{"id":155,"date":"2017-02-04T20:48:21","date_gmt":"2017-02-04T19:48:21","guid":{"rendered":"http:\/\/mario30.vdl.pl\/szkola\/?page_id=155"},"modified":"2017-03-01T11:52:02","modified_gmt":"2017-03-01T10:52:02","slug":"formularz-zgloszeniowy","status":"publish","type":"page","link":"https:\/\/szkola.copiesnato.pl\/formularz-zgloszeniowy\/","title":{"rendered":"Formularz zg\u0142oszeniowy"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4-o1\" lang=\"pl-PL\" dir=\"ltr\" data-wpcf7-id=\"4\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-api\/wp\/v2\/pages\/155#wpcf7-f4-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formularz kontaktowy\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"row\">\n\t<div class=\"col-md-6 leftinput\">\n\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Imi\u0119\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6 rightinput\">\n\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nazwisko\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nazwisko\" value=\"\" type=\"text\" name=\"nazwisko\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6 leftinput\">\n\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-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\" placeholder=\"E-mail\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6 rightinput\">\n\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nr telefonu\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6 leftinput\">\n\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"ulica\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ulica i nr domu\" value=\"\" type=\"text\" name=\"ulica\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-8 centerinput\">\n\t\t\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"miasto\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Miasto\" value=\"\" type=\"text\" name=\"miasto\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 rightinput\">\n\t\t\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"kod\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"kodp\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Kod pocztowy\" value=\"\" type=\"text\" name=\"kod\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"przerwa\">\n\t<p><img decoding=\"async\" src=\"https:\/\/szkola.copiesnato.pl\/wp-content\/uploads\/2017\/02\/kosc.png\" \/>\n\t<\/p>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6 leftinput\">\n\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"imiepsa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Imi\u0119 psa\" value=\"\" type=\"text\" name=\"imiepsa\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6 rightinput\">\n\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"wiek\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Wiek psa\" value=\"\" type=\"text\" name=\"wiek\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6 leftinput\">\n\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"rasa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Rasa \/ typ psa\" value=\"\" type=\"text\" name=\"rasa\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6 rightinput\">\n\t\t<p class=\"plecp\"><span class=\"label1\">P\u0142e\u0107 psa<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"plec\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"plec\" value=\"pies\" \/><span class=\"wpcf7-list-item-label\">pies<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"plec\" value=\"suka\" \/><span class=\"wpcf7-list-item-label\">suka<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6 leftinput\">\n\t\t<p class=\"inputs\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Dodatkowe informacje\" name=\"your-message\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6 rightinput\">\n\t\t<p class=\"sterylp\"><span class=\"label1\">Czy pies jest kastrowany \/ sterylizowany?<\/span>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"steryl\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"steryl\" value=\"tak\" \/><span class=\"wpcf7-list-item-label\">tak<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"steryl\" value=\"nie\" \/><span class=\"wpcf7-list-item-label\">nie<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"przerwa\">\n\t<p><img decoding=\"async\" src=\"https:\/\/szkola.copiesnato.pl\/wp-content\/uploads\/2017\/02\/kosc.png\" \/>\n\t<\/p>\n<\/div>\n<div class=\"padding20\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<h2 class=\"zainteresowany\">Jestem zainteresowany kursem:\n\t\t\t<\/h2>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"kurs\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"kurs\" aria-required=\"true\" aria-invalid=\"false\" name=\"kurs\"><option value=\"\">&#8212;Prosz\u0119 wybra\u0107 opcj\u0119&#8212;<\/option><option value=\"Psie przedszkole\">Psie przedszkole<\/option><option value=\"Pos\u0142usze\u0144stwo I\">Pos\u0142usze\u0144stwo I<\/option><option value=\"Pos\u0142usze\u0144stwo w terenie\">Pos\u0142usze\u0144stwo w terenie<\/option><option value=\"Psi fitness\">Psi fitness<\/option><option value=\"Nosework\">Nosework<\/option><option value=\"Nosework II\">Nosework II<\/option><option value=\"Nosework - Technika i teren\">Nosework - Technika i teren<\/option><option value=\"Rally-Free\">Rally-Free<\/option><option value=\"Mantrailing I - kurs podstawowy\">Mantrailing I - kurs podstawowy<\/option><option value=\"Szkolenie indywidualne \/ Konsultacja behawioralna\">Szkolenie indywidualne \/ Konsultacja behawioralna<\/option><option value=\"Konsultacja fizjoterapeutyczna\">Konsultacja fizjoterapeutyczna<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<h2 class=\"dowiedziec\">Jak dowiedzia\u0142e\u015b si\u0119 o naszej szkole?\n\t\t\t<\/h2>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dowiedzial\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"dowiedzial\" value=\"www\" \/><span class=\"wpcf7-list-item-label\">www<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"dowiedzial\" value=\"media spo\u0142eczno\u015bciowe\" \/><span class=\"wpcf7-list-item-label\">media spo\u0142eczno\u015bciowe<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"dowiedzial\" value=\"polecenie\" \/><span class=\"wpcf7-list-item-label\">polecenie<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"dowiedzial\" value=\"ulotka \/ baner reklamowy\" \/><span class=\"wpcf7-list-item-label\">ulotka \/ baner reklamowy<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"dowiedzial\" value=\"inne:\" \/><span class=\"wpcf7-list-item-label\">inne:<\/span><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"textinne\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textinne\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"akcepty\">\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"zgoda\">Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych zawartych w niniejszym formularzu zg\u0142oszeniowym (zgodnie z Ustaw\u0105 o ochronie danych osobowych z dn. 29 sierpnia 1997) przez szko\u0142\u0119 Co pies na to?, z siedzib\u0105 w Warszawie przy ul. Kulczy\u0144skiego 14, na potrzeby realizacji niniejszego szkolenia. Jestem \u015bwiadomy prawdziwo\u015bci i dobrowolno\u015bci podania danych oraz prawa wgl\u0105du do swoich danych i ich poprawiania lub \u017c\u0105dania ich trwa\u0142ego usuni\u0119cia.<\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"akcept\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"akcept\" value=\"tak\" \/><span class=\"wpcf7-list-item-label\">tak<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"zgoda2\">NINIEJSZYM AKCEPTUJ\u0118 <a href=\"\/regulamin\/\" target=\"_blank\">REGULAMIN<\/a> SZKO\u0141Y \u201eCO PIES NA TO?\u201d<\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"akcept2\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"akcept2\" value=\"tak\" \/><span class=\"wpcf7-list-item-label\">tak<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Wy\u015blij zg\u0142oszenie\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-155","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/szkola.copiesnato.pl\/wp-api\/wp\/v2\/pages\/155","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/szkola.copiesnato.pl\/wp-api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/szkola.copiesnato.pl\/wp-api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/szkola.copiesnato.pl\/wp-api\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/szkola.copiesnato.pl\/wp-api\/wp\/v2\/comments?post=155"}],"version-history":[{"count":3,"href":"https:\/\/szkola.copiesnato.pl\/wp-api\/wp\/v2\/pages\/155\/revisions"}],"predecessor-version":[{"id":617,"href":"https:\/\/szkola.copiesnato.pl\/wp-api\/wp\/v2\/pages\/155\/revisions\/617"}],"wp:attachment":[{"href":"https:\/\/szkola.copiesnato.pl\/wp-api\/wp\/v2\/media?parent=155"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}