\/revisions"}],"predecessor-version":[{"id":130,"href":"https:\/\/kriis.pl\/index.php?rest_route=\/wp\/v2\/pages\/105\/revisions\/130"}],"wp:attachment":[{"href":"https:\/\/kriis.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}