{"id":1127,"date":"2023-12-02T11:49:32","date_gmt":"2023-12-02T10:49:32","guid":{"rendered":"https:\/\/rahn.education\/polska\/\/?page_id=1127"},"modified":"2024-03-10T11:18:26","modified_gmt":"2024-03-10T10:18:26","slug":"podanie","status":"publish","type":"page","link":"https:\/\/rahn.education\/polska\/sp\/rekrutacja\/podanie\/","title":{"rendered":"Podanie"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-animated fusion-sticky-container\" style=\"--link_color: var(--awb-color5);--awb-border-color:var(--awb-color5);--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color-small:rgba(255,255,255,0);--awb-background-image:linear-gradient(180deg, rgba(255,255,255,0) 0%,var(--awb-custom_color_4) 100%);--awb-sticky-background-color:var(--awb-color1) !important;--awb-flex-wrap:wrap;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.5\" data-animationOffset=\"top-into-view\" data-transition-offset=\"0\" data-scroll-offset=\"0\" data-sticky-small-visibility=\"1\" data-sticky-medium-visibility=\"1\" data-sticky-large-visibility=\"1\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_3 1_3 fusion-flex-column fusion-flex-align-self-center fusion-animated\" 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title-heading-left\" style=\"margin:0;font-size:1em;\"><span style=\"color: #e2001a;\"><a style=\"color: #e2001a;\" href=\"\/polska\/sp\/\">SZKO\u0141A PODSTAWOWA<\/a><\/span><\/h6><\/div><\/div><\/div><header class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-flex-column fusion-animated\" style=\"--awb-bg-color-small:rgba(255,255,255,0);--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:66.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:2.88%;--awb-spacing-left-medium:2.88%;--awb-width-small:25%;--awb-order-small:0;--awb-spacing-right-small:7.68%;--awb-margin-bottom-small:40px;--awb-spacing-left-small:7.68%;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.0\" data-animationDelay=\"0.3\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><nav class=\"awb-menu awb-menu_row awb-menu_em-hover mobile-mode-collapse-to-button awb-menu_icons-left awb-menu_dc-yes mobile-trigger-fullwidth-off awb-menu_mobile-toggle awb-menu_indent-left awb-menu_mt-align-center mobile-size-full-absolute loading mega-menu-loading awb-menu_desktop awb-menu_dropdown awb-menu_expand-center awb-menu_transition-slide_up\" style=\"--awb-font-size:15px;--awb-text-transform:uppercase;--awb-align-items:center;--awb-justify-content:space-around;--awb-color:var(--awb-custom_color_1);--awb-active-color:var(--awb-color5);--awb-submenu-bg:#dddddd;--awb-submenu-sep-color:var(--awb-color5);--awb-submenu-active-bg:var(--awb-color1);--awb-submenu-active-color:var(--awb-color5);--awb-submenu-space:15px;--awb-submenu-text-transform:uppercase;--awb-main-justify-content:flex-start;--awb-mobile-nav-button-align-hor:center;--awb-mobile-bg:var(--awb-custom_color_2);--awb-mobile-color:var(--awb-color5);--awb-mobile-active-bg:var(--awb-color5);--awb-mobile-active-color:var(--awb-color1);--awb-mobile-trigger-color:var(--awb-color5);--awb-mobile-trigger-background-color:rgba(255,255,255,0);--awb-mobile-sep-color:var(--awb-color5);--awb-justify-title:space-around;--awb-mobile-justify:flex-start;--awb-mobile-caret-left:auto;--awb-mobile-caret-right:0;--awb-fusion-font-family-typography:&quot;Lato&quot;;--awb-fusion-font-style-typography:normal;--awb-fusion-font-weight-typography:700;--awb-fusion-font-family-submenu-typography:inherit;--awb-fusion-font-style-submenu-typography:normal;--awb-fusion-font-weight-submenu-typography:400;--awb-fusion-font-family-mobile-typography:inherit;--awb-fusion-font-style-mobile-typography:normal;--awb-fusion-font-weight-mobile-typography:400;\" aria-label=\"SP Main Menu\" data-breakpoint=\"1024\" data-count=\"0\" data-transition-type=\"fade\" data-transition-time=\"300\" data-expand=\"center\"><button type=\"button\" class=\"awb-menu__m-toggle awb-menu__m-toggle_no-text\" aria-expanded=\"false\" aria-controls=\"menu-sp-main-menu\"><span class=\"awb-menu__m-toggle-inner\"><span class=\"collapsed-nav-text\"><span class=\"screen-reader-text\">Toggle Navigation<\/span><\/span><span class=\"awb-menu__m-collapse-icon awb-menu__m-collapse-icon_no-text\"><span class=\"awb-menu__m-collapse-icon-open awb-menu__m-collapse-icon-open_no-text fa-bars fas\"><\/span><span class=\"awb-menu__m-collapse-icon-close awb-menu__m-collapse-icon-close_no-text fa-times fas\"><\/span><\/span><\/span><\/button><ul id=\"menu-sp-main-menu\" class=\"fusion-menu awb-menu__main-ul awb-menu__main-ul_row\"><li  id=\"menu-item-4036\"  class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4036 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"4036\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_fade\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_fade\"><\/span><a  href=\"#\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">O szkole<\/span><span class=\"awb-menu__open-nav-submenu-hover\"><\/span><\/a><button type=\"button\" aria-label=\"Open submenu of O szkole\" aria-expanded=\"false\" class=\"awb-menu__open-nav-submenu_mobile awb-menu__open-nav-submenu_main\"><\/button><ul class=\"awb-menu__sub-ul awb-menu__sub-ul_main\"><li  id=\"menu-item-1140\"  class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-1140 awb-menu__li awb-menu__sub-li\" ><a  href=\"\/polska\/sp\/o-szkole\/#misja\" class=\"awb-menu__sub-a\"><span>Edukacja<\/span><\/a><\/li><li  id=\"menu-item-1137\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1137 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/o-szkole\/kadra\/\" class=\"awb-menu__sub-a\"><span>Kadra<\/span><\/a><\/li><li  id=\"menu-item-1136\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1136 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/o-szkole\/nasza-szkola\/\" class=\"awb-menu__sub-a\"><span>Nasza szko\u0142a<\/span><\/a><\/li><li  id=\"menu-item-1135\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1135 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/o-szkole\/wyzywienie\/\" class=\"awb-menu__sub-a\"><span>Wy\u017cywienie<\/span><\/a><\/li><li  id=\"menu-item-1134\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1134 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/o-szkole\/opieka-specjalistow\/\" 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awb-menu__main-background-active_fade\"><\/span><a  href=\"https:\/\/rahn.education\/polska\/sp\/oferta\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Oferta<\/span><span class=\"awb-menu__open-nav-submenu-hover\"><\/span><\/a><button type=\"button\" aria-label=\"Open submenu of Oferta\" aria-expanded=\"false\" class=\"awb-menu__open-nav-submenu_mobile awb-menu__open-nav-submenu_main\"><\/button><ul class=\"awb-menu__sub-ul awb-menu__sub-ul_main\"><li  id=\"menu-item-1143\"  class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-1143 awb-menu__li awb-menu__sub-li\" ><a  href=\"\/polska\/sp\/oferta\/#dlaczego-rahn\" class=\"awb-menu__sub-a\"><span>Dlaczego Rahn<\/span><\/a><\/li><li  id=\"menu-item-1144\"  class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-1144 awb-menu__li awb-menu__sub-li\" ><a  href=\"\/polska\/sp\/oferta\/#zajecia-pozalekcyjne\" class=\"awb-menu__sub-a\"><span>Zaj\u0119cia pozalekcyjne<\/span><\/a><\/li><li  id=\"menu-item-1645\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1645 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/oferta\/egzaminy-cambridge\/\" class=\"awb-menu__sub-a\"><span>Egzaminy Cambridge<\/span><\/a><\/li><li  id=\"menu-item-1658\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1658 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/oferta\/dsd\/\" class=\"awb-menu__sub-a\"><span>DSD<\/span><\/a><\/li><li  id=\"menu-item-7125\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-7125 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/oferta\/lego-education\/\" class=\"awb-menu__sub-a\"><span>LEGO