{"id":2338,"date":"2024-09-23T17:33:19","date_gmt":"2024-09-23T17:33:19","guid":{"rendered":"https:\/\/konferencja-w6.pwr.edu.pl\/?page_id=2338"},"modified":"2025-09-19T21:57:02","modified_gmt":"2025-09-19T21:57:02","slug":"formularz-rejestracyjny","status":"publish","type":"page","link":"https:\/\/konferencja-w6.pwr.edu.pl\/?page_id=2338","title":{"rendered":"formularz-rejestracyjny"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2338\" class=\"elementor elementor-2338\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ae24a79 e-flex e-con-boxed e-con e-parent\" data-id=\"ae24a79\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0a9a07f e-con-full e-flex e-con e-child\" data-id=\"0a9a07f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-37d579b elementor-widget elementor-widget-heading\" data-id=\"37d579b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Formularz rejestracyjny<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b765911 e-con-full e-flex e-con e-child\" data-id=\"b765911\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4672a05 elementor-widget elementor-widget-wp-widget-forminator_widget\" data-id=\"4672a05\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-forminator_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"forminator-ui forminator-custom-form forminator-custom-form-3130 forminator-design--material  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-3130\" data-uid=\"6ab896b38ae03\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-3130\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-3130 forminator-design--material  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"3130\"\n\t\t\t\t data-color-option=\"default\" data-design=\"material\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ab896b38ae03\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px solid #008c44;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">DANE OSOBOWE:<\/h2><hr class=\"forminator-border\" style=\"border: 1px solid #008c44;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6ab896b38ae03\" id=\"forminator-field-name-1_6ab896b38ae03-label\" class=\"forminator-label\">Imi\u0119 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6ab896b38ae03\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" aria-describedby=\"forminator-field-name-1_6ab896b38ae03-description\" \/><span id=\"forminator-field-name-1_6ab896b38ae03-description\" class=\"forminator-description\">Podaj swoje imi\u0119<\/span><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6ab896b38ae03\" id=\"forminator-field-name-2_6ab896b38ae03-label\" class=\"forminator-label\">Nazwisko <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_6ab896b38ae03\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" aria-describedby=\"forminator-field-name-2_6ab896b38ae03-description\" \/><span id=\"forminator-field-name-2_6ab896b38ae03-description\" class=\"forminator-description\">Podaj swoje nazwisko<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6ab896b38ae03\" id=\"forminator-field-name-3_6ab896b38ae03-label\" class=\"forminator-label\">Afiliacja <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6ab896b38ae03\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" aria-describedby=\"forminator-field-name-3_6ab896b38ae03-description\" \/><span id=\"forminator-field-name-3_6ab896b38ae03-description\" class=\"forminator-description\">Podaj nazw\u0119 firmy\/uczelni\/instytucji, kt\u00f3ra b\u0119dzie umieszczona na Twoim identyfikatorze<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6ab896b38ae03\" id=\"forminator-field-phone-1_6ab896b38ae03-label\" class=\"forminator-label\">Telefon <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6ab896b38ae03\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_6ab896b38ae03-description\" \/><span class=\"forminator-description\" id=\"forminator-field-phone-1_6ab896b38ae03-description\">Podaj sw\u00f3j numer telefonu<\/span><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6ab896b38ae03\" id=\"forminator-field-email-1_6ab896b38ae03-label\" class=\"forminator-label\">Email <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6ab896b38ae03\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" aria-describedby=\"forminator-field-email-1_6ab896b38ae03-description\" \/><span id=\"forminator-field-email-1_6ab896b38ae03-description\" class=\"forminator-description\">Podaj adres email<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px solid #008c44;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">ZG\u0141OSZENIE UDZIA\u0141U W:<\/h2><hr class=\"forminator-border\" style=\"border: 1px solid #008c44;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab896b38ae03-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6ab896b38ae03-label\" class=\"forminator-label\">Konferencja naukowo-techniczna<\/span><label id=\"forminator-field-checkbox-1-1-6ab896b38ae03-label\" for=\"forminator-field-checkbox-1-1-6ab896b38ae03\" class=\"forminator-checkbox\" title=\"Tradycje i Innowacje w G\u00f3rnictwie\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-6ab896b38ae03\" aria-labelledby=\"forminator-field-checkbox-1-1-6ab896b38ae03-label\" data-calculation=\"1500\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-6ab896b38ae03-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Tradycje i Innowacje w G\u00f3rnictwie<\/span><\/label><span id=\"forminator-field-checkbox-1-6ab896b38ae03-description\" class=\"forminator-description\">Wp\u0142aty nale\u017cy dokona\u0107 do dnia 10 listopada 2025 r. na konto: Stowarzyszenie Absolwent\u00f3w Wydzia\u0142u G\u00f3rniczego Politechniki Wroc\u0142awskiej; numer konta: 17 1020 5242 0000 2002 0113 1275; tytu\u0142 przelewu: \u201cKonferencja Nazwisko uczestnika\u201d.