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ZAPISY NA KURSY – PROGRAMY AKADEMII NAUKI:

(liczba miejsc ograniczona – prosimy o sprawdzenie poniżej).

Dla wysłania zgłoszenia wymagane wypełnienie poniższych pól i akceptacji.

    Wybór Grupy

    Imię i nazwisko dziecka

    Rok urodzenia dziecka

    Klasa

    Imię i nazwisko zgłaszającego rodzica / opiekuna

    Adres email zgłaszającego

    Numer telefonu zgłaszającego

    Wyrażam zgodę na zbieranie, przetwarzanie, przechowywanie i wykorzystanie przez Organizatora podanych przeze mnie danych teraz i w przyszłości w związku z prowadzonymi zajeciami.

    Uwagi (opcjonalne)

    [botdetect_captcha* captcha-ctrl]Wprowadzić kod z obrazka i kliknij przycisk "WYŚLIJ"

    Po naciśnięciu przycisku WYŚLIJ pojawi się potwierdzenie wysłania formularza. Otrzymasz także wiadomość potwierdzającą jego wysłanie na podany adres e-mail. W przypadku nie otrzymania wiadomości lub problemów z wysłaniem formularza prosimy o kontakt telefoniczny.


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