Education<\/span><\/a><\/li><\/ul><\/li><li  id=\"menu-item-1131\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1131 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1131\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_fade\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_fade\"><\/span><a  href=\"https:\/\/rahn.education\/polska\/sp\/projekty\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Projekty<\/span><span class=\"awb-menu__open-nav-submenu-hover\"><\/span><\/a><button type=\"button\" aria-label=\"Open submenu of Projekty\" aria-expanded=\"false\" class=\"awb-menu__open-nav-submenu_mobile awb-menu__open-nav-submenu_main\"><\/button><ul class=\"awb-menu__sub-ul awb-menu__sub-ul_main\"><li  id=\"menu-item-2807\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2807 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/projekty\/polsko-niemiecki-most-edukacyjny\/\" class=\"awb-menu__sub-a\"><span>Polsko-Niemiecki Most Edukacyjny<\/span><\/a><\/li><li  id=\"menu-item-2806\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2806 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/projekty\/etwinning\/\" class=\"awb-menu__sub-a\"><span>eTwinning<\/span><\/a><\/li><li  id=\"menu-item-2805\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2805 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/projekty\/tydzien-projektow\/\" class=\"awb-menu__sub-a\"><span>Tydzie\u0144 projekt\u00f3w<\/span><\/a><\/li><li  id=\"menu-item-2804\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2804 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/projekty\/projekty-unijne\/\" class=\"awb-menu__sub-a\"><span>Projekty unijne<\/span><\/a><\/li><\/ul><\/li><li  id=\"menu-item-1084\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1084 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1084\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_fade\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_fade\"><\/span><a  href=\"https:\/\/rahn.education\/polska\/sp\/aktualnosci\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Aktualno\u015bci<\/span><\/a><\/li><li  id=\"menu-item-1151\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1151 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1151\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_fade\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_fade\"><\/span><a  href=\"https:\/\/rahn.education\/polska\/sp\/rekrutacja\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Rekrutacja<\/span><span class=\"awb-menu__open-nav-submenu-hover\"><\/span><\/a><button type=\"button\" aria-label=\"Open submenu of Rekrutacja\" aria-expanded=\"false\" class=\"awb-menu__open-nav-submenu_mobile awb-menu__open-nav-submenu_main\"><\/button><ul class=\"awb-menu__sub-ul awb-menu__sub-ul_main\"><li  id=\"menu-item-1130\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1130 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/rekrutacja\/zasady\/\" class=\"awb-menu__sub-a\"><span>Zasady<\/span><\/a><\/li><li  id=\"menu-item-1129\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1129 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/sp\/rekrutacja\/podanie\/\" class=\"awb-menu__sub-a\"><span>Podanie<\/span><\/a><\/li><li  id=\"menu-item-4642\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4642 awb-menu__li awb-menu__sub-li\" ><a  href=\"https:\/\/rahn.education\/polska\/rodo\/\" class=\"awb-menu__sub-a\"><span>RODO<\/span><\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div><\/header><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload fusion-animated fusion-custom-z-index\" style=\"--awb-background-position:center top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-z-index:0;--awb-padding-top:9vw;--awb-padding-bottom:15vw;--awb-padding-top-small:20vw;--awb-padding-bottom-small:17vw;--awb-background-color:var(--awb-color6);--awb-background-image:linear-gradient(180deg, hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) - 85%)) 0%,hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) - 55%)) 100%);;--awb-background-size:cover;--awb-flex-wrap:wrap;--awb-animation-color:var(--awb-color7);\" data-bg=\"https:\/\/rahn.education\/polska\/\/wp-content\/uploads\/2024\/03\/podanie-do-szkola.webp\" data-bg-gradient=\"linear-gradient(180deg, hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) - 85%)) 0%,hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) - 55%)) 100%)\" data-animationType=\"revealInLeft\" data-animationDuration=\"1.3\" data-animationOffset=\"top-into-view\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:calc( 1200px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion-flex-column fusion-animated\" style=\"--awb-bg-size:cover;--awb-width-large:77.24%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:77.24%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.3\" data-animationDelay=\"1.0\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-no-small-visibility fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h1 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\">Podanie<\/h1><\/div><div class=\"fusion-title title fusion-title-3 fusion-no-medium-visibility fusion-no-large-visibility fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-bottom:60px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:30px;--awb-margin-left-small:0px;--awb-font-size:40px;\"><h1 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;font-size:1em;line-height:52px;\">Rekrutacja<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:center top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:120px;--awb-padding-bottom:0px;--awb-padding-top-medium:80px;--awb-padding-bottom-medium:80px;--awb-padding-right-small:30px;--awb-padding-left-small:30px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-custom_color_2);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-animated\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:50px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeIn\" data-animationDuration=\"1.0\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:var(--awb-color5);--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\">Formularz aplikacyjny podania do <br \/>Szko\u0142y Podstawowej<\/h3><\/div><div class=\"fusion-text fusion-text-1\"><p style=\"text-align: center;\">Wype\u0142nij i wy\u015blij podanie do Europejskiej Szko\u0142y Podstawowej dr Rahn w Zielonej G\u00f3rze<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-2510\" style=\"--awb-tooltip-text-color:var(--awb-color1);--awb-tooltip-background-color:var(--awb-color8);--awb-form-bg-color:var(--awb-color1);--awb-form-placeholder-color:hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc(var(--awb-color8-a) - 30%));--awb-form-text-color:var(--awb-color8);--awb-form-label-color:var(--awb-color8);--awb-form-border-color:hsla(var(--awb-custom_color_4-h),calc(var(--awb-custom_color_4-s) - 100%),var(--awb-custom_color_4-l),var(--awb-custom_color_4-a));--awb-form-focus-border-color:var(--awb-color5);--awb-form-focus-border-hover-color:hsla(var(--awb-color5-h),var(--awb-color5-s),var(--awb-color5-l),calc(var(--awb-color5-a) - 50%));\" data-form-id=\"2510\" data-config=\"{&quot;form_id&quot;:2510,&quot;form_post_id&quot;:2510,&quot;post_id&quot;:1127,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;klasa&quot;:&quot;&quot;,&quot;rok_szkolny&quot;:&quot;&quot;,&quot;nazwisko_dziecko&quot;:&quot;Nazwisko&quot;,&quot;imie_dziecko&quot;:&quot;Imiona&quot;,&quot;pesel&quot;:&quot;PESEL&quot;,&quot;data_urodzenia&quot;:&quot;Data urodzenia&quot;,&quot;miejsce_urodzenia&quot;:&quot;Miejsce urodzenia&quot;,&quot;obywatelstwo&quot;:&quot;Obywatelstwo&quot;,&quot;ulica&quot;:&quot;&quot;,&quot;miejscowosc&quot;:&quot;&quot;,&quot;Kod_pocztowy&quot;:&quot;&quot;,&quot;przedszkole&quot;:&quot;Prosz\\u0119 poda\\u0107 nazw\\u0119 plac\\u00f3wki o\\u015bwiatowej, w jakiej dziecko realizowa\\u0142o obowi\\u0105zek przedszkolny&quot;,&quot;podstawowka&quot;:&quot;Prosz\\u0119 poda\\u0107 nazw\\u0119 szko\\u0142y podstawowej, do kt\\u00f3rej dziecko dotychczas ucz\\u0119szcza\\u0142o:&quot;,&quot;orzeczenie_specjalne&quot;:&quot;Dziecko posiada orzeczenie o potrzebie kszta\\u0142cenia specjalnego&quot;,&quot;porada&quot;:&quot;Dziecko korzysta \\\/ korzysta\\u0142o z porad psychologa lub pedagoga szkolnego?