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px solid #008c44;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">PODSUMOWANIE FINANSOWE:<\/h2><hr class=\"forminator-border\" style=\"border: 1px solid #008c44;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-1-field_6ab896b38ae03\" id=\"calculation-1-field_6ab896b38ae03-label\" class=\"forminator-label\">\u0141\u0105czna kwota do zap\u0142aty<\/label><div class=\"forminator-input forminator-input-with-prefix\"><span class=\"forminator-prefix\">z\u0142<\/span><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_6ab896b38ae03\" class=\"forminator-calculation\" data-formula=\"{checkbox-1}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><span class=\"forminator-suffix\"><\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ab896b38ae03-label\"><span id=\"forminator-radiogroup-radio-1-6ab896b38ae03-label\" class=\"forminator-label\">Chc\u0119 otrzyma\u0107 uproszczony rachunek <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ab896b38ae03\" class=\"forminator-radio\" title=\"Tak\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-6ab896b38ae03\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tak<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ab896b38ae03\" class=\"forminator-radio\" title=\"Nie\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-6ab896b38ae03\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nie<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_6ab896b38ae03\" id=\"forminator-field-name-5_6ab896b38ae03-label\" class=\"forminator-label\">Dane do wystawienia uproszczonego rachunku <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_6ab896b38ae03\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" aria-describedby=\"forminator-field-name-5_6ab896b38ae03-description\" \/><span id=\"forminator-field-name-5_6ab896b38ae03-description\" class=\"forminator-description\">Podaj pe\u0142ne dane do uproszczonego rachunku<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px solid #008c44;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">DEKLARACJE:<\/h2><hr class=\"forminator-border\" style=\"border: 1px solid #008c44;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ab896b38ae03-label\" aria-describedby=\"forminator-radiogroup-radio-2-6ab896b38ae03-description\"><span id=\"forminator-radiogroup-radio-2-6ab896b38ae03-label\" class=\"forminator-label\">Zgoda na przetwarzanie danych osobowych <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ab896b38ae03\" class=\"forminator-radio forminator-radio-inline\" title=\"Wyra\u017cam zgod\u0119 na gromadzenie, przetwarzanie i przekazywanie moich danych osobowych zgodnie z art. 6 ust. 1 lit. a RODO, przekazanych Stowarzyszeniu Absolwent\u00f3w Wydzia\u0142u G\u00f3rniczego Politechniki Wroc\u0142awskiej - Organizatorowi Konferencji pn. \u201eTradycje i innowacje w g\u00f3rnictwie\u201d, w zwi\u0105zku z moim udzia\u0142em w Konferencji oraz wykorzystaniu mojego wizerunku przez Organizatora w celu promocji i publikacji fotografii w \u015brodkach masowego przekazu.\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-6ab896b38ae03\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-2-6ab896b38ae03-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Wyra\u017cam zgod\u0119 na gromadzenie, przetwarzanie i przekazywanie moich danych osobowych zgodnie z art. 6 ust. 1 lit. a RODO, przekazanych Stowarzyszeniu Absolwent\u00f3w Wydzia\u0142u G\u00f3rniczego Politechniki Wroc\u0142awskiej - Organizatorowi Konferencji pn. \u201eTradycje i innowacje w g\u00f3rnictwie\u201d, w zwi\u0105zku z moim udzia\u0142em w Konferencji oraz wykorzystaniu mojego wizerunku przez Organizatora w celu promocji i publikacji fotografii w \u015brodkach masowego przekazu.<\/span><\/label><span id=\"forminator-radiogroup-radio-2-6ab896b38ae03-description\" class=\"forminator-description\">Zgoda na przetwarzanie danych osobowych stanowi warunek udzia\u0142u w Konferencji. Brak zgody na przetwarzanie danych osobowych skutkuje brakiem mo\u017cliwo\u015bci udzia\u0142u w Konferencji.<\/span><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\"><span>Wy\u015blij zg\u0142oszenie<\/span><span aria-hidden=\"true\"><\/span><\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"580a6689a7\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2338\" \/><input type=\"hidden\" name=\"form_id\" value=\"3130\"><input type=\"hidden\" name=\"page_id\" value=\"2338\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/konferencja-w6.pwr.edu.pl\/?page_id=2338\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Formularz rejestracyjny<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"disable","_kad_post_title":"hide","_kad_post_layout":"fullwidth","_kad_post_sidebar_id":"","_kad_post_content_style":"unboxed","_kad_post_vertical_padding":"hide","_kad_post_feature":"hide","_kad_post_feature_position":"","_kad_post_header":true,"_kad_post_footer":true,"_kad_post_classname":"","footnotes":"","_tec_slr_enabled":"","_tec_slr_layout":""},"class_list":["post-2338","page","type-page","status-publish","hentry"],"ticketed":false,"_links":{"self":[{"href":"https:\/\/konferencja-w6.pwr.edu.pl\/index.php?rest_route=\/wp\/v2\/pages\/2338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/konferencja-w6.pwr.edu.pl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/konferencja-w6.pwr.edu.pl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/konferencja-w6.pwr.edu.pl\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/konferencja-w6.pwr.edu.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2338"}],"version-history":[{"count":18,"href":"https:\/\/konferencja-w6.pwr.edu.pl\/index.php?rest_route=\/wp\/v2\/pages\/2338\/revisions"}],"predecessor-version":[{"id":3133,"href":"https:\/\/konferencja-w6.pwr.edu.pl\/index.php?rest_route=\/wp\/v2\/pages\/2338\/revisions\/3133"}],"wp:attachment":[{"href":"https:\/\/konferencja-w6.pwr.edu.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}