&quot;,&quot;jesli_tak_to_z_jakiego_powodu&quot;:&quot;Je\\u015bli tak, to z jakiego powodu?&quot;,&quot;opinia&quot;:&quot;Dziecko posiada opini\\u0119 z poradni psychologiczno-pedagogicznej&quot;,&quot;jesli_tak_to_w_jakim_zakresie:&quot;:&quot;Je\\u015bli tak, to w jakim zakresie:&quot;,&quot;uwagi&quot;:&quot;U dziecka wyst\\u0119puje lub jest podejrzenie wyst\\u0119powania zespo\\u0142u nadpobudliwo\\u015bci psychoruchowej z deficytem uwagi ?&quot;,&quot;asparger&quot;:&quot;U dziecka wyst\\u0119puje \\\/ jest podejrzenie wyst\\u0119powania zespo\\u0142u Aspergera?&quot;,&quot;nerwica&quot;:&quot;Dziecko chorowa\\u0142o lub choruje na choroby psychiczne, depresj\\u0119 lub zaburzenia nerwicowe?&quot;,&quot;psycho&quot;:&quot;Dziecko przyjmuje lub przyjmowa\\u0142o leki psychotropowe?&quot;,&quot;stan_zdrowia&quot;:&quot;Szczeg\\u00f3lne uzdolnienia, zainteresowania dziecka&quot;,&quot;religia_LO&quot;:&quot;O\\u015bwiadczam, \\u017ce dziecko b\\u0119dzie ucz\\u0119szcza\\u0107 na lekcje:&quot;,&quot;dane_mama&quot;:&quot;Imi\\u0119 i nazwisko matki \\\/ opiekuna prawnego&quot;,&quot;adres_mama&quot;:&quot;Adres do korespondencji&quot;,&quot;telefon_mama&quot;:&quot;Telefon&quot;,&quot;email_mama&quot;:&quot;Email&quot;,&quot;dane_tata&quot;:&quot;Imi\\u0119 i nazwisko ojca \\\/ opiekuna prawnego&quot;,&quot;adres_tata&quot;:&quot;Adres do korespondencji&quot;,&quot;telefon_tata&quot;:&quot;Telefon&quot;,&quot;email_tata&quot;:&quot;Email&quot;,&quot;kontakt_podanie&quot;:&quot;Imi\\u0119 i Nazwisko osoby do kontaktu w sprawie PODANIA&quot;,&quot;email_podanie_sp&quot;:&quot;Email&quot;,&quot;telefon_podanie&quot;:&quot;Telefon&quot;,&quot;informacja_dane&quot;:&quot;Informacja o ochronie danych osobowych&quot;,&quot;oswiadczenie&quot;:&quot;O\\u015bwiadczenie woli&quot;,&quot;polityka_prywatnosci&quot;:&quot;Polityka Prywatno\\u015bci&quot;},&quot;field_logics&quot;:{&quot;klasa&quot;:&quot;&quot;,&quot;rok_szkolny&quot;:&quot;&quot;,&quot;nazwisko_dziecko&quot;:&quot;&quot;,&quot;imie_dziecko&quot;:&quot;&quot;,&quot;pesel&quot;:&quot;&quot;,&quot;data_urodzenia&quot;:&quot;&quot;,&quot;miejsce_urodzenia&quot;:&quot;&quot;,&quot;obywatelstwo&quot;:&quot;&quot;,&quot;ulica&quot;:&quot;&quot;,&quot;miejscowosc&quot;:&quot;&quot;,&quot;Kod_pocztowy&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;,&quot;przedszkole&quot;:&quot;&quot;,&quot;podstawowka&quot;:&quot;&quot;,&quot;orzeczenie_specjalne&quot;:&quot;&quot;,&quot;porada&quot;:&quot;&quot;,&quot;jesli_tak_to_z_jakiego_powodu&quot;:&quot;&quot;,&quot;opinia&quot;:&quot;&quot;,&quot;jesli_tak_to_w_jakim_zakresie:&quot;:&quot;&quot;,&quot;uwagi&quot;:&quot;&quot;,&quot;asparger&quot;:&quot;&quot;,&quot;nerwica&quot;:&quot;&quot;,&quot;psycho&quot;:&quot;&quot;,&quot;stan_zdrowia&quot;:&quot;&quot;,&quot;religia_LO&quot;:&quot;&quot;,&quot;submit_2&quot;:&quot;&quot;,&quot;dane_mama&quot;:&quot;&quot;,&quot;adres_mama&quot;:&quot;&quot;,&quot;telefon_mama&quot;:&quot;&quot;,&quot;email_mama&quot;:&quot;&quot;,&quot;dane_tata&quot;:&quot;&quot;,&quot;adres_tata&quot;:&quot;&quot;,&quot;telefon_tata&quot;:&quot;&quot;,&quot;email_tata&quot;:&quot;&quot;,&quot;submit_3&quot;:&quot;&quot;,&quot;kontakt_podanie&quot;:&quot;&quot;,&quot;email_podanie_sp&quot;:&quot;&quot;,&quot;telefon_podanie&quot;:&quot;&quot;,&quot;informacja_dane&quot;:&quot;&quot;,&quot;oswiadczenie&quot;:&quot;&quot;,&quot;polityka_prywatnosci&quot;:&quot;[]&quot;,&quot;submit_4&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;klasa&quot;:&quot;select&quot;,&quot;rok_szkolny&quot;:&quot;select&quot;,&quot;nazwisko_dziecko&quot;:&quot;text&quot;,&quot;imie_dziecko&quot;:&quot;text&quot;,&quot;pesel&quot;:&quot;text&quot;,&quot;data_urodzenia&quot;:&quot;date&quot;,&quot;miejsce_urodzenia&quot;:&quot;text&quot;,&quot;obywatelstwo&quot;:&quot;text&quot;,&quot;ulica&quot;:&quot;text&quot;,&quot;miejscowosc&quot;:&quot;text&quot;,&quot;Kod_pocztowy&quot;:&quot;text&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;przedszkole&quot;:&quot;textarea&quot;,&quot;podstawowka&quot;:&quot;textarea&quot;,&quot;orzeczenie_specjalne&quot;:&quot;radio&quot;,&quot;porada&quot;:&quot;radio&quot;,&quot;jesli_tak_to_z_jakiego_powodu&quot;:&quot;textarea&quot;,&quot;opinia&quot;:&quot;radio&quot;,&quot;jesli_tak_to_w_jakim_zakresie:&quot;:&quot;textarea&quot;,&quot;uwagi&quot;:&quot;radio&quot;,&quot;asparger&quot;:&quot;radio&quot;,&quot;nerwica&quot;:&quot;radio&quot;,&quot;psycho&quot;:&quot;radio&quot;,&quot;stan_zdrowia&quot;:&quot;textarea&quot;,&quot;religia_LO&quot;:&quot;radio&quot;,&quot;submit_2&quot;:&quot;submit&quot;,&quot;dane_mama&quot;:&quot;text&quot;,&quot;adres_mama&quot;:&quot;text&quot;,&quot;telefon_mama&quot;:&quot;phone_number&quot;,&quot;email_mama&quot;:&quot;email&quot;,&quot;dane_tata&quot;:&quot;text&quot;,&quot;adres_tata&quot;:&quot;text&quot;,&quot;telefon_tata&quot;:&quot;phone_number&quot;,&quot;email_tata&quot;:&quot;email&quot;,&quot;submit_3&quot;:&quot;submit&quot;,&quot;kontakt_podanie&quot;:&quot;text&quot;,&quot;email_podanie_sp&quot;:&quot;email&quot;,&quot;telefon_podanie&quot;:&quot;phone_number&quot;,&quot;informacja_dane&quot;:&quot;consent&quot;,&quot;oswiadczenie&quot;:&quot;consent&quot;,&quot;polityka_prywatnosci&quot;:&quot;consent&quot;,&quot;submit_4&quot;:&quot;submit&quot;,&quot;notice_1&quot;:&quot;notice&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;ajax&quot;,&quot;form_views_counting&quot;:&quot;all&quot;}\"><section class=\"awb-form-nav awb-form-nav--timeline awb-form-nav--above\" data-steps=\"4\" aria-label=\"Multi-step form with 4 steps.\" style=\"--awb-steps-margin-top:5%;--awb-steps-margin-bottom:50px;--awb-steps-bg-color:var(--awb-custom_color_4);--awb-steps-bg-color-active:var(--awb-custom_color_5);--awb-steps-bg-color-completed:var(--awb-color5);--awb-step-padding-top:15px;--awb-step-padding-right:15px;--awb-step-padding-bottom:15px;--awb-step-padding-left:15px;--awb-steps-bor-top-left:10px;--awb-steps-bor-top-right:10px;--awb-steps-bor-bottom-right:10px;--awb-steps-bor-bottom-left:10px;--awb-steps-bor-type:solid;--awb-steps-bor-width:0px;--awb-steps-sep-width:2px;--awb-steps-sep-type:solid;--awb-steps-sep-type-completed:dashed;--awb-steps-sep-color-completed:var(--awb-color5);--awb-step-icon-size:25px;--awb-step-icon-title-gap:10px;--awb-step-typo-text-transform:uppercase;--awb-steps-title-color:var(--awb-custom_color_1);--awb-steps-title-color-active:var(--awb-color1);--awb-steps-title-color-completed:var(--awb-custom_color_2);--awb-step-icon-padding:3px;--awb-step-icon-bor-type:solid;--awb-step-icon-bor-width:0px;\" role=\"list\" data-aria-current=\"Current step:\" data-aria-completed=\"Completed step:\"><div class=\"awb-form-nav__tl-step-wrapper awb-form-nav__tl-step-wrapper--active\" data-step=\"1\" role=\"listitem\"><div class=\"awb-form-nav__tl-step\"><span class=\"awb-form-nav__tl-aria-info screen-reader-text\">Current step:<\/span><span class=\"awb-form-nav__tl-icon icon-user4\"><\/span><span class=\"awb-form-nav__tl-title\">1<\/span><\/div><\/div><span class=\"awb-form-nav__tl-spacer awb-form-nav__tl-spacer--between\"><\/span><div class=\"awb-form-nav__tl-step-wrapper\" data-step=\"2\" role=\"listitem\"><div class=\"awb-form-nav__tl-step\"><span class=\"awb-form-nav__tl-aria-info screen-reader-text\"><\/span><span class=\"awb-form-nav__tl-icon icon-information-outline\"><\/span><span class=\"awb-form-nav__tl-title\">2<\/span><\/div><\/div><span class=\"awb-form-nav__tl-spacer awb-form-nav__tl-spacer--between\"><\/span><div class=\"awb-form-nav__tl-step-wrapper\" data-step=\"3\" role=\"listitem\"><div class=\"awb-form-nav__tl-step\"><span class=\"awb-form-nav__tl-aria-info screen-reader-text\"><\/span><span class=\"awb-form-nav__tl-icon icon-people_outline\"><\/span><span class=\"awb-form-nav__tl-title\">3<\/span><\/div><\/div><span class=\"awb-form-nav__tl-spacer awb-form-nav__tl-spacer--between\"><\/span><div class=\"awb-form-nav__tl-step-wrapper\" data-step=\"4\" role=\"listitem\"><div class=\"awb-form-nav__tl-step\"><span class=\"awb-form-nav__tl-aria-info screen-reader-text\"><\/span><span class=\"awb-form-nav__tl-icon icon-check-square1\"><\/span><span class=\"awb-form-nav__tl-title\">4<\/span><\/div><\/div><\/section><form action=\"https:\/\/rahn.education\/polska\/sp\/rekrutacja\/podanie\/\" target=\"_self\" method=\"post\" class=\"fusion-form fusion-form-2510\"><div class=\"awb-form-step active\" data-final=\"0\" data-step=\"1\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:50px;--awb-padding-right:30px;--awb-padding-bottom:50px;--awb-padding-left:30px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-custom_color_2);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"width:calc( 100% + 15px ) !important;max-width:calc( 100% + 15px ) !important;margin-left: calc(-15px \/ 2 );margin-right: calc(-15px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><p style=\"text-align: center;\">PODANIE O PRZYJ\u0118CIE DO SZKO\u0141Y PODSTAWOWEJ<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.04 * calc( 100% - 15px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:66.666666666667%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:calc( 0.04 * calc( 100% - 15px ) );--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"klasa\" name=\"klasa\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"\" disabled selected>Prosz\u0119 o przyj\u0119cie dziecka do klasy - wybierz klas\u0119<\/option><option value=\"I KLASA\" >I KLASA<\/option><option value=\"II KLASA\" >II KLASA<\/option><option value=\"III KLASA\" >III KLASA<\/option><option value=\"IV KLASA\" >IV KLASA<\/option><option value=\"V KLASA\" >V KLASA<\/option><option value=\"VI KLASA\" >VI KLASA<\/option><option value=\"VII KLASA\" >VII KLASA<\/option><option value=\"VIII KLASA\" >VIII KLASA<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:calc( 0.04 * calc( 100% - 15px ) );--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:calc( 0.04 * calc( 100% - 15px ) );--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"rok_szkolny\" name=\"rok_szkolny\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"\" disabled selected>Rok szkolny - wybierz<\/option><option value=\"2024 \/ 2025\" >2024 \/ 2025<\/option><option value=\"2025 \/ 2026\" >2025 \/ 2026<\/option><option value=\"2026 \/ 2027\" >2026 \/ 2027<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-end\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:20px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><p style=\"text-align: center;\">DANE OSOBOWE DZIECKA<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.04 * calc( 100% - 15px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:calc( 0.04 * calc( 100% - 15px ) );--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"nazwisko_dziecko\">Nazwisko <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"nazwisko_dziecko\" id=\"nazwisko_dziecko\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Kowalski *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.04 * calc( 100% - 15px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:calc( 0.04 * calc( 100% - 15px ) );--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"imie_dziecko\">Imiona <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"imie_dziecko\" id=\"imie_dziecko\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Jan, Tomasz *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:25px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:calc( 0.014 * calc( 100% - 15px ) );--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:25px;--awb-spacing-left-medium:calc( 0.014 * calc( 100% - 15px ) );--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"pesel\">PESEL <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\"  pattern=\"[0-9]+\" name=\"pesel\" id=\"pesel\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"0123456789 *\" data-holds-private-data=\"false\" minlength=\"11\" maxlength=\"11\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:24.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:calc( 0.016 * calc( 100% - 15px ) );--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:24.5px;--awb-spacing-left-medium:calc( 0.016 * calc( 100% - 15px ) );--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><label for=\"data_urodzenia\">Data urodzenia <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><input autocomplete=\"off\" type=\"date\" data-first-day=\"1\"  data-format=\"d\/m\/Y\" tabindex=\"\" id=\"data_urodzenia\" name=\"data_urodzenia\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"20.05.2016 *\"autocomplete=\"no\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:24.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:calc( 0.016 * calc( 100% - 15px ) );--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:24.5px;--awb-spacing-left-medium:calc( 0.016 * calc( 100% - 15px ) );--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"miejsce_urodzenia\">Miejsce urodzenia <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"miejsce_urodzenia\" id=\"miejsce_urodzenia\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Zielona G\u00f3ra *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:24.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:calc( 0.016 * calc( 100% - 15px ) );--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:24.5px;--awb-spacing-left-medium:calc( 0.016 * calc( 100% - 15px ) );--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"obywatelstwo\">Obywatelstwo <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\"  pattern=\"[a-zA-Z]+\" name=\"obywatelstwo\" id=\"obywatelstwo\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Polskie *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:24.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:calc( 0.016 * calc( 100% - 15px ) );--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:24.5px;--awb-spacing-left-medium:calc( 0.016 * calc( 100% - 15px ) );--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-end\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:20px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4\"><p style=\"text-align: left;\">ADRES ZAMIESZKANIA DZIECKA<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"ulica\">Ulica <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"ulica\" id=\"ulica\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Ulica, nr domu *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.04 * calc( 100% - 15px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:calc( 0.04 * calc( 100% - 15px ) );--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"miejscowosc\">Miejscowo\u015b\u0107 <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"miejscowosc\" id=\"miejscowosc\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Miejscowo\u015b\u0107 *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-20 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:calc( 0.04 * calc( 100% - 15px ) );--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:calc( 0.04 * calc( 100% - 15px ) );--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"Kod_pocztowy\">Kod pocztowy <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"Kod_pocztowy\" id=\"Kod_pocztowy\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"00-000 *\" data-holds-private-data=\"false\" minlength=\"6\" maxlength=\"6\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-21 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-end\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:20px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-text fusion-text-5\"><p style=\"text-align: left;\">ADRES ZAMIESZKANIA DZIECKA (prosz\u0119 o wype\u0142nienie je\u017celi inny ni\u017c zameldowania)<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-22 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><input type=\"text\" autocomplete=\"off\" name=\"ulica\" id=\"ulica\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Ulica, nr domu \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-23 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.04 * calc( 100% - 15px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:calc( 0.04 * calc( 100% - 15px ) );--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><input type=\"text\" autocomplete=\"off\" name=\"miejscowosc\" id=\"miejscowosc\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Miejscowo\u015b\u0107 \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-24 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:calc( 0.04 * calc( 100% - 15px ) );--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:calc( 0.04 * calc( 100% - 15px ) );--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><input type=\"text\" autocomplete=\"off\" name=\"Kod_pocztowy\" id=\"Kod_pocztowy\" value=\"\"  class=\"fusion-form-input\" placeholder=\"00-000 \" data-holds-private-data=\"false\" minlength=\"6\" maxlength=\"6\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-25 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above appointment-btn\" style=\"\" data-form-id=\"2510\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-span-yes fusion-has-button-gradient appointment-btn button-default form-form-submit\" style=\"--awb-padding-top:20px;--awb-padding-bottom:20px;--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_border_width-top:0px;--button_border_width-right:0px;--button_border_width-bottom:0px;--button_border_width-left:0px;--button-border-radius-top-left:4px;--button-border-radius-top-right:4px;--button-border-radius-bottom-right:4px;--button-border-radius-bottom-left:4px;--button_gradient_angle:154deg;--button_gradient_top_color:var(--awb-color5);--button_gradient_bottom_color:hsla(calc(var(--awb-custom_color_3-h) + 5),calc(var(--awb-custom_color_3-s) + 5%),var(--awb-custom_color_3-l),var(--awb-custom_color_3-a));--button_gradient_top_color_hover:hsla(var(--awb-custom_color_3-h),var(--awb-custom_color_3-s),calc(var(--awb-custom_color_3-l) - 10%),var(--awb-custom_color_3-a));--button_gradient_bottom_color_hover:hsla(calc(var(--awb-color5-h) + 5),calc(var(--awb-color5-s) + 5%),calc(var(--awb-color5-l) - 10%),var(--awb-color5-a));--button_text_transform:uppercase;--button_font_size:var(--awb-typography3-font-size);--button_line_height:var(--awb-typography3-line-height);--button_typography-letter-spacing:var(--awb-typography3-letter-spacing);--button_typography-font-family:&quot;Noto Sans&quot;;--button_typography-font-style:normal;--button_typography-font-weight:500;\" data-form-number=\"2510\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Wa\u017cne informacje o dziecku - dalej<\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><\/p><\/div>\n<div class=\"awb-form-step\" data-final=\"0\" data-step=\"2\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:50px;--awb-padding-right:30px;--awb-padding-bottom:50px;--awb-padding-left:30px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-custom_color_2);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"width:calc( 100% + 15px ) !important;max-width:calc( 100% + 15px ) !important;margin-left: calc(-15px \/ 2 );margin-right: calc(-15px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-26 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div ><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-2 fusion-button-span-yes fusion-button-default-type fusion-has-button-gradient\" style=\"--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button-border-radius-top-left:5px;--button-border-radius-top-right:5px;--button-border-radius-bottom-right:5px;--button-border-radius-bottom-left:5px;--button_gradient_angle:90deg;--button_gradient_top_color:var(--awb-color5);--button_gradient_bottom_color:var(--awb-custom_color_3);--button_gradient_top_color_hover:var(--awb-custom_color_3);--button_gradient_bottom_color_hover:var(--awb-color5);--button_text_transform:uppercase;--button_font_size:15px;--button_typography-font-family:&quot;Noto Sans&quot;;--button_typography-font-style:normal;--button_typography-font-weight:500;\" target=\"_self\" href=\"#previousStep\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Poprzedni krok<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-27 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-end\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:20px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-text fusion-text-6\"><p style=\"text-align: center;\">WA\u017bNE INFORMACJE O DZIECKU<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-28 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><label for=\"przedszkole\">Prosz\u0119 poda\u0107 nazw\u0119 plac\u00f3wki o\u015bwiatowej, w jakiej dziecko realizowa\u0142o obowi\u0105zek przedszkolny <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"przedszkole\" name=\"przedszkole\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Je\u015bli nie ma informacji - wpisa\u0107 NIE DOTYCZY *\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-29 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><label for=\"podstawowka\">Prosz\u0119 poda\u0107 nazw\u0119 szko\u0142y podstawowej, do kt\u00f3rej dziecko dotychczas ucz\u0119szcza\u0142o: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"podstawowka\" name=\"podstawowka\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Je\u015bli nie ma informacji - wpisa\u0107 NIE DOTYCZY *\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-30 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Dziecko posiada orzeczenie o potrzebie kszta\u0142cenia specjalnego <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-orzeczenie_specjalne-1-0\" type=\"radio\" value=\"TAK\" name=\"orzeczenie_specjalne\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-orzeczenie_specjalne-1-0\">TAK<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-orzeczenie_specjalne-1-1\" type=\"radio\" value=\"NIE\" name=\"orzeczenie_specjalne\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-orzeczenie_specjalne-1-1\">NIE<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-31 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Dziecko korzysta \/ korzysta\u0142o z porad psychologa lub pedagoga szkolnego? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-porada-2-0\" type=\"radio\" value=\"TAK\" name=\"porada\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-porada-2-0\">TAK<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-porada-2-1\" type=\"radio\" value=\"NIE\" name=\"porada\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-porada-2-1\">NIE<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><label for=\"jesli_tak_to_z_jakiego_powodu\">Je\u015bli tak, to z jakiego powodu?<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"jesli_tak_to_z_jakiego_powodu\" name=\"jesli_tak_to_z_jakiego_powodu\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-32 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Dziecko posiada opini\u0119 z poradni psychologiczno-pedagogicznej <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-opinia-3-0\" type=\"radio\" value=\"TAK\" name=\"opinia\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-opinia-3-0\">TAK<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-opinia-3-1\" type=\"radio\" value=\"NIE\" name=\"opinia\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-opinia-3-1\">NIE<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><label for=\"jesli_tak_to_w_jakim_zakresie:\">Je\u015bli tak, to w jakim zakresie:<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"jesli_tak_to_w_jakim_zakresie:\" name=\"jesli_tak_to_w_jakim_zakresie:\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-33 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">U dziecka wyst\u0119puje lub jest podejrzenie wyst\u0119powania zespo\u0142u nadpobudliwo\u015bci psychoruchowej z deficytem uwagi ? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-uwagi-4-0\" type=\"radio\" value=\"TAK\" name=\"uwagi\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-uwagi-4-0\">TAK<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-uwagi-4-1\" type=\"radio\" value=\"NIE\" name=\"uwagi\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-uwagi-4-1\">NIE<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-34 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">U dziecka wyst\u0119puje \/ jest podejrzenie wyst\u0119powania zespo\u0142u Aspergera? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-asparger-5-0\" type=\"radio\" value=\"TAK\" name=\"asparger\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-asparger-5-0\">TAK<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-asparger-5-1\" type=\"radio\" value=\"NIE\" name=\"asparger\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-asparger-5-1\">NIE<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-35 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Dziecko chorowa\u0142o lub choruje na choroby psychiczne, depresj\u0119 lub zaburzenia nerwicowe? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-nerwica-6-0\" type=\"radio\" value=\"TAK\" name=\"nerwica\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-nerwica-6-0\">TAK<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-nerwica-6-1\" type=\"radio\" value=\"NIE\" name=\"nerwica\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-nerwica-6-1\">NIE<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-36 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Dziecko przyjmuje lub przyjmowa\u0142o leki psychotropowe? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-psycho-7-0\" type=\"radio\" value=\"TAK\" name=\"psycho\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-psycho-7-0\">TAK<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-psycho-7-1\" type=\"radio\" value=\"NIE\" name=\"psycho\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-psycho-7-1\">NIE<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-37 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><label for=\"stan_zdrowia\">Uwagi dotycz\u0105ce stanu zdrowia dziecka (alergie, diety itp.) <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"stan_zdrowia\" name=\"stan_zdrowia\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Je\u015bli nie ma informacji - wpisa\u0107 NIE DOTYCZY *\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-38 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><label for=\"stan_zdrowia\">Szczeg\u00f3lne uzdolnienia, zainteresowania dziecka<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"stan_zdrowia\" name=\"stan_zdrowia\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-39 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">O\u015bwiadczam, \u017ce dziecko b\u0119dzie ucz\u0119szcza\u0107 na lekcje: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-religia_lo-8-0\" type=\"radio\" value=\"RELIGIA\" name=\"religia_LO\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-religia_lo-8-0\">RELIGIA<\/label><\/div><div class=\"fusion-form-radio option-inline\"><input tabindex=\"\" id=\"radio-religia_lo-8-1\" type=\"radio\" value=\"ETYKA\" name=\"religia_LO\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-religia_lo-8-1\">ETYKA<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-40 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above appointment-btn\" style=\"\" data-form-id=\"2510\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-3 fusion-button-span-yes fusion-has-button-gradient appointment-btn button-default form-form-submit\" style=\"--awb-padding-top:20px;--awb-padding-bottom:20px;--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_border_width-top:0px;--button_border_width-right:0px;--button_border_width-bottom:0px;--button_border_width-left:0px;--button-border-radius-top-left:4px;--button-border-radius-top-right:4px;--button-border-radius-bottom-right:4px;--button-border-radius-bottom-left:4px;--button_gradient_angle:154deg;--button_gradient_top_color:var(--awb-color5);--button_gradient_bottom_color:hsla(calc(var(--awb-custom_color_3-h) + 5),calc(var(--awb-custom_color_3-s) + 5%),var(--awb-custom_color_3-l),var(--awb-custom_color_3-a));--button_gradient_top_color_hover:hsla(var(--awb-custom_color_3-h),var(--awb-custom_color_3-s),calc(var(--awb-custom_color_3-l) - 10%),var(--awb-custom_color_3-a));--button_gradient_bottom_color_hover:hsla(calc(var(--awb-color5-h) + 5),calc(var(--awb-color5-s) + 5%),calc(var(--awb-color5-l) - 10%),var(--awb-color5-a));--button_text_transform:uppercase;--button_font_size:var(--awb-typography3-font-size);--button_line_height:var(--awb-typography3-line-height);--button_typography-letter-spacing:var(--awb-typography3-letter-spacing);--button_typography-font-family:&quot;Noto Sans&quot;;--button_typography-font-style:normal;--button_typography-font-weight:500;\" data-form-number=\"2510\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Dane osobowe opiekun\u00f3w - dalej<\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><\/p><\/div>\n<div class=\"awb-form-step\" data-final=\"0\" data-step=\"3\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:50px;--awb-padding-right:30px;--awb-padding-bottom:50px;--awb-padding-left:30px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-custom_color_2);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"width:calc( 100% + 15px ) !important;max-width:calc( 100% + 15px ) !important;margin-left: calc(-15px \/ 2 );margin-right: calc(-15px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-41 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-end\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:20px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div ><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-4 fusion-button-span-yes fusion-button-default-type fusion-has-button-gradient\" style=\"--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button-border-radius-top-left:5px;--button-border-radius-top-right:5px;--button-border-radius-bottom-right:5px;--button-border-radius-bottom-left:5px;--button_gradient_angle:90deg;--button_gradient_top_color:var(--awb-color5);--button_gradient_bottom_color:var(--awb-custom_color_3);--button_gradient_top_color_hover:var(--awb-custom_color_3);--button_gradient_bottom_color_hover:var(--awb-color5);--button_text_transform:uppercase;--button_font_size:15px;--button_typography-font-family:&quot;Noto Sans&quot;;--button_typography-font-style:normal;--button_typography-font-weight:500;\" target=\"_self\" href=\"#previousStep\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Poprzedni krok<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-42 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-end\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:20px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-text fusion-text-7\"><p style=\"text-align: center;\">DANE OSOBOWE RODZIC\u00d3W\/ OPIEKUN\u00d3W PRAWNYCH<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-43 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.02 * calc( 100% - 15px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:calc( 0.02 * calc( 100% - 15px ) );--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"dane_mama\">Imi\u0119 i nazwisko matki \/ opiekuna prawnego <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"dane_mama\" id=\"dane_mama\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Imi\u0119 i nazwisko matki *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"adres_mama\">Adres do korespondencji <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"adres_mama\" id=\"adres_mama\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Adres do korespondencji *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 15px ) !important;max-width:calc( 100% + 15px ) !important;margin-left: calc(-15px \/ 2 );margin-right: calc(-15px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"telefon_mama\">Telefon <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"tel\" autocomplete=\"off\" name=\"telefon_mama\" id=\"telefon_mama\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Tel *\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_mama\">Email <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"email_mama\" id=\"email_mama\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Email *\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-44 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.02 * calc( 100% - 15px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:calc( 0.02 * calc( 100% - 15px ) );--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"dane_tata\">Imi\u0119 i nazwisko ojca \/ opiekuna prawnego <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"dane_tata\" id=\"dane_tata\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Imi\u0119 i nazwisko ojca *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"adres_tata\">Adres do korespondencji <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"adres_tata\" id=\"adres_tata\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Adres do korespondencji *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 15px ) !important;max-width:calc( 100% + 15px ) !important;margin-left: calc(-15px \/ 2 );margin-right: calc(-15px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"telefon_tata\">Telefon <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"tel\" autocomplete=\"off\" name=\"telefon_tata\" id=\"telefon_tata\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Tel *\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_tata\">Email <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"email_tata\" id=\"email_tata\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Email *\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-45 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-8\"><p><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Uwaga!<\/span><\/span><\/strong><br \/>\n<span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Szko\u0142a jest plac\u00f3wk\u0105 niepubliczn\u0105 posiadaj\u0105c\u0105 uprawnienia szko\u0142y publicznej. Nauka jest odp\u0142atna. Wysoko\u015b\u0107 op\u0142at i zasady ich naliczania okre\u015bla Regulamin op\u0142at zwi\u0105zanych z nauk\u0105 w szko\u0142ach prowadzonych przez Europejsk\u0105 Fundacj\u0119 O\u015bwiaty i Kultury.<\/span><\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-46 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above appointment-btn\" style=\"\" data-form-id=\"2510\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-5 fusion-button-span-yes fusion-has-button-gradient appointment-btn button-default form-form-submit\" style=\"--awb-padding-top:20px;--awb-padding-bottom:20px;--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_border_width-top:0px;--button_border_width-right:0px;--button_border_width-bottom:0px;--button_border_width-left:0px;--button-border-radius-top-left:4px;--button-border-radius-top-right:4px;--button-border-radius-bottom-right:4px;--button-border-radius-bottom-left:4px;--button_gradient_angle:154deg;--button_gradient_top_color:var(--awb-color5);--button_gradient_bottom_color:hsla(calc(var(--awb-custom_color_3-h) + 5),calc(var(--awb-custom_color_3-s) + 5%),var(--awb-custom_color_3-l),var(--awb-custom_color_3-a));--button_gradient_top_color_hover:hsla(var(--awb-custom_color_3-h),var(--awb-custom_color_3-s),calc(var(--awb-custom_color_3-l) - 10%),var(--awb-custom_color_3-a));--button_gradient_bottom_color_hover:hsla(calc(var(--awb-color5-h) + 5),calc(var(--awb-color5-s) + 5%),calc(var(--awb-color5-l) - 10%),var(--awb-color5-a));--button_text_transform:uppercase;--button_font_size:var(--awb-typography3-font-size);--button_line_height:var(--awb-typography3-line-height);--button_typography-letter-spacing:var(--awb-typography3-letter-spacing);--button_typography-font-family:&quot;Noto Sans&quot;;--button_typography-font-style:normal;--button_typography-font-weight:500;\" data-form-number=\"2510\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Potwierdzenia \/ zgody - dalej<\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n<div class=\"awb-form-step\" data-final=\"1\" data-step=\"4\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:50px;--awb-padding-right:30px;--awb-padding-bottom:50px;--awb-padding-left:30px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-custom_color_2);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"width:calc( 100% + 15px ) !important;max-width:calc( 100% + 15px ) !important;margin-left: calc(-15px \/ 2 );margin-right: calc(-15px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-47 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-end\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:20px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div ><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-6 fusion-button-span-yes fusion-button-default-type fusion-has-button-gradient\" style=\"--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button-border-radius-top-left:5px;--button-border-radius-top-right:5px;--button-border-radius-bottom-right:5px;--button-border-radius-bottom-left:5px;--button_gradient_angle:90deg;--button_gradient_top_color:var(--awb-color5);--button_gradient_bottom_color:var(--awb-custom_color_3);--button_gradient_top_color_hover:var(--awb-custom_color_3);--button_gradient_bottom_color_hover:var(--awb-color5);--button_text_transform:uppercase;--button_font_size:15px;--button_typography-font-family:&quot;Noto Sans&quot;;--button_typography-font-style:normal;--button_typography-font-weight:500;\" target=\"_self\" href=\"#previousStep\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Poprzedni krok<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-48 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-end\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:20px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-text fusion-text-9\"><p style=\"text-align: center;\">POTWIERDZENIE \/ ZGODY<\/p>\n<\/div>\n<\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-49 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-50 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.02 * calc( 100% - 15px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:calc( 0.02 * calc( 100% - 15px ) );--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"kontakt_podanie\">Imi\u0119 i Nazwisko osoby do kontaktu w sprawie PODANIA <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-user-alt fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"kontakt_podanie\" id=\"kontakt_podanie\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-51 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.04 * calc( 100% - 15px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:calc( 0.04 * calc( 100% - 15px ) );--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_podanie_sp\">Email <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-at fas\"><\/i><input type=\"email\" autocomplete=\"off\" name=\"email_podanie_sp\" id=\"email_podanie_sp\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-52 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.04 * calc( 100% - 15px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:calc( 0.04 * calc( 100% - 15px ) );--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"telefon_podanie\">Telefon <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-alt fas\"><\/i><input type=\"tel\" autocomplete=\"off\" name=\"telefon_podanie\" id=\"telefon_podanie\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-53 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-consent-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"informacja_dane\">Informacja o ochronie danych osobowych <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"\" id=\"informacja_dane\" type=\"checkbox\" value=\"1\" name=\"informacja_dane\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked \/><label for=\"informacja_dane\">Na podstawie rozporz\u0105dzenia Parlamentu Europejskiego i Rady (UE) 2016\/679 z 27 kwietnia 2016r. w sprawie ochrony os\u00f3b fizycznych w zwi\u0105zku z przetwarzaniem danych osobowych i w sprawie swobodnego przep\u0142ywu takich danych oraz uchylenie dyrektywy 95\/46\/WE (og\u00f3lne rozporz\u0105dzenie o ochronie danych)(Dz. Urz. UE L nr 119, str.1), informuj\u0119 Pani\u0105\/ Pana, \u017ce administrator danych osobowych w Europejskiej Szkole Podstawowej dr Rahn w Zielonej G\u00f3rze zbiera i przetwarza dane osobowe Pana\/Pani dziecka i cz\u0142onk\u00f3w jego rodziny we wsp\u00f3lnym gospodarstwie domowym w zakresie dydaktyczno - wychowawczo - opieku\u0144czej dzia\u0142alno\u015bci szko\u0142y. Administratorem danych osobowych jest Europejska Fundacja O\u015bwiaty i Kultury w Zielonej G\u00f3rze ul. Sienkiewicza 36. Administrator powo\u0142a\u0142 Inspektora Ochrony Danych Osobowych, z kt\u00f3rym w razie niejasno\u015bci mo\u017cna kontaktowa\u0107 si\u0119 pod adresem iodo@rahn.education. Dane przetwarzane b\u0119d\u0105 na podstawie art. 6 ust. 1 lit a Rozporz\u0105dzenia RODO \u2013 zgoda osoby lub opiekuna prawnego. Informuj\u0119, \u017ce przys\u0142uguje Panu\/ Pani prawo wgl\u0105du do zbieranych danych oraz uzupe\u0142niania, uaktualniania, usuni\u0119cia lub ograniczenia przetwarzania czy sprostowania w razie stwierdzenia, \u017ce dane s\u0105 niekompletne, nieaktualne lub nieprawdziwe. Przekazane dane osobowe przetwarzane b\u0119d\u0105 w spos\u00f3b zautomatyzowany lub cz\u0119\u015bciowo zautomatyzowany przez ca\u0142y cykl edukacyjny. Jednocze\u015bnie informuj\u0119, \u017ce administrator danych osobowych w Europejskiej Szkole Podstawowej dr Rahn w Zielonej G\u00f3rze do\u0142o\u017cy wszelkich stara\u0144, aby dane by\u0142y zbierane, przetwarzane i chronione zgodnie z prawem.<\/label><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-54 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-consent-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"oswiadczenie\">O\u015bwiadczenie woli <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"\" id=\"oswiadczenie\" type=\"checkbox\" value=\"1\" name=\"oswiadczenie\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked \/><label for=\"oswiadczenie\">Zapozna\u0142em\/am si\u0119 z informacj\u0105 dotycz\u0105c\u0105 zbierania i przetwarzania danych osobowych moich i cz\u0142onk\u00f3w mojej rodziny pozostaj\u0105cych we wsp\u00f3lnym gospodarstwie domowym. Wyra\u017cam zgod\u0119 na przetwarzanie danych zawartych w niniejszym formularzu w celu realizacji procesu rekrutacji do szko\u0142y.\nUprzedzony o odpowiedzialno\u015bci karnej z art. 233 kodeksu karnego o\u015bwiadczam, \u017ce dane przed\u0142o\u017cone w niniejszym podaniu s\u0105 zgodne ze stanem faktycznym.<\/label><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-55 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-consent-field fusion-form-label-above\" style=\"\" data-form-id=\"2510\"><div class=\"fusion-form-label-wrapper\"><label for=\"polityka_prywatnosci\">Polityka Prywatno\u015bci <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"\" id=\"polityka_prywatnosci\" type=\"checkbox\" value=\"1\" name=\"polityka_prywatnosci\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\"\/><label for=\"polityka_prywatnosci\">Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych zgodnie z ustaw\u0105 o ochronie danych osobowych w zwi\u0105zku z realizacj\u0105 zg\u0142oszenia. - <a href=\"\/polityka-prywatnosci\/\" style=\"text-decoration:none\"> Polityka Prywatno\u015bci.<\/a><br>\nT\u0119 stron\u0119 chroni rozwi\u0105zanie reCAPTCHA. Obowi\u0105zuje <a href=\"https:\/\/policies.google.com\/privacy\" target=\"_blank\">Polityka Prywatno\u015bci<\/a> oraz <a href=\"https:\/\/policies.google.com\/terms\" target=\"_blank\">Regulamin<\/a> Google.<\/label><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-56 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above appointment-btn\" style=\"\" data-form-id=\"2510\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-7 fusion-button-span-yes fusion-has-button-gradient appointment-btn button-default form-form-submit\" style=\"--awb-padding-top:20px;--awb-padding-bottom:20px;--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_border_width-top:0px;--button_border_width-right:0px;--button_border_width-bottom:0px;--button_border_width-left:0px;--button-border-radius-top-left:4px;--button-border-radius-top-right:4px;--button-border-radius-bottom-right:4px;--button-border-radius-bottom-left:4px;--button_gradient_angle:154deg;--button_gradient_top_color:var(--awb-color5);--button_gradient_bottom_color:hsla(calc(var(--awb-custom_color_3-h) + 5),calc(var(--awb-custom_color_3-s) + 5%),var(--awb-custom_color_3-l),var(--awb-custom_color_3-a));--button_gradient_top_color_hover:hsla(var(--awb-custom_color_3-h),var(--awb-custom_color_3-s),calc(var(--awb-custom_color_3-l) - 10%),var(--awb-custom_color_3-a));--button_gradient_bottom_color_hover:hsla(calc(var(--awb-color5-h) + 5),calc(var(--awb-color5-s) + 5%),calc(var(--awb-color5-l) - 10%),var(--awb-color5-a));--button_text_transform:uppercase;--button_font_size:var(--awb-typography3-font-size);--button_line_height:var(--awb-typography3-line-height);--button_typography-letter-spacing:var(--awb-typography3-letter-spacing);--button_typography-font-family:&quot;Noto Sans&quot;;--button_typography-font-style:normal;--button_typography-font-weight:500;\" data-form-number=\"2510\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Wy\u015blij podanie<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-57 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:7.5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:7.5px;--awb-spacing-left-medium:7.5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:7.5px;--awb-spacing-left-small:7.5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\" data-instance=\"1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Dzi\u0119kujemy za wype\u0142nienie podania. Skontaktujemy si\u0119 z Tob\u0105  w ci\u0105gu 3 dni roboczych.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Wyst\u0105pi\u0142 b\u0142\u0105d podczas pr\u00f3by wys\u0142ania podania. Spr\u00f3buj ponownie p\u00f3\u017aniej.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_store_ip_ua\" value=\"true\"><\/form><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":1124,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-1127","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Podanie - Rahn Education Polska - Zielona G\u00f3ra<\/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:\/\/rahn.education\/polska\/sp\/rekrutacja\/podanie\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Podanie